Allicock Marlyn A, Francis Jackson M, Braxton Rashon, Polavarapu Dhatri, Misserian Maral, Mathew M Sunil, Wheelington Alicia, Cartwright Bethany R, Qureshi Faisal G, Barlow Sarah E, Messiah Sarah E
The University of Texas Health Science Center at Houston (UTHealth) School of Public Health Dallas Texas USA.
Child and Adolescent Population Health Program Peter O'Donnell Jr. School of Public Health University of Texas Southwestern Medical Center Dallas Texas USA.
Obes Sci Pract. 2025 Jan 16;11(1):e70040. doi: 10.1002/osp4.70040. eCollection 2025 Feb.
The prevalence of severe obesity among adolescents has increased the use of metabolic and bariatric surgery (MBS) as a therapeutic option. Understanding factors influencing adolescent MBS choice and the support needed to undergo MBS is crucial for improving health outcomes. This study examines the motivations and support needs of a diverse sample of adolescents seeking MBS via the patient voice.
Adolescents ( = 14) at a weight loss surgery clinic in a large academic healthcare system participated in qualitative interviews. Of the participants, 10 were female, 6 were non-Hispanic Black, 3 were non-Hispanic White, and 5 were Hispanic. Interviews were recorded, transcribed, and thematically analyzed.
Three themes emerged: Intrinsic motivators, extrinsic motivators, and barriers. Intrinsic motivators include personal physical and mental health goals. Extrinsic motivators involved family and medical team support, which provided encouragement, validation, and perceived confidence for lifestyle changes. Additionally, observing family members who previously completed MBS was a significant extrinsic motivator. Concerns included fear of dying/complications from MBS, and possible weight regain post-MBS.
Adolescent MBS programs should enhance intrinsic motivation for behavior changes. Findings highlight opportunities for bolstering support pre- and post-MBS and addressing MBS-related anxieties related to long-term weight management.
青少年严重肥胖的患病率上升，使得代谢和减重手术（MBS）成为一种治疗选择。了解影响青少年选择MBS的因素以及接受MBS所需的支持对于改善健康结果至关重要。本研究通过患者视角探讨了寻求MBS的不同青少年样本的动机和支持需求。
在一个大型学术医疗系统的减肥手术诊所中，14名青少年参与了定性访谈。参与者中，10名是女性，6名是非西班牙裔黑人，3名是非西班牙裔白人，5名是西班牙裔。访谈进行了录音、转录并进行了主题分析。
出现了三个主题：内在动机、外在动机和障碍。内在动机包括个人身心健康目标。外在动机涉及家庭和医疗团队的支持，这为生活方式改变提供了鼓励、认可和信心。此外，观察之前完成MBS的家庭成员是一个重要的外在动机。担忧包括对MBS死亡/并发症的恐惧，以及MBS后可能的体重反弹。
青少年MBS项目应增强行为改变的内在动机。研究结果突出了在MBS前后加强支持以及解决与长期体重管理相关的MBS焦虑的机会。
