TY - JOUR
T1 - Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study
AU - Coleman, Karen J.
AU - Schlundt, David G.
AU - Bonnet, Kemberlee R.
AU - Holmquist, Kimberly J.
AU - Dunne, Jennifer
AU - Crull, Elizabeth
AU - Hanaoka, Beatrice Y.
AU - Lent, Michelle R.
AU - Nadglowski, Joe
AU - Sylvia, Louisa
AU - Venkatachalam, Shilpa
AU - Xanthakos, Stavra A.
AU - Zeiger, Roni
AU - Arterburn, David
AU - Williams, Neely
AU - Courcoulas, Anita
AU - Anau, Jane
AU - McTigue, Kathleen M.
AU - Blalock, Cynthia
AU - Malanga, Elisha
AU - McClay, James
AU - McBride, Corrigan L.
AU - Schlundt, David
AU - Emiliano, Ana
AU - Nemr, Rabih
AU - McTigue, Kathleen
AU - Courcoulas, Anita
AU - Xanthakos, Stavra A.
AU - Michalsky, Marc
AU - Coleman, Karen J.
AU - Murali, Sameer
AU - Tavakkoli, Ali
AU - Desai, Nirav
AU - Apovian, Caroline
AU - Clark, Jeanne
AU - Nauman, Elizabeth
AU - Cirielli, Elizabeth
AU - Nadglowski, Joe
AU - St. Clair, Tammy
AU - Tice, Julie
AU - Vitello, Joseph
AU - Zeiger, Roni
AU - Arterburn, David
AU - Anau, Jane
AU - Janning, Cheri
AU - Williams, Neely
N1 - Funding Information:
The PCORnet Study reported in this article was conducted using PCORnet, the National Patient-Centered Clinical Research Network, an initiative funded by the Patient-Centered Outcomes Research Institute (PCORI). The study was funded by PCORI through PCORI Award OBS-1505-30683. The views expressed in this manuscript are solely those of the authors and do not reflect the views of PCORnet or PCORI.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/5/1
Y1 - 2020/5/1
N2 - Background: In 2016, the Patient-Centered Outcomes Research Institute funded the National Patient Centered Clinical Research Network (PCORnet) Bariatric Study (PBS). Understanding the experience of postoperative patients was a key component of this study. Methods: Nine focus groups were conducted in Southern California, Louisiana, Pennsylvania, and Ohio and in a national advocacy conference for patients with obesity. Participants were identified and recruited in both clinical and community settings. Focus group transcripts were analyzed using an iterative inductive-deductive approach to identify global overarching themes. Results: There were 76 focus group participants. Participants were mostly women (81.4%), had primarily undergone gastric sleeve (47.0%), were non-Hispanic white (51.4%), had some college education (44.3%), and made $100,000 annual income or less (65.7%). Qualitative findings included negative reactions patients received from friends, family, and co-workers once they disclosed that they had bariatric surgery to lose weight; and barriers to follow-up care included insurance coverage, emotional and situational challenges, and physical pain limiting mobility. Conclusions: These findings confirm the other qualitative findings in this area. The approach to bariatric surgery should be expanded to provide long-term comprehensive care that includes in-depth postoperative lifetime monitoring of emotional and physical health.
AB - Background: In 2016, the Patient-Centered Outcomes Research Institute funded the National Patient Centered Clinical Research Network (PCORnet) Bariatric Study (PBS). Understanding the experience of postoperative patients was a key component of this study. Methods: Nine focus groups were conducted in Southern California, Louisiana, Pennsylvania, and Ohio and in a national advocacy conference for patients with obesity. Participants were identified and recruited in both clinical and community settings. Focus group transcripts were analyzed using an iterative inductive-deductive approach to identify global overarching themes. Results: There were 76 focus group participants. Participants were mostly women (81.4%), had primarily undergone gastric sleeve (47.0%), were non-Hispanic white (51.4%), had some college education (44.3%), and made $100,000 annual income or less (65.7%). Qualitative findings included negative reactions patients received from friends, family, and co-workers once they disclosed that they had bariatric surgery to lose weight; and barriers to follow-up care included insurance coverage, emotional and situational challenges, and physical pain limiting mobility. Conclusions: These findings confirm the other qualitative findings in this area. The approach to bariatric surgery should be expanded to provide long-term comprehensive care that includes in-depth postoperative lifetime monitoring of emotional and physical health.
KW - Healthcare
KW - Qualitative
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U2 - 10.1007/s11695-020-04404-8
DO - 10.1007/s11695-020-04404-8
M3 - Article
C2 - 31965490
AN - SCOPUS:85078146630
SN - 0960-8923
VL - 30
SP - 1837
EP - 1847
JO - Obesity Surgery
JF - Obesity Surgery
IS - 5
ER -