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in terms of their mental well-being. Many patients or individuals with obesity in the society arefacing stigmatization and this makes them live in a world of social exclusion[ CITATIONBaz131 \l 1033 ]. The study supports the new approach which involves consideration of the mental issuesaffecting the patients during the treatment of obesity since the positively contributes to themanagement of obesity. This study proposed the use of the new approach in the management ofobesity (multi-tiered) to assists in promoting psychological well-being, prevention of increasedsymptoms of obesity, and bringing about individualized interventions. This study is also showingthat the treatment focus of major healthcare facilities has been based on the traditionalapproaches which are focused on watching diet and engaging in exercise activities. Littleattention has been given to the mental issues which affect individuals with obesity[ CITATIONBaz131 \l 1033 ].
5Research Critiques and PICOT Statement Final DraftScale-out of the community based behavioral intervention to children obesity is anothernew approach towards diagnosis and management of obesity among children. The authors of thisstudy indicate that many attempts have been made to help in the improvement of child bodymass index. According to this study, the generalizability of the outcome of these attempts and thesustainability of the outcome causes more challenges when it comes to their analysis. There areseveral healthcare facilities which have made attempts to replicate some program to help in themanagement of childhood obesity; however, they have not been successful in doingso[ CITATION Her181 \l 1033 ]. Scale-out of the community based behavioral obesity proves to be important in thediagnosis and management of obesity. This study shows that for the new practical approach to beeffective in helping the healthcare facilities to meet their goals of the obesity diagnosis andmanagement, future research work needs to focus on the incorporating the new and thoroughtechniques to assists in scaling out successful studies in the obesity diagnosis and managementprocesses. It is also clear that the diagnosis and management of obesity must be based onevidence-based intervention approaches. This approach is helping in effectively dealing withchildhood obesity in an effective manner as well as helping in addressing the long-term impactsassociated with obesity among the affected individuals. Through contextualization of theintervention related to scale-out of the community-based behavioral obesity in a combinationwith scrupulous approaches in the management of obesity, it becomes easier to manage obesityin an effective way as opposed to simply relying on the traditional approaches which involveswatching on the diet and lifestyles as well as taking part in the exercise activities to manageobesity[ CITATION Her181 \l 1033 ].