Department of Behavioral Health, Gundersen Health System, La Crosse, Wisconsin.
Department of Medical Research, Gundersen Medical Foundation, La Crosse, Wisconsin.
Surg Obes Relat Dis. 2017 Aug;13(8):1369-1375. doi: 10.1016/j.soard.2017.04.025. Epub 2017 Apr 26.
Support following bariatric surgery is vital to ensure long-term postoperative success. Many individuals undergoing bariatric surgery are turning to online modalities, especially the popular social media platform Facebook, to access support groups and pages. Despite evidence suggesting that the majority of patients considering bariatric surgery are utilizing online groups, little is known about the actual content of these groups.
The purpose of the present study was to conduct a content analysis of bariatric surgery support groups and pages on Facebook.
Online via Facebook, independent academic medical center, United States.
Data from bariatric surgery-related Facebook support groups and pages were extracted over a 1-month period in 2016. Salient content themes (e.g., progress posts, depression content, eating behaviors) were coded reliably (all κ> .70).
More than 6,800 posts and replies were coded. Results indicated that seeking recommendations (11%), providing information or recommendations (53%), commenting on changes since surgery (19%), and lending support to other members (32%) were the most common types of posts. Content surrounding anxiety, eating behaviors, depression, body image, weight bias, and alcohol was found less frequently.
Online bariatric surgery groups can be used to receive support, celebrate physical and emotional accomplishments, provide anecdotal accounts of the "bariatric lifestyle" for preoperative patients, and comment on challenges with mental health and experiences of weight bias. Providers should become acquainted with the content commonly found in online groups and exercise caution in recommending these platforms to information-seeking patients.
支持减重手术后是确保长期术后成功的关键。许多接受减重手术的人正在转向在线模式，尤其是流行的社交媒体平台 Facebook，以访问支持小组和页面。尽管有证据表明，大多数考虑接受减重手术的患者都在使用在线小组，但对这些小组的实际内容知之甚少。
本研究的目的是对 Facebook 上的减重手术支持小组和页面进行内容分析。
通过 Facebook 在线，美国独立学术医疗中心。
2016 年，在一个月的时间内，从与减重手术相关的 Facebook 支持小组和页面中提取数据。可靠地对突出的内容主题（例如，进展帖子、抑郁内容、饮食行为）进行编码（所有κ值均>.70）。
对 6800 多个帖子和回复进行了编码。结果表明，寻求建议（11%）、提供信息或建议（53%）、评论手术后的变化（19%）以及向其他成员提供支持（32%）是最常见的帖子类型。围绕焦虑、饮食行为、抑郁、身体形象、体重偏见和酒精的内容则较少。
在线减重手术小组可用于获得支持、庆祝身体和情感上的成就、为术前患者提供“减重生活方式”的轶事，以及评论心理健康挑战和体重偏见的经历。提供者应该熟悉在线小组中常见的内容，并在向寻求信息的患者推荐这些平台时谨慎行事。
