Patients’ experiences of the bariatric surgery pathway: feedback on a health psychology led intervention

Abstract

Background: Although bariatric surgery is considered the most effective form of obesity management, some patients describe how their psychological issues remain neglected. This study evaluated patients’ feedback on additional psychological support (bariatric rehabilitation service, BRS) received as part of a trial and experiences of the bariatric surgical pathway. Method: 24 months after surgery patients were sent a short survey, using rating scales and open text boxes, for feedback on actual and ideal timing and content of additional support (n=68). Additionally, 16 patients participated in telephone interviews concerning their experiences of surgery. Findings: A large majority of those who received the BRS reported satisfaction with the service’s timing and content. But, regardless of condition, the majority reported wanting further psychological support up to 24 months post-operatively. A minority stated their problems were not emotional therefore additional support was unnecessary. Discussion: Given the variability in feedback, psychological support before and after surgery could be delivered in relation to individual patient need rather than blanket provision. Further research is needed to determine the optimal timing and who would benefit most from added support.