دورية أكاديمية

Falling short in bariatric surgery: An exploration of key barriers and motivators of attrition.

التفاصيل البيبلوغرافية
العنوان: Falling short in bariatric surgery: An exploration of key barriers and motivators of attrition.
المؤلفون: Suvarnakar A; Georgetown University School of Medicine, Washington, DC, USA., Hose BZ; National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, 20008, USA., Busog DN; National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, 20008, USA., McCloud S; Georgetown University School of Medicine, Washington, DC, USA., Chao GF; Department of Surgery, Yale University School of Medicine, New Haven, CT, USA., Miller K; Georgetown University School of Medicine, Washington, DC, USA; National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, 20008, USA., Pardo I; Georgetown University School of Medicine, Washington, DC, USA; Division of Minimally Invasive Surgery and Bariatric Surgery, Medstar Washington Hospital Center, Washington, DC, USA., Alimi Y; Georgetown University School of Medicine, Washington, DC, USA; Division of Minimally Invasive Surgery and Bariatric Surgery, Medstar Washington Hospital Center, Washington, DC, USA; Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, USA. Electronic address: yewande.r.alimi@gunet.georgetown.edu.
المصدر: American journal of surgery [Am J Surg] 2024 Jul 06; Vol. 236, pp. 115827. Date of Electronic Publication: 2024 Jul 06.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
مستخلص: Background: In the United States, obesity-related diseases pose significant healthcare challenges, with bariatric surgery offering a potential solution. However, bariatric surgery completion rates, particularly among Black and Hispanic populations, remain low.
Objective: This study applied the Theoretical Domains Framework (TDF) to explore behavioral factors influencing bariatric surgery program attrition among a majority Black participant population to inform interventions for improving attrition.
Methods: We conducted semi-structured interviews with 40 surgical and non-surgical participants and conducted deductive content analysis informed by six TDF constructs to explore factors influencing bariatric surgery program attrition.
Results: Participants' decision-making regarding bariatric surgery is influenced by behavioral factors, including knowledge, skills, social roles, beliefs about capabilities, optimism, and beliefs about consequences.
Conclusion: Understanding multifaceted factors influencing bariatric surgery attrition will inform the development of tailored interventions that address knowledge gaps, enhance skills, and consider social role conflicts to improve patient engagement and decision-making in managing obesity, especially for Black populations.
(Copyright © 2024. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Bariatric surgery; Healthcare disparities; Patient perspectives
تواريخ الأحداث: Date Created: 20240719 Latest Revision: 20240719
رمز التحديث: 20240720
DOI: 10.1016/j.amjsurg.2024.115827
PMID: 39029267
قاعدة البيانات: MEDLINE