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. 2023 Jun 8:7:100074.
doi: 10.1016/j.obpill.2023.100074. eCollection 2023 Sep.

How to get back on track? Experiences of patients and healthcare professionals regarding weight recurrence and needs for an intervention after bariatric-metabolic surgery

Vera Voorwinde  1   2 , Sahar Moukadem  2 , Maartje M van Stralen  2 , Ignace M C Janssen  1 , Valerie M Monpellier  1 , Ingrid H M Steenhuis  2
Affiliations

How to get back on track? Experiences of patients and healthcare professionals regarding weight recurrence and needs for an intervention after bariatric-metabolic surgery

Vera Voorwinde et al. Obes Pillars. .

Abstract

Background: Multidisciplinary lifestyle interventions are recommended as a first step in treating weight recurrence after bariatric-metabolic surgery (BMS). However, little is known about the experience of patients and healthcare professionals (HCP) with these interventions and how they should be tailored to the patients' needs. The aim of this study was to gain more insight into the experiences and needs of patients and HCP regarding weight recurrence after BMS and an intervention to get Back on Track. In addition, attitudes towards integrating e-Health into the care program were explored.

Methods: A qualitative process evaluation of an intervention for weight recurrence, the Back on Track (BoT), was conducted by means of in-depth interviews and focus groups with 19 stakeholders, including patients and HCP involved in BoT. Interviews were transcribed verbatim. Data were analyzed through thematic analysis.

Results: Patients and HCP reported a wide array of causes of weight recurrence. Patients found it difficult to decide when weight recurrence is problematic and when they should ask for help. Patients reported feeling like the exception and ashamed, therefore experiencing a high threshold to seek help. E-Health was seen as a promising way to improve tailoring, screening, autonomy for the patient, and accessible contact.

Conclusion: Patients should be adequately counselled on weight recurrence after BMS and the importance of intervening early. It is important to lower the threshold for seeking help. For example by offering more long-term standard care or by adding e-Health to the intervention.

Keywords: Bariatric-metabolic surgery; Behavior modification; Lifestyle intervention; Patient experience; Weight recurrence.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: V. Voorwinde reports financial support was provided by De Nederlandse Obesitas Kliniek BV. V.M. Monpellier reports financial support was provided by De Nederlandse Obesitas Kliniek BV. I.M.C. Janssen reports financial support was provided by De Nederlandse Obesitas Kliniek BV. V. Voorwinde reports a relationship with De Nederlandse Obesitas Kliniek BV that includes: employment. V.M. Monpellier reports a relationship with De Nederlandse Obesitas Kliniek BV that includes: employment. I.M.C. Janssen reports a relationship with De Nederlandse Obesitas Kliniek BV that includes: board membership and consulting or advisory.

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