Exploring patient perspectives: Information-seeking behaviours, beliefs and support needs prior to bariatric surgery.

IF 2.5 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Obesity research & clinical practice Pub Date : 2025-09-13 DOI:10.1016/j.orcp.2025.09.002

Sally Badorrek, Janet Franklin, Michael Devadas, Nicholas Williams, Rachel Russell, Supreet Saluja, Marijka Batterham, Kathryn Williams

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引用次数: 0

Abstract

Aims: To explore information-seeking behaviours, influences, expectations, and healthcare professional and psychosocial support needs among individuals preparing for bariatric surgery in New South Wales (NSW), Australia, and to examine differences across public/private and metropolitan/regional healthcare settings.

Methods: Baseline data were collected from a longitudinal, prospective cohort study (HREC 2020/ETH02984) using a purpose-designed questionnaire, from April 2021-September 2024. Adults were recruited from four bariatric services (two public, two private) across metropolitan and regional NSW. Outcomes included self-reported demographics, information sources, beliefs, and support needs prior to surgery.

Results: Participants (n = 238) were predominantly female (79.0 %), aged 43 ± 11.3 years, with a median BMI of 44.5 kg/m² (IQR 39.4-49.7). Of the cohort, 74.0 % attended private and 66.8 % metropolitan services. Public participants had significantly higher BMI than private (48.3 vs 42.2 kg/m², p < 0.05). Key barriers to weight loss included stress, illness, medications, and limited support, particularly in regional and public groups. Most accessed information from the internet (72.0 %) and GPs (67.0 %), with GP involvement higher in regional (81.7 %) and public (82.5 %) settings. Peer experiences strongly influenced decision-making. Participants expected 33-35 % total weight loss, above typical Australian outcomes (29.0 %), and were motivated by health (94.7 %), quality of life (90.0 %), and activity (81.4 %). Common concerns included weight regain (90.0 %), excess skin (89.0 %), and dietary restrictions (75.0 %). Most (71.8 %) anticipated support for 12 months or less or were unsure.

Conclusion: Individuals preparing for bariatric surgery reported high expectations and varied healthcare professional and psychosocial support needs. Differences across settings highlight inequities in access, supporting the need for tailored, multidisciplinary care and realistic goal-setting.

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探索病人的观点：减肥手术前的信息寻求行为、信念和支持需求。

目的：探讨澳大利亚新南威尔士州（NSW）准备接受减肥手术的个人的信息寻求行为、影响、期望、医疗保健专业人员和社会心理支持需求，并检查公共/私人和大都市/地区医疗保健机构之间的差异。方法：从2021年4月至2024年9月，使用专门设计的问卷，从纵向前瞻性队列研究（HREC 2020/ETH02984）中收集基线数据。成年人是从新南威尔士州大都会和地区的四个减肥服务机构（两个公共机构，两个私人机构）招募的。结果包括手术前自我报告的人口统计、信息来源、信仰和支持需求。结果：参与者（n = 238）主要为女性（79. %），年龄43±11.3岁，中位BMI为44.5 kg/m²（IQR为39.4-49.7）。在这群人中，74.0 %参加私人服务，66.8% %参加大都会服务。公众参与者的BMI明显高于私人参与者（48.3 vs 42.2 kg/m²，p）。结论：准备减肥手术的个体报告了高期望和不同的医疗保健专业和社会心理支持需求。环境之间的差异突出了获取方面的不平等，支持了量身定制的多学科护理和现实目标设定的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity research & clinical practice 医学-内分泌学与代谢

CiteScore

7.10

自引率

0.00%

发文量

审稿时长

49 days

期刊介绍： The aim of Obesity Research & Clinical Practice (ORCP) is to publish high quality clinical and basic research relating to the epidemiology, mechanism, complications and treatment of obesity and the complication of obesity. Studies relating to the Asia Oceania region are particularly welcome, given the increasing burden of obesity in Asia Pacific, compounded by specific regional population-based and genetic issues, and the devastating personal and economic consequences. The journal aims to expose health care practitioners, clinical researchers, basic scientists, epidemiologists, and public health officials in the region to all areas of obesity research and practice. In addition to original research the ORCP publishes reviews, patient reports, short communications, and letters to the editor (including comments on published papers). The proceedings and abstracts of the Annual Meeting of the Asia Oceania Association for the Study of Obesity is published as a supplement each year.