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Patient and Provider Perceptions About Communication After Bariatric Surgery: A Qualitative Analysis
Chloe S Lam1, Esra Alagoz1, Dawda Jawara1
1Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, Wisconsin.
The Journal of Surgical Research
|June 22, 2023
Summary
Effective communication post-bariatric surgery is key for weight management. Patient-provider communication impacts weight-related behaviors, with trust and personalized interactions being crucial for success.
Area of Science:
- Bariatric Surgery Outcomes
- Health Communication
- Behavioral Health
Background:
- Patient-provider communication significantly influences post-surgical behaviors.
- Understanding these dynamics is vital for improving bariatric surgery outcomes.
Purpose of the Study:
- To assess patient and provider perceptions of communication's effect on weight-related behaviors after bariatric surgery.
- To identify communication barriers and facilitators impacting post-operative weight management.
Main Methods:
- Semistructured interviews with 45 bariatric surgery patients and providers.
- Utilized Andersen's Behavioral Model and Torain's Framework for Surgical Disparities.
- Directed content analysis to identify communication themes.
Main Results:
- Four communication themes emerged: reluctance to discuss weight regain, need for rapport-building with socioeconomically disadvantaged patients, perceived lack of personalized communication, and providers simplifying language.
- Patients experiencing weight regain avoided follow-up.
- Trust and rapport-building are essential for vulnerable patient groups.
Conclusions:
- Differing perceptions of communication elements exist between patients and providers.
- Strengthening care requires reassuring patients with suboptimal weight loss and building trust with socioeconomically vulnerable populations.
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