Department of Molecular Medicine and Pathology, Faculty of Medical and Health Sciences, The University of Auckland, Building 507, Room 1090, 22-30 Park Avenue, Grafton, Auckland, 1023, New Zealand.
General Surgery Department, Auckland City Hospital, Te Whatu Ora, Te Toka Tumai, 2 Park Road, Grafton, Auckland, 1023, New Zealand.
Obes Surg. 2024 Mar;34(3):959-966. doi: 10.1007/s11695-024-07084-w. Epub 2024 Feb 12.
Despite having the highest medical needs by population for weight loss treatment, Pacific patients in Aotearoa New Zealand face substantial levels of attrition in publicly funded weight loss surgery programs. In collaboration with the Auckland City Hospital bariatric surgery team, a Pacific-led preoperative weight loss surgery program was co-designed, delivered, and evaluated between 2020 and 2023.
This was a single-arm, prospective co-designed evaluation study that took place at Auckland City Hospital in Aotearoa New Zealand. Participants were Pacific patients (n = 14) referred to the weight loss surgery program. Survey and video diaries were analyzed to determine if the program had the potential to increase Pacific patient retention through the preoperative stage of weight loss surgery, increase surgery completion rates, and improve the quality of treatment experiences.
Nine out of 14 participants attended all preoperative sessions. Six participants subsequently underwent weight loss surgery. Program components that had positive impacts on patient success and satisfaction were accessibility, information quality, having Pacific role models, cultural safety, and the group support system. The patients found the program to be culturally anchored and there was support for the implementation of the program going forward.
This study demonstrated how a culturally anchored intervention can increase patient retention for those patients who may not respond to mainstream treatment. Adjusting existing preoperative weight loss surgery programs to integrate Pacific-led models of healthcare has the potential to increase Pacific patient resiliency to follow through with surgery.
尽管太平洋患者的减肥治疗需求在人口方面最高，但新西兰奥克兰的太平洋患者在公共资助的减肥手术项目中大量流失。在与奥克兰市医院减肥手术团队合作的基础上，于 2020 年至 2023 年共同设计、实施和评估了一个太平洋人主导的术前减肥手术项目。
这是一项单臂、前瞻性共同设计的评估研究，在新西兰奥克兰的奥克兰市医院进行。参与者为被推荐参加减肥手术项目的太平洋患者（n=14）。通过调查和视频日记分析，确定该项目是否有可能通过减肥手术的术前阶段增加太平洋患者的保留率、提高手术完成率并改善治疗体验质量。
14 名参与者中有 9 人参加了所有术前课程。随后有 6 名参与者接受了减肥手术。对患者成功和满意度产生积极影响的项目组成部分包括可及性、信息质量、有太平洋榜样、文化安全和团体支持系统。患者认为该项目具有文化根基，并支持该项目的进一步实施。
本研究表明，文化上相关的干预措施如何能够增加那些可能对主流治疗无反应的患者的保留率。调整现有的术前减肥手术项目，纳入太平洋人主导的医疗保健模式，有可能提高太平洋患者接受手术的适应能力。
