The impact of preoperative counseling on postoperative treatment adherence in bariatric surgery patients: A randomized controlled trial

Lier, Haldis Økland; Biringer, Eva; Stubhaug, Bjarte; Tangen, Tone

doi:10.1016/j.pec.2011.09.014

Cited by 64 publications

(136 citation statements)

References 40 publications

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“…Perhaps they feared ending up as unsuccessful participants? Up until now the literature has essentially divided respondents into successful and unsuccessful patients; to explain variability in long-term results, researchers have increasingly emphasized nonsurgical factors (Bond et al, 2010; Fried et al, 2008; Hofsø et al, 2011; Kristinsson, 2008; Lier, Biringer, Bjørvik, & Rosenvinge, 2012a; Lier, Biringer, Stubhaug, & Tangen, 2012b; Snyder et al, 2009; Steffen, Potoczna, Bieri, & Horber, 2009). Since the beginning of this century, the crucial role of lifestyle changes in ensuring successful outcomes have also been emphasized in national guidelines issued by public health authorities in most Western countries.…”

Section: Discussionmentioning

confidence: 99%

“They think surgery is just a quick fix”

Groven

2014

International Journal of Qualitative Studies on Health and Well

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BackgroundTo prevent weight regain, patients undergoing weight loss surgery are encouraged to change their exercise and dietary habits. Building on previous research, the aim of this study was to explore women's experiences of changing exercise habits – focusing on women participating in a group based rehabilitation program including surgical as well as non-surgical participants.FindingsBased on interviews with the 11 women included in this study, as well as participant observation, two themes were identified; 1) Pushing ones tolerance limits, and 2) Rebutting the “quick fix” fallacy. Taken together, the findings showcase how being a part of this mixed group involved having to relate to social stigmas, as well as notions regarding successful and non-successful surgical outcomes. Although such notions may be useful in identifying potential challenges related to changing exercise habits, they do not illuminate the complexity of undergoing such changes following weight loss surgery.ConclusionThe findings point to the need of acknowledging patients' own exceriences to determine how successful they are after surgery. Given the findings, I argue for the need to reconsider the notion of success in relation to group based interventions.

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Section: Discussionmentioning

confidence: 99%

“They think surgery is just a quick fix”

Groven

2014

International Journal of Qualitative Studies on Health and Well

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“…(2–7) While multiple contributors to suboptimal weight loss have been identified, successful intervention remains elusive; efforts to enhance postoperative weight loss success yield mixed results. (8–9) …”

Section: Introductionmentioning

confidence: 99%

Cognitive function is linked to adherence to bariatric postoperative guidelines

Spitznagel

Galioto

Limbach

et al. 2013

Surgery for Obesity and Related Diseases

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Background Impairment in cognitive function is found in a significant subset of individuals undergoing bariatric surgery and recent work shows this impairment is associated with smaller postoperative weight loss. Reduced cognitive function could contribute to poorer adherence to postoperative guidelines, though this has not been previously examined. Objectives The current study examined the relationship between cognitive function and adherence to bariatric postoperative guidelines. We expected that higher cognitive function would be associated with better adherence to postoperative guidelines. Setting Data were collected through the bariatric service of a major medical center. Methods Thirty-seven bariatric surgery patients completed cognitive testing and a self-report measure of adherence to postoperative bariatric guidelines during their 4–6 week postoperative appointment. Results Strong correlations were observed between adherence to postoperative guidelines and cognitive indices of attention, executive function, and memory. Conclusions Results demonstrate that cognitive performance is strongly associated with adherence to postoperative guidelines shortly after bariatric surgery. Further work is needed to clarify if this relationship is present at later postoperative stages, and the degree to which this relationship mediates postoperative weight loss outcomes.

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“…Funnenes troverdighet og pålitelighet styrkes også ved at andre forskere har gjort tilsvarende funn. Flertallet av deltakerne var kvinner, noe som samsvarer med andre studier (Lier et al 2012). Pasientene er hentet fra ett sykehus i Norge.…”

Section: Metodiske Betraktningerunclassified