University of Technology Sydney, (Discipline of Clinical Psychology), Sydney, NSW, Australia.
Australian College of Applied Psychology, (Psychological Sciences), Sydney, NSW, Australia.
Eat Weight Disord. 2022 Jun;27(5):1633-1640. doi: 10.1007/s40519-021-01299-x. Epub 2021 Oct 19.
To explore the perceived barriers and facilitators to healthy eating and physical activity in individuals opting for endoscopic bariatric procedures.
A total of 55 participants were recruited from a metropolitan bariatric clinic in Australia. Participants were interviewed at one of two stages of treatment: pre-procedure (n = 34) or 5-6 months post-procedure (n = 18). Interviews were transcribed and analyzed using content analysis.
Five themes emerged from analysis of participant responses in both groups including lifestyle, psychological, physiological, social, and eating behaviors. Each theme consisted of subthemes which were either perceived barriers, or facilitators, to healthy eating and physical activity. Perceived barriers consisted of factors such as time constraints, low motivation, unhealthy habits and portion control, low priority of personal health, emotional difficulties, and pain/mobility issues. Facilitators included subthemes such as planning/organization, high motivation, seeing results, improved self-esteem, increased energy, improved mobility, and changing mindset about portions.
The results highlight the importance of delivering individualized and targeted treatment plans for individuals opting for bariatric procedures.
Level III: Evidence obtained from cohort or case-control analytic studies.
探索选择内镜减重手术的个体对健康饮食和身体活动的感知障碍和促进因素。
从澳大利亚一家都市减重诊所共招募了 55 名参与者。参与者在治疗的两个阶段之一接受了采访：术前（n=34）或术后 5-6 个月（n=18）。使用内容分析法对访谈进行转录和分析。
两个组的参与者反应分析中出现了五个主题，包括生活方式、心理、生理、社会和饮食行为。每个主题都包括对健康饮食和身体活动的感知障碍或促进因素的子主题。感知障碍包括时间限制、低动力、不健康的习惯和份量控制、个人健康优先级低、情绪困难和疼痛/活动能力问题等因素。促进因素包括计划/组织、高动力、看到结果、自尊心提高、精力增加、活动能力提高和改变份量观念等子主题。
结果强调了为选择减重手术的个体提供个性化和有针对性的治疗计划的重要性。
III 级：从队列或病例对照分析研究中获得的证据。
