Jacqueline A Murtha1, Esra Alagoz1, Catherine R Breuer1, Alex Finn1, Susan D Raffa2, Corrine I Voils3, Luke M Funk4. 1. Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA. 2. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 905 W Main St, Durham, NC, 27701, USA; Veterans Health Administration National Center for Health Promotion and Disease Prevention, 3022 Croasdaile Dr, Durham, NC, 27705, USA. 3. Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA; William S. Middleton Memorial Veterans Administration, 2500 Overlook Terrace, Madison, WI, 53705, USA. 4. Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA; William S. Middleton Memorial Veterans Administration, 2500 Overlook Terrace, Madison, WI, 53705, USA. Electronic address: luke.funk@va.gov.
Abstract
BACKGROUND: Less than 1% adults in the United States who meet body mass index criteria undergo bariatric surgery. Our objective was to identify patient and provider perceptions of individual-level barriers to undergoing bariatric surgery. METHODS: Adults with severe obesity and obesity care providers described their experiences with the bariatric surgery care process in semi-structured interviews. Using conventional content analysis, individual-level barriers were identified within Andersen's Behavioral Model of Health Services Use. RESULTS: Of the 73 individuals interviewed, 36 (49%) were female, and 15 (21%) were non-white. Six individual-level barriers were identified: fear of surgery, fear of lifestyle change, perception that weight had not reached its "tipping point," concerns about dietary changes, lack of social support, and patient characteristics influencing referral. CONCLUSIONS: Patient and provider education should address patient fears of surgery and the belief that surgery is a "last resort." Bariatric surgery programs should strengthen social support networks for patients. Published by Elsevier Inc.
BACKGROUND: Less than 1% adults in the United States who meet body mass index criteria undergo bariatric surgery. Our objective was to identify patient and provider perceptions of individual-level barriers to undergoing bariatric surgery. METHODS: Adults with severe obesity and obesity care providers described their experiences with the bariatric surgery care process in semi-structured interviews. Using conventional content analysis, individual-level barriers were identified within Andersen's Behavioral Model of Health Services Use. RESULTS: Of the 73 individuals interviewed, 36 (49%) were female, and 15 (21%) were non-white. Six individual-level barriers were identified: fear of surgery, fear of lifestyle change, perception that weight had not reached its "tipping point," concerns about dietary changes, lack of social support, and patient characteristics influencing referral. CONCLUSIONS: Patient and provider education should address patient fears of surgery and the belief that surgery is a "last resort." Bariatric surgery programs should strengthen social support networks for patients. Published by Elsevier Inc.
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