TY - JOUR
T1 - Barriers to and Facilitators of Participation in Weight Loss Intervention for Patients with Suboptimal Weight Loss after Bariatric Surgery: A Qualitative Study among Patients, Physicians, and Therapists
AU - Tettero, Onno M.
AU - Westerman, Marjan J.
AU - van Stralen, Maartje M.
AU - van den Beuken, Meike
AU - Monpellier, Valerie M.
AU - Janssen, Ignace M.C.
AU - Steenhuis, Ingrid H.M.
N1 - Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel.
PY - 2022/10
Y1 - 2022/10
N2 - INTRODUCTION: Not all patients with suboptimal weight loss after bariatric surgery are willing to participate in postoperative behavioral intervention to improve their weight loss. The objective of this study was to explore barriers to and facilitators of participation in postoperative behavioral intervention.METHODS: Thirty semi-structured interviews were conducted with patients (18), physicians (6), and therapists (6) (i.e., psychologists, dieticians, or physiotherapists). A thematic analysis approach was used.RESULTS: Emotional responses caused by confrontation with suboptimal weight loss hampered patients' deliberation about participation; insufficient exploration of their need for help limited patients' ability to make informed decisions; patients were receptive to their physician's advice when their physician respected their autonomy; using visual weight loss graphs helped to explain suboptimal weight loss to patients; and financial costs and time constraints obstructed participation.CONCLUSIONS: To improve adequate intervention participation, health care providers should focus on emotion regulation, support patients in exploring their own need for help, and respect patients' autonomy.
AB - INTRODUCTION: Not all patients with suboptimal weight loss after bariatric surgery are willing to participate in postoperative behavioral intervention to improve their weight loss. The objective of this study was to explore barriers to and facilitators of participation in postoperative behavioral intervention.METHODS: Thirty semi-structured interviews were conducted with patients (18), physicians (6), and therapists (6) (i.e., psychologists, dieticians, or physiotherapists). A thematic analysis approach was used.RESULTS: Emotional responses caused by confrontation with suboptimal weight loss hampered patients' deliberation about participation; insufficient exploration of their need for help limited patients' ability to make informed decisions; patients were receptive to their physician's advice when their physician respected their autonomy; using visual weight loss graphs helped to explain suboptimal weight loss to patients; and financial costs and time constraints obstructed participation.CONCLUSIONS: To improve adequate intervention participation, health care providers should focus on emotion regulation, support patients in exploring their own need for help, and respect patients' autonomy.
KW - Bariatric surgery
KW - Behavioral intervention
KW - Obesity
KW - Participation
KW - Qualitative research
KW - Weight loss
UR - http://www.scopus.com/inward/record.url?scp=85140658968&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85140658968&partnerID=8YFLogxK
U2 - https://doi.org/10.1159/000526259
DO - https://doi.org/10.1159/000526259
M3 - Article
C2 - 35917803
SN - 1662-4025
VL - 15
SP - 674
EP - 684
JO - Obesity Facts
JF - Obesity Facts
IS - 5
ER -
