Hochberg Lisa S, Murphy Kylie D, O'Brien Paul E, Brennan Leah
Centre for Obesity Research and Education, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, 3004, Australia,
Obes Surg. 2015 Sep;25(9):1693-702. doi: 10.1007/s11695-015-1597-7.
Regular aftercare attendance following laparoscopic adjustable gastric banding (LAGB) is associated with greater weight loss and fewer post-surgical complications. Despite high reported rates of attrition from LAGB aftercare, the reasons for non-attendance have not been previously explored. The present study aimed to explore patient-reported barriers to LAGB aftercare attendance, and the perceived helpfulness of potential attrition-reducing strategies, in both regular attendees and non-attendees of aftercare.
One hundred and seventy-nine participants (107 regular attendees and 72 non-attendees) completed a semi-structured questionnaire, assessing barriers to attrition (101 items) and usefulness of attrition prevention strategies (14 items).
Findings indicate that both regular attendees and non-attendees experience multiple barriers to aftercare attendance. Non-attendees generally reported that barriers had a greater impact on their aftercare attendance. There was evidence for some level of acceptability for attrition-reducing strategies suggesting that LAGB patients may be receptive to such strategies.
Current findings highlight the importance of assessing barriers to treatment in both attendees and non-attendees. It is proposed that addressing barriers that differentiate non-attendees from attendees may be most effective in reducing attrition from aftercare.
腹腔镜可调节胃束带术（LAGB）后定期进行术后护理与更多的体重减轻及更少的术后并发症相关。尽管报道的LAGB术后护理失访率很高，但此前尚未探讨不参加的原因。本研究旨在探讨患者报告的LAGB术后护理不参加的障碍，以及在术后护理的定期参加者和非参加者中潜在的减少失访策略的感知有用性。
179名参与者（107名定期参加者和72名非参加者）完成了一份半结构化问卷，评估失访障碍（101项）和失访预防策略的有用性（14项）。
研究结果表明，定期参加者和非参加者在术后护理参加方面都面临多种障碍。非参加者普遍报告称，这些障碍对他们的术后护理参加有更大影响。有证据表明减少失访策略有一定程度的可接受性，这表明LAGB患者可能会接受此类策略。
当前研究结果凸显了评估参加者和非参加者治疗障碍的重要性。建议解决使非参加者与参加者产生差异的障碍可能对减少术后护理失访最为有效。
