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

Santiago, Vincent A.; Warwick, Katie; Ratnakumarasuriyar, Shanthini; Oyewumi, Ajibike; Robinson, Sandra; Sockalingam, Sanjeev

doi:10.1016/j.jcjd.2018.05.003

Cited by 8 publications

(3 citation statements)

References 36 publications

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“…In the present study, 23.6% of patients were classified as nonadherent by two years postsurgery, which is lower than rates previously cited using a similar population and definition of nonadherence 38%;Larjani et al, 2016). This finding could be attributable to recent patient care initiatives implemented within the TWH-BSP aimed at increasing attendance at follow-up appointments (described in further detail below; Santiago et al, 2019). Overall, while nonadherence in the current study was on the lower end of what has been reported in the literature (Moroshka et al, 2011;Sala et al, 2017;Toussi et al, 2009;Vidal et al, 2014), rates remain concernedly high.…”

Section: Aim 2: Predictive Validity Of the Bipassmentioning

confidence: 45%

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Atwood¹

2023

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Bariatric surgery is the most effective intervention for severe obesity; however, many patients demonstrate insufficient and/or unsustained weight loss, and unsatisfactory psychosocial functioning in the longer-term. Although it is well established that attendance at postsurgical follow-up appointments is integral to sustained weight loss, nonadherence to follow-up is common. Consequently, presurgical psychosocial evaluations are conducted in order to identify patients at high risk of poor outcomes. Yet, no consensus has been established regarding a standardized protocol for the assessment of variables relevant to surgical outcomes, and bariatric programs vary widely in their interpretation of psychosocial risk. In addition, there is a paucity of research examining the predictive utility of psychosocial evaluations. The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASSTM), a novel psychosocial evaluation tool, was developed to address these issues. The purpose of the present study was to contribute to the validation of the BIPASS tool via two aims: 1) by examining the psychometric properties of the BIPASS, and; 2) by examining the ability of the BIPASS tool to predict outcomes 1 and 2 years following bariatric surgery, including weight loss and weight regain, quality of life, psychiatric symptoms, and adherence to postsurgical follow-up appointments. The BIPASS was applied retrospectively to the charts of 200 consecutively referred patients of the Toronto Western Hospital Bariatric Surgery Program (TWH-BSP). Factor analysis of BIPASS items revealed a two-factor structure, reflecting “Mental Health” and “Patient Readiness” subscales. Internal consistency for the BIPASS Total and subscale scores ranged from poor to good, and inter-rater reliability was excellent. Higher BIPASS scores significantly predicted higher binge eating symptomatology, and lower physical and mental health-related quality of life at 1 year postsurgery. The BIPASS did not predict any outcome variables at 2 years postsurgery, or adherence to postsurgical follow-up appointments. Findings suggest that the BIPASS can be used to identify patients at increased risk of problematic eating and poor health-related quality of life early in the postsurgical course, thereby facilitating appropriate interventions.

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Section: Aim 2: Predictive Validity Of the Bipassmentioning

confidence: 45%

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Atwood¹

2023

Preprint

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“…Three months after implementing the call log, surgery cancellation rates significantly decreased from 16.8% to 8.8% ( p < .05). 2 After the implementation of advance care-planning calls and e-mails to tailor appointments to patients' needs, Santiago et al 18 were able to reduce bariatric postoperative no-show rates by a modest 1.8%, with a more substantial increase in advanced cancellations of 6%. Our patients primarily cited personal reasons and reconsideration of surgery as common reasons for nonattendance and often there was no reason given.…”

Section: Discussionmentioning

confidence: 99%

Factors Contributing to Late Cancellation and No-Show for Otolaryngologic Surgery: A Prospective Study

et al. 2021

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Purpose:Late cancellations and no-shows for surgery place a burden on patients, healthcare providers, and the health system. We aim to identify risk factors contributing to this phenomenon.Methods:Patients who did not arrive for, or canceled within 24 hours of, their surgical appointment between January 2019 and 2020 were identified. Controls were matched by date, procedure, and gender. Demographic information was obtained by phone interview and chart review. Chi-square and Student t-test analyses were used to predict risk factors for cancellation.Results:Thirty-one patients were identified, of whom 21 completed phone interviews. Age, gender, race, language, marital status, and smoking status were not significantly different. Study patients reported more transportation challenges (33.3% vs. 4.8%, p = .01) yet lived closer to the hospital (4.53 miles vs. 14.05 miles, p = .01). Study patients lived in lower income zip codes ($48,145 vs. $63,406, p = .02) and more commonly had Medicaid as their primary insurance (70.9% vs. 38.7%, p = .04). Most commonly, no reason was given for cancellation (22.6%) followed by personal reasons (16.1%) and surgery reconsideration (16.1%).Conclusions:Transportation trouble and lower income are significant risk factors for surgery late cancellation. Prior no-show must also be considered. A targeted pilot program may help prevent late cancellations.

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“… 28 29 The other IC setting was an academic-based medical centre, the Toronto Western Hospital Bariatric Surgery Program (TWH-BSP), a collaborative care bariatric surgery programme supporting patients with severe obesity and is ranked level 5 as per the CIHS continuum of integration. 30 31 Therefore, collecting participant data from both of these two IC sites allowed us to explore nuances in patients’ experiences among diverse patient groups with distinct care needs.…”

Section: Methodsmentioning

confidence: 99%

“Caring About Me": a pilot framework to understand patient-centered care experience in integrated care - a qualitative study

et al. 2020

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ObjectiveThe aim of this study is to examine patients’ experiences in integrated care (IC) settings.DesignQualitative study using semistructured interviews.SettingsTwo IC sites in Toronto, Canada: (1) a community-based primary healthcare centre, supporting patients with hepatitis C and comorbid mental health and substance use issues; and (2) an integrated bariatric surgery programme, an academic tertiary care centre.ParticipantsThe study included patients (n=12) with co-occurring mental and physical health conditions. Seven participants (58%) were female and five (42%) were male.MethodsTwelve indepth semistructured interviews were conducted with a purposeful sample of patients (n=12) with comorbid mental and physical conditions at two IC sites in Toronto between 2017 and 2018. Data were collected and analysed using grounded theory approach.ResultsFour themes emerged in our analysis reflecting patients’ perspectives on patient-centred care experience in IC: (1) caring about me; (2) collaborating with me; (3) helping me understand and self-manage my care; and (4) personalising care to address my needs. Patients’ experiences of care were primarily shaped by quality of relational interactions with IC team members. Positive interactions with IC team members led to enhanced patient access to care and fostered personalising care plans to address unique needs.ConclusionThis study adds to the literature on creating patient-centredness in IC settings by highlighting the importance of recognising patients’ unique needs and the context of care for the specific patient population.

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

Cited by 8 publications

References 36 publications

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS): Predictive Validity for Outcomes 1 and 2 Years Following Bariatric Surgery

Factors Contributing to Late Cancellation and No-Show for Otolaryngologic Surgery: A Prospective Study

“Caring About Me": a pilot framework to understand patient-centered care experience in integrated care - a qualitative study

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