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

Onno M. Tettero; Marjan J. Westerman; Maartje M. van Stralen; Meike van den Beuken; Valerie M. Monpellier; Ignace M.C. Janssen; Ingrid H.M. Steenhuis

doi:10.1159/000526259

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

Onno M. Tettero, Marjan J. Westerman, Maartje M. van Stralen, Meike van den Beuken, Valerie M. Monpellier, Ignace M.C. Janssen, Ingrid H.M. Steenhuis

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

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.

Original language	English
Pages (from-to)	674-684
Number of pages	11
Journal	Obesity Facts
Volume	15
Issue number	5
Early online date	2 Aug 2022
DOIs	https://doi.org/10.1159/000526259
Publication status	Published - Oct 2022

Bibliographical note

Publisher Copyright:
© 2022 The Author(s). Published by S. Karger AG, Basel.

Keywords

Bariatric surgery
Behavioral intervention
Obesity
Participation
Qualitative research
Weight loss

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1159/000526259

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Tettero, O. M., Westerman, M. J., van Stralen, M. M., van den Beuken, M., Monpellier, V. M., Janssen, I. M. C., & Steenhuis, I. H. M. (2022). 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. Obesity Facts, 15(5), 674-684. https://doi.org/10.1159/000526259

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title = "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",

abstract = "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.",

keywords = "Bariatric surgery, Behavioral intervention, Obesity, Participation, Qualitative research, Weight loss",

author = "Tettero, {Onno M.} and Westerman, {Marjan J.} and {van Stralen}, {Maartje M.} and {van den Beuken}, Meike and Monpellier, {Valerie M.} and Janssen, {Ignace M.C.} and Steenhuis, {Ingrid H.M.}",

note = "Publisher Copyright: {\textcopyright} 2022 The Author(s). Published by S. Karger AG, Basel.",

year = "2022",

month = oct,

doi = "10.1159/000526259",

language = "English",

volume = "15",

pages = "674--684",

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Tettero, OM, Westerman, MJ, van Stralen, MM , van den Beuken, M, Monpellier, VM, Janssen, IMC & Steenhuis, IHM 2022, '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', Obesity Facts, vol. 15, no. 5, pp. 674-684. https://doi.org/10.1159/000526259

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. / Tettero, Onno M.; Westerman, Marjan J.; van Stralen, Maartje M. et al.
In: Obesity Facts, Vol. 15, No. 5, 10.2022, p. 674-684.

Research output: Contribution to Journal › Article › Academic › peer-review

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.

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.

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KW - Behavioral intervention

KW - Obesity

KW - Participation

KW - Qualitative research

KW - Weight loss

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U2 - 10.1159/000526259

DO - 10.1159/000526259

M3 - Article

C2 - 35917803

SN - 1662-4025

VL - 15

SP - 674

EP - 684

JO - Obesity Facts

JF - Obesity Facts

IS - 5

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Tettero OM, Westerman MJ, van Stralen MM , van den Beuken M, Monpellier VM, Janssen IMC et al. 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. Obesity Facts. 2022 Oct;15(5):674-684. Epub 2022 Aug 2. doi: 10.1159/000526259

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

Abstract

Bibliographical note

Keywords

UN SDGs

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Supplementary Material for: Barriers 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

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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

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Datasets

Supplementary Material for: Barriers 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

Cite this