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‘The only chance of a normal weight life’: A qualitative analysis of online forum discussions about bariatric surgery
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-9567-0773
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-2610-8998
2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, no 10, article id e0206066Article in journal (Refereed) Published
Abstract [en]

Background

The only effective weight loss treatment for severe obesity is bariatric surgery, with Roux-en-Y gastric bypass being the most common method. Patients often have unrealistic expectations of surgery and expect a “miracle cure” even though the procedure requires major lifelong lifestyle changes. Most patients access information about the procedure online, and come into contact with others who have had the surgery.

Objective

The objective of this study was to describe shared values, feelings, and thoughts among visitors to a web-based forum for those undergoing bariatric surgery.

Methods

In this cross-sectional observation study using qualitative contents analysis, the material consisted of an online discussion forum thread about bariatric surgery, with 498 posts. These were saved in a document, read and re-read. Through coding of meaningful units of text, themes were established.

Results

Four themes were constructed during data analysis: a) A new life-anticipating dramatic changes of body and mind; b) Negotiating the system and playing the waiting game; c) A means to an end-managing the pre-operative diet; and d) Managing the attitudes of others. Posters described the process of bariatric surgery as a journey, riddled with roadblocks, setbacks and trials, but also with joy and expectations of a new life.

Conclusion

Professionals who encounter this group should be aware of their need for support throughout the process, and investigate the possibility of both pre- and postoperative support groups, either online or face-to-face. The results also show that the posters on the forum had very high, and often unrealistic, expectations on how the surgery would change their lives. It is important for those who encounter this group before surgery to be aware of this tendency and to take measures to ensure that patients undergo the surgery with realistic expectations.

Place, publisher, year, edition, pages
Public Library of Science , 2018. Vol. 13, no 10, article id e0206066
Keywords [en]
adult, article, bariatric surgery, body weight, controlled study, data analysis, diet, expectation, female, human, interpersonal communication, male, observational study, preoperative evaluation, qualitative analysis, support group, surgery
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:hig:diva-28666DOI: 10.1371/journal.pone.0206066ISI: 000448438400042PubMedID: 30359394Scopus ID: 2-s2.0-85055579482OAI: oai:DiVA.org:hig-28666DiVA, id: diva2:1265895
Available from: 2018-11-26 Created: 2018-11-26 Last updated: 2018-11-27Bibliographically approved

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Willmer, MikaelaSalzmann-Erikson, Martin

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