Tools
ToolsWatkins, Ross, Jones, Laura L., Clare, Kenneth, Coulman, Karen D., Greaves, Colin J., Jolly, Kate, Shuttlewood, Emma and Parretti, Helen M. (2025) Making do in the absence of specialist support: Exploring healthcare professionals’ views, experiences, and behaviours around long-term post-bariatric surgery follow-up care in the UK. Clinical Obesity. ISSN 1758-8103
Full text not available from this repository. (Request a copy)Abstract
Bariatric surgery is an effective treatment for obesity, but long-term can lead to health-related issues. Guidelines highlight the importance of long-term post-bariatric surgery follow-up. However, in the UK, there is currently no specific funding to support the delivery of this care. Our aim was to understand the views and experiences of healthcare professionals (HCPs) around long-term post-bariatric surgery follow-up, and barriers and enablers to care. Semi-structured interviews with HCPs in UK primary care or specialist weight management services were conducted. The topic guide was theoretically informed by the Capability-Opportunity-Motivation-Behaviour model and the Theoretical Domains Framework. Thematic analysis was undertaken. Twenty-six HCPs were interviewed. Three core themes were interpreted: Existing Challenges, Mediating Factors and Future Directions. While there was agreement on the need for long-term support, current provision was variable and hampered by a paucity of referral options. Follow-up care could be contingent upon the patients' surgical pathway and the culture and expertise within the general practitioner surgery. Participants discussed potential ways to improve care, including using technology, adapting approaches used in other chronic conditions, shared care models and harnessing the potential for peer-based support to improve wellbeing and quality of life. Healthcare professionals' views and experiences shared in this study highlight the complex issues associated with long-term bariatric surgery follow-up. The findings will inform future research to design and implement care pathways that are urgently needed to improve service provision for these patients.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This study was funded by the NIHR [Programme Development Grant NIHR204217]. Kate Jolly was part-funded by the NIHR Applied Research Collaboration West Midlands. Karen D. Coulman was funded via a Health Education England (HEE)/National Institute for Health Research (NIHR) Clinical Lectureship (ICA-CL-2018-04-ST2-008), the Royal College of Surgeons Bristol Centre for Surgical Research and the NIHR Bristol Biomedical Research Centre (BRC-1215-20011) at University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. |
| Uncontrolled Keywords: | sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Depositing User: | LivePure Connector |
| Date Deposited: | 30 Apr 2025 14:30 |
| Last Modified: | 05 May 2025 00:10 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/99158 |
| DOI: | 10.1111/cob.70016 |
Actions (login required)
 |
View Item |