Information needs among adolescent bariatric surgery patients and their caregivers

Schneider, Nicole M.; Tully, Carrie; Washington, Gia A.; Price, Karin L.

doi:10.1016/j.soard.2015.10.071

Cited by 13 publications

(34 citation statements)

References 16 publications

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“…Post‐operative participants in this study experienced bariatric surgery as life‐changing and hard work , and identified unmet information needs . Advice that participants in this study would offer other adolescent patients considering bariatric surgery included ‘inform yourself’ , ‘make your own decision’ , ‘expect hard work and change’ and ‘follow post‐operative guidelines closely’ . Novel findings from this study not reported in prior studies are scheduling challenges, adolescent‐initiated research using Google and social media and autonomy and resource limitations that constrain adherence to lifestyle changes.…”

Section: Discussionmentioning

confidence: 72%

“…This study found that decision‐making was characterized by concerns about complications and quality of life , and influenced by the judgement of family and strangers . Post‐operative participants in this study experienced bariatric surgery as life‐changing and hard work , and identified unmet information needs . Advice that participants in this study would offer other adolescent patients considering bariatric surgery included ‘inform yourself’ , ‘make your own decision’ , ‘expect hard work and change’ and ‘follow post‐operative guidelines closely’ .…”

Section: Discussionmentioning

confidence: 86%

“…There are no interview data from US adolescent weight‐loss patients enrolled in a bariatric surgery programme. Existing qualitative data are derived from two non‐US qualitative studies using interviews and one US mixed‐methods study with open‐ended questions in a questionnaire (Table ). By contrast, the qualitative literature with adults is well‐established.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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

2018

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“…A total of 36 studies were found that met the search criteria. The majority of studies were reviews ( n = 16, Table ), 8 were observational, 7 were case‐control studies, 3 were quasi‐experimental/case‐control studies, and 2 were RCTs (1 was a methods paper only) (Table ). No studies that tested the combination of pharmacotherapy interventions with MBS were found.…”

Section: Resultsmentioning

confidence: 99%

“…All studies identified independent components of weight‐loss strategies but none specifically in combination or sequenced one after the other. For example, Zolotarjova et al assessed components that were included in previous articles (e.g., physical activity, nutrition education, family inclusion, behavioral modification, MBS); however, the review identified only one study, a single case report that explicitly assessed coordination of a healthy lifestyle program and MBS . As such, the authors concluded, “There is no consensus regarding the treatment of morbid obesity, as well as, for the outcomes to evaluate the possible effects of interventions.” They further pointed out the necessity to include a “healthy community environment” to support sustained weight loss and other positive health effects after MBS.…”

Section: Resultsmentioning

confidence: 99%

Partnering Support Interventions with Bariatric Surgery to Maximize Health Outcomes in Adolescents with Severe Obesity

Messiah

Sacher

Yudkin

et al. 2019

Obesity

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Objective Rates of adolescents with severe obesity continue to rise worldwide, with concurrent increases in metabolic and bariatric surgery (MBS) uptake. The gap between support (lifestyle, pharmacotherapy) interventions and MBS as treatment options for adolescents has been understudied. This review, couched in a socio‐ecological framework, investigates how support interventions for adolescents with severe obesity could be combined or sequenced with MBS to optimize health outcomes. Methods A comprehensive search revealed 36 published articles between 1995 and 2019 that included the combination of support interventions and MBS among adolescents. Results There were no studies that specifically reported outcomes or effect sizes for the combination of lifestyle intervention with MBS. Previous studies have reported individual results for either lifestyle intervention or MBS but not for their compound effect. Conclusions As rates of adolescents with severe obesity are on the rise globally, future research should focus on how partnering support interventions with MBS can amplify positive short‐ and long‐term health outcomes and within a socio‐ecological framework. Understanding the sequence of these approaches will be of particular importance. High‐risk and vulnerable populations such as ethnic minorities who have suffered a disproportionate burden of the obesity epidemic must be included in rigorously tested future trials of combination interventions to maximize health outcomes worldwide.

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A qualitative exploration on the needs of health care providers working with adolescents who are undergoing bariatric surgery

Farnesi¹,

Kaffash²,

Cohen³

et al. 2023

Obesity Pillars

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Information needs among adolescent bariatric surgery patients and their caregivers

Cited by 13 publications

References 16 publications

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

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

Partnering Support Interventions with Bariatric Surgery to Maximize Health Outcomes in Adolescents with Severe Obesity

A qualitative exploration on the needs of health care providers working with adolescents who are undergoing bariatric surgery

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