The Patient Journey to Gastric Band Surgery: A Qualitative Exploration

Pfeil, Michael; Pulford, Amanda; Mahon, David; Ferguson, Yasmin; Lewis, Michael P.

doi:10.1089/bari.2013.9985

Cited by 21 publications

(42 citation statements)

References 31 publications

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“…By contrast, the qualitative literature with adults is well‐established. Topics include the gendering of bariatric surgery , attitudes towards surgery , information needs and social support , decision‐making , impacts of surgery on daily life , post‐operative challenges and body image .…”

Section: Introductionmentioning

confidence: 99%

Adolescent bariatric surgery: a qualitative exploratory study of US patient perspectives

2018

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Bariatric surgery is a safe and effective intervention to treat severe obesity and related comorbidities in adolescents. No qualitative studies have explored the perspectives of US adolescent weight-loss patients on their bariatric surgery motivations, decision-making or experiences. The purpose of this qualitative exploratory study was to explore the perspectives of adolescent patients seeking bariatric surgery while enrolled in a medical weight management programme. Eligible participants 13-21 years old were recruited through a weight management programme at a tertiary care children's hospital in the US Midwest. Interviews were conducted remotely using a video chat medium. An initial 60-min semi-structured interview was conducted with seven participants who were 16-21 years old: one deciding on bariatric surgery, one pre-operative and five post-operative. A brief follow-up interview was conducted 1 month later with four participants. Interviews were transcribed and coded using Atlas.ti software. Three broad themes emerged from participants' reflections: the long journey to surgery, time scarcity and be ready for change. The decision to pursue bariatric surgery takes place after struggling with obesity and failed weight-loss attempts since early childhood. Post-operative participants described bariatric surgery as life-changing, but determining when to schedule surgery is a challenge for adolescents.

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Section: Introductionmentioning

confidence: 99%

Adolescent bariatric surgery: a qualitative exploratory study of US patient perspectives

2018

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“…Similarly, feelings of lack of control over their body weight and the perception that bariatric surgery is the only viable option, after a history of unsuccessful conservative attempts at losing weight, were common in a sample of bariatric surgery candidates [27]. It appears that attributional style (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Although previous research has investigated barriers and facilitators to PA in overweight and obese adults [24,25], there is a relative dearth of research on bariatric surgery candidates [26]. Bariatric surgery candidates may have a different perception of factors that influence PA when compared to the general obese population, since surgery is usually considered after repeated unsuccessful attempts to lose weight using conservative methods [27]. Given the dramatic increase in the amount of bariatric surgery being performed [6], in-depth knowledge of the perceived barriers and facilitators to PA is needed to develop strategies that increase PA behaviour and maximise health benefits following surgery [28].…”

Section: Introductionmentioning

confidence: 99%

Beliefs, Barriers and Facilitators to Physical Activity in Bariatric Surgery Candidates

et al. 2015

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In bariatric surgery candidates, many of the perceived barriers and facilitators to PA are not obesity related and are therefore unlikely to change as a result of bariatric surgery. This may explain why earlier research shows little change in PA or SB following surgery. It is likely that an approach that aims to address the barriers and facilitators identified in this study is needed to change the inactive lifestyle adopted in this population.

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“…43 Bariatric surgery is a safe and effective treatment providing significant and sustained weight loss. 15,16,[44][45][46][47] It also proved to be more effective than the other intervention strategies in treating or preventing obesity-related comorbidity, 47,48 thus representing the treatment of choice when diet and exercise failed to produce consistent results. 24,49 In patients with extreme obesity (BMI >40 kg/m 2 ) bariatric surgery allows to achieve three main goals as follows: weight loss, reduction of medical risk factors, and improvement of QoL.…”

Section: Obesity and Qol/hrqolmentioning

confidence: 99%

The Role of Quality of Life Instruments in Obesity Management: Review

AccardiRoberto

Delle

RonchiSilvia

et al. 2017

Bariatric Surgical Practice and Patient Care

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Background and Scope: Obesity represents a public health concern worldwide; it is associated with a high mortality risk and impairment in quality of life (QoL). Relationship between weight loss and QoL improvements was highlighted by several studies. This article aims to summarize the literature investigating QoL among obese persons. Attention will be paid to studies assessing QoL among obese patients undergoing bariatric surgery before and after surgical treatment and to the related measurement instruments. Methods: A literature review was conducted on the major biomedical databases. Results: Compared with general population, persons with obesity report lower QoL levels in most life domains. The global QoL improvement reported in all domains after bariatric surgery can be related to weight loss and its long-term stability. Although several tools were developed to assess QoL in obese persons, they are not suited to capture the needs of people with obesity. The promising results obtained through the Laval Questionnaire suggest the importance of expanding this research domain, to identify the best assessment tools for use in clinical practice. Conclusion: The longitudinal assessment of the different QoL components can be useful to monitor the changes induced by the treatment over time.

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The Patient Journey to Gastric Band Surgery: A Qualitative Exploration

Abstract: Knowledge of the patient journey can inform both selection and care of patients awaiting gastric band surgery and is required by all health professionals working with this patient group.

Cited by 21 publications

References 31 publications

Adolescent bariatric surgery: a qualitative exploratory study of US patient perspectives

Adolescent bariatric surgery: a qualitative exploratory study of US patient perspectives

Beliefs, Barriers and Facilitators to Physical Activity in Bariatric Surgery Candidates

The Role of Quality of Life Instruments in Obesity Management: Review

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