Document Detail


Predictors of Post-bariatric Surgery Appointment Attendance: the Role of Relationship Style.
MedLine Citation:
PMID:  23757051     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Attendance at bariatric surgery follow-up appointments has been associated with bariatric surgery outcomes. In this prospective study, we sought to examine psychosocial predictors of attendance at post-operative follow-up appointments. METHODS: Consecutive bariatric surgery patients (n = 132) were assessed pre-surgery for demographic variables, depressive symptoms, and relationship style. Patients were followed for 12 months post-surgery and, based on their attendance at follow-up appointments, were classified as post-surgery appointment attenders (attenders-attended at least one appointment after post-operative month 6) or post-surgery appointment non-attenders (non-attenders-did not attend at least one appointment after post-operative month 6). Psychosocial and demographic variables were compared between the attender and non-attender groups. Multivariate logistic regression was used to identify significant predictors of attendance at post-bariatric surgery follow-up appointments. RESULTS: At 12 months post-surgery, 68.2 % of patients were classified as attenders. The non-attender group was significantly older (p = 0.04) and had significantly higher avoidant relationship style scores (p = 0.02). There was a trend towards patients in the non-attender group living a greater distance from the bariatric center (p = 0.05). Avoidant relationship style was identified as the only significant predictor of post-operative appointment non-attendance in the logistic regression analysis. CONCLUSIONS: These findings suggest that avoidant relationship style is an important predictor of post-bariatric surgery appointment non-attendance. Recognition of patients' relationship style by bariatric surgery psychosocial team members may guide the delivery of interventions aimed at engaging this patient group post-surgery.
Authors:
Sanjeev Sockalingam; Stephanie Cassin; Raed Hawa; Attia Khan; Susan Wnuk; Timothy Jackson; Allan Okrainec
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-12
Journal Detail:
Title:  Obesity surgery     Volume:  -     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada, sanjeev.sockalingam@uhn.on.ca.
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