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Obesity Surgery
Published in: Obesity Surgery 2/2014

01-02-2014 | Original Contributions

Patients' Perspectives on Laparoscopic Adjustable Gastric Banding (LAGB) Aftercare Attendance: Qualitative Assessment

Authors: Irina Moroshko, Leah Brennan, Narelle Warren, Wendy Brown, Paul O’Brien

Published in: Obesity Surgery | Issue 2/2014

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Abstract

Background

Despite recognition of the importance of laparoscopic adjustable gastric banding (LAGB) aftercare for optimal surgical outcomes and the failure of some patients to attend regularly, factors influencing LAGB aftercare attrition have not been thoroughly examined in the literature.

Methods

Patients' perspectives on LAGB aftercare attendance were explored using a qualitative research methodology. Twenty-four LAGB patients who either (1) did not attend aftercare (n = 12) or (2) attended aftercare regularly (n = 12) were interviewed. Data were analysed using grounded theory methods.

Results

Four common processes emerged from patients' descriptions: (1) barriers to attendance, (2) purely medical service, (3) non-patient centred approach, and (4) behavioural and psychological aspects of behavioural changes. Regular attendees typically reported (1) a commitment to aftercare, (2) a need to make the band work, (3) regular monitoring motivated attendance, and (4) happiness with the improved health. Non-regular attendees perceived (1) that aftercare is more relevant early on after the surgery, (2) insufficient follow-up from the centre, (3) failure and shame, (4) not comfortable to be vulnerable, and (5) an intention to reconnect.

Conclusions

Patients perceive LAGB post-operative medical management to be professional, effective, and valuable. Patients' difficulty to actively participate during aftercare visits contributes to reduced satisfaction and a range of compromised outcomes. Management of LAGB post-operative patients may be improved with the use of patient-centred strategies that encourage patients' active participation. Further research is required to evaluate the emerged themes and determine whether interventions targeting identified barriers enhance attendance and improve outcomes.
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Metadata
Title
Patients' Perspectives on Laparoscopic Adjustable Gastric Banding (LAGB) Aftercare Attendance: Qualitative Assessment
Authors
Irina Moroshko
Leah Brennan
Narelle Warren
Wendy Brown
Paul O’Brien
Publication date
01-02-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1086-9

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