A Pre-Hospital Patient Education Program Improves Outcomes of Bariatric Surgery

Brown, Wendy A.; Burton, Paul R.; Shaw, Kalai; Curtiss, Brittany M.; Maffescioni, Shelley; Comitti, Bernadette L; Cowley, Michael A.; Laurie, Cheryl; Way, Andrew; Nottle, Peter

doi:10.1007/s11695-016-2075-6

Cited by 25 publications

(49 citation statements)

References 30 publications

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“…In an Australian study of 82 prospective publicly funded bariatric surgery recipients who completed a pre-hospital patient education programme (involving a GP review, information session and online lifestyle behaviour modification programme), 55% (n = 45) maintained or lost weight, and 36% (n = 30) gained weight across an 18-month period. Furthermore, at a 12-month follow-up post-surgery, those who completed the programme had greater mean excess weight loss (EWL) than those who did not (41.1 AE 20.3% EWL compared with 32 AE 18.0% (P = 0.012)) (19). Another study of 200 participants waitlisted for publicly funded bariatric surgery in Canada, investigated the effect of a 2-year individualized and interdisciplinary intervention.…”

Section: Discussionmentioning

confidence: 99%

The support needs of patients waiting for publicly funded bariatric surgery – implications for health service planners

et al. 2016

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The objective of this study was to investigate the experience of waiting for publicly funded bariatric surgery in an Australian tertiary healthcare setting. Focus groups and individual interviews involving people waiting for or who had undergone publicly funded bariatric surgery were audio-recorded, transcribed and analysed thematically. A total of 11 women and 6 men engaged in one of six focus groups in 2014, and an additional 10 women and 9 men were interviewed in 2015. Mean age was 53 years (range 23-66); mean waiting time was 6 years (range 0-12), and mean time since surgery was 4 years (range 0-11). Waiting was commonly reported as emotionally challenging (e.g. frustrating, depressing, stressful) and often associated with weight gain (despite weight-loss attempts) and deteriorating physical health (e.g. development of new or worsening obesity-related comorbidity or decline in mobility) or psychological health (e.g. development of or worsening depression). Peer support, health and mental health counselling, integrated care and better communication about waitlist position and management (e.g. patient prioritization) were identified support needs. Even if wait times cannot be reduced, better peer and health professional supports, together with better communication from health departments, may improve the experience or outcomes of waiting and confer quality-of-life gains irrespective of weight loss.

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Section: Discussionmentioning

confidence: 99%

The support needs of patients waiting for publicly funded bariatric surgery – implications for health service planners

et al. 2016

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“…Two main change ideas were chosen in order to achieve the goal of long-term follow up for patients: 1) ACP calls and e-mails prior to appointments and 2) an online website or application outlining follow-up care (the Toronto Western Hospital Bariatric After-Care application). These ideas were developed after assessing the needs of patients and staff using QI tools, such as Fishbone (Ishikawa) diagrams, Pareto charts and review of the evidence for postsurgery adherence to bariatric surgery appointments (25,32,33). Focus groups, followed by patient surveys, were used to identify lack of individualized scheduling and care as the main causes for appointment attrition.…”

Section: Description Of Bariatric Surgery Advance-care Planningmentioning

confidence: 99%

Evaluation of a Patient-Care Planning Intervention to Improve Appointment Attendance by Adults After Bariatric Surgery

Santiago

Warwick

Ratnakumarasuriyar

et al. 2019

Canadian Journal of Diabetes

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“…This should be in line with patient abilities to behavioral changes in the postsurgery period and in long term, which are the subject of specific recommendations by the European Association for the Study of Obesity (EASO) [4]. For patients, therapeutic preparation programs improve the awareness of behavioral changes challenge, anxiety score, depression and eating disorders due to psychological preparation, thanks to medium term weight loss [5][6][7]. Furthermore, combined preoperational information and sensory information are the clinical strategies which give the most benefits for patients in preparatory process [8].…”

Section: Introductionmentioning

confidence: 99%

Transforming with partner patients a program of preparation for bariatric surgery

Somers

Correia

Blyweert

et al. 2019

Educ Ther Patient/Ther Patient Educ

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Introduction: The current collective preparation program for obesity surgery is performed by an interdisciplinary team over four non-consecutive days. In order to optimize the delays of the program and to improve the educational offer a temporal condensation of this service in the proximity of the intervention was decided. The objective of this study is to describe the creation process of the new obesity surgery preparation program based on the needs of partner patients. Materials and methods: We conducted semi-structured focus groups with 50 patients over 3 successive stages of the surgical journey: at the beginning and end of the collective preparation and then 2 to 14 months after the surgery. The analysis crosses by theme the needs identified. Results and discussion: Our study allowed to authenticate a central need of sharing with witnesses, a need for information (medical, dietary, behavioral), and a need for longer-term projection (transformations, investment axes to support weight loss). Conclusion: The preparatory needs identified by the partner patients served as a guide for the transformation of the existing program. This experiment paves the way for a partnership with patients established and recognized by the institution of care in the evaluation process of this program.

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A Pre-Hospital Patient Education Program Improves Outcomes of Bariatric Surgery

Abstract: The introduction of a pre-hospital education program has led to an improvement in attendance rates and early weight loss post-bariatric surgery.

Cited by 25 publications

References 30 publications

The support needs of patients waiting for publicly funded bariatric surgery – implications for health service planners

The support needs of patients waiting for publicly funded bariatric surgery – implications for health service planners

Evaluation of a Patient-Care Planning Intervention to Improve Appointment Attendance by Adults After Bariatric Surgery

Transforming with partner patients a program of preparation for bariatric surgery

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