Bariatric Surgery Recipients' Needs and Perspectives on Maintaining Long-Term Health and Well-Being

Abstract

Background:

Long-term success remains a challenge for many who have undergone bariatric surgery, which suggests that there may be important, and as of yet, unmet needs of such recipients. The objective of this cross-sectional study was to gain an understanding of what bariatric surgery recipients perceive that they need to best support their long-term health and well-being in the province (Ontario, Canada) and thereafter internationally.

Methods:

A questionnaire, taking 30–45 min to complete, was designed in concert with members of the target audience and distributed via support group administrators. Descriptive statistics of participants' demographic/clinical background were analyzed for group comparisons by using a chi-square test and a two-sample t-test (p < 0.05). Open-ended responses were analyzed by using inductive content analysis and reviewed independently by the authors, who discussed any discrepancies in emerging themes until reaching an agreement.

Results:

One hundred and nineteen (59 provincial; 60 international) respondents completed the questionnaire. Themes for what was the most useful included encouragement from family, friends, bariatric team members, and peers. Access to immediate follow-up appointments after surgery for nutrition-specific and general postsurgery concerns was reported as needed but not received. Recommendations to address excess skin and creating a mentorship program were proposed.

Conclusions:

This study provides an understanding of the needs and experiences of bariatric surgery recipients, which may help clinicians to address gaps in bariatric programing, provide more effective treatment, and help to manage weight among surgery recipients for long-term health and well-being.