Bariatric patients’ reported motivations for surgery and their relationship to weight status and health

Peacock, Jessica C.; Perry, Levi; Morien, Kyle

doi:10.1016/j.soard.2017.10.005

Cited by 31 publications

(19 citation statements)

References 13 publications

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“…It has increasingly been acknowledged that qualitative research has the potential to provide more in‐depth insight in capturing the complexity and nuances of patients' subjective experiences compared with quantitative studies . For example, studies that use clinical measures and closed questions have limited ability to fully capture participants' reasoning for seeking surgery and are restricted in their ability to explore individual differences, while findings from qualitative studies suggest that patients' treatment expectations are more complex that can be captured by existing standardized measures . Qualitative research has come to be valued as an important source of evidence for health care quality in its potential to inform policy and practice …”

Section: Introductionmentioning

confidence: 99%

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

2019

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Bariatric surgery is the most effective treatment for weight loss in individuals with severe and complex obesity. While the extant literature has mostly explored clinical outcomes of surgery, recent research has also examined patients' experiences prior to treatment. This systematic review synthesized findings from qualitative studies investigating patients' motives and expectations prior to undergoing bariatric surgery for weight loss. Twenty-eight studies published in English involving 580 participants were identified for inclusion. Data extraction and thematic synthesis yielded four global themes: physiological, emotional, cognitive, and interpersonal/environmental. These represented seven subthemes describing patients' presurgery experiences: relationship with food, physical health, activities of living, personal identity, social relations, presurgery information, and beliefs about surgery. In addition to improving physical and medical comorbidities associated with obesity, participants believed that postsurgery weight loss would produce positive psychosocial impacts by strengthening their personal identities, their relationships, and improving their engagement in public and professional life. The complex and widespread nature of the changes patients expected would result from bariatric surgery highlights the importance of providing pretreatment education focused on psychosocial well-being, as well as concurrent psychological support alongside surgery, to best inform individual treatment selection and clinical practice.

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Section: Introductionmentioning

confidence: 99%

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

2019

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“…surgery have primarily focused on weight loss, and in some extent quality of life. Few have investigated the impact of other expectations of surgery, and whether these are met [11]. To date, no association between patients' expectations and postoperative outcomes has been shown [12,13].…”

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confidence: 99%

Women’s Satisfaction with and Reasons to Seek Bariatric Surgery—a Prospective Study in Sweden with 1-Year Follow-up

et al. 2019

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Background/Objectives Despite profound weight loss after bariatric surgery, some patients are dissatisfied with the results. Presurgery expectations, as well as post-surgery items of satisfaction, need to be clarified. The main objective in this study was to investigate the primary reasons to seek bariatric surgery and assess items of satisfaction 1-year post-surgery. Subjects/Methods This is a prospective cohort study of women (n = 50) undergoing bariatric surgery in Stockholm, Sweden. Presurgery assessment included reasons to seek surgery, expected weight loss, co-morbidities, and quality of life. Post-surgery assessment included items of satisfaction, weight loss, co-morbidities, and quality of life. In total, two women did not undergo surgery, and 40 women had complete data from all pre-and post-surgery assessments. Results Mean change in body mass index (BMI) pre-and post-surgery was − 12.9 (3.7) kg/m 2. At 1-year post-surgery, the mean percent of excess weight loss (%EWL) was 86.9 (26.3). Pre-surgery, the most reported reason to seek surgery was Bweight loss(47.9%), while the most reported item of satisfaction post-surgery was Bimproved self-esteem^(55.6%). Satisfaction with the result 1-year post-surgery was associated with the extent of %EWL. Satisfied patients (n = 32) had a mean %EWL of 94.6 (22.9), while those not satisfied (n = 8) had a mean %EWL of 59.9 (17.6). Conclusions The primary reason to seek bariatric surgery was weight loss. However, despite profound weight loss, improved self-esteem was the item of most satisfaction post-surgery. Our findings may be useful in the clinical setting when informing patients pre-surgery about what to expect as well as when meeting a patient post-surgery to discuss results.

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“…6 One mixed-gender study by Peacock et al regarding the experiences of people with severe obesity pursuing bariatric surgery found that quality of life centering on physical health was the most frequently reported motivation for surgery. 15 Both bariatric surgery and MWM study groups placed an importance on improving psychological health. Other studies have found psychological health to be an important motivator.…”

Section: Discussionmentioning

confidence: 99%

Motivations of Males with Severe Obesity, Who Pursue Medical Weight Management or Bariatric Surgery

Jolles

Alagöz

Liu

et al. 2019

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Both medical weight management (MWM) and bariatric surgery are significantly underutilized by patients with severe obesity, particularly males. Less than 30% of participants in MWM programs are male, and only 20% of patients undergoing bariatric surgery are men. Objectives: To identify motivations of males who pursue either MWM or bariatric surgery. Setting: Interviews with males with severe obesity (body mass index q35 kg/m 2), who participated in a Veteran Affairs weight loss program in the Midwest. Materials and Methods: Participants were asked to describe their experiences with MWM and bariatric surgery. Interviews were audio-recorded, transcribed, and uploaded to NVivo for data management and analysis. Five coders iteratively developed a codebook using inductive content analysis to identify relevant themes. We utilized theme matrices organized by type of motivation and treatment pathway to generate higher-level analysis and generate themes. Results: Twenty-five males participated. Participants were 58.7 (standard deviation 8.6) years old on average, and 24% were non-white. Motivations for pursuing MWM or surgery included a desire to improve physical or psychological health and to enhance quality of life. Patients seeking bariatric surgery were motivated by the fear of death and felt that they had exhausted all other weight loss options. MWM patients believed they had more time to pursue other weight loss options. Conclusion: The opportunity to improve health, optimize quality of life, and lengthen lifespan motivates males with severe obesity to pursue weight loss treatments. These factors should be considered when providers educate patients about obesity treatment options and outcomes.

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Bariatric patients’ reported motivations for surgery and their relationship to weight status and health

Cited by 31 publications

References 13 publications

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review

Women’s Satisfaction with and Reasons to Seek Bariatric Surgery—a Prospective Study in Sweden with 1-Year Follow-up

Motivations of Males with Severe Obesity, Who Pursue Medical Weight Management or Bariatric Surgery

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