Empowering Pacific Patients on the Weight Loss Surgery Pathway: A Co-designed Evaluation Study.

Autor: Taylor TA; 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. t.taylor@auckland.ac.nz., Beban G; General Surgery Department, Auckland City Hospital, Te Whatu Ora, Te Toka Tumai, 2 Park Road, Grafton, Auckland, 1023, New Zealand., Yi E; General Surgery Department, Auckland City Hospital, Te Whatu Ora, Te Toka Tumai, 2 Park Road, Grafton, Auckland, 1023, New Zealand., Veukiso M; School of Social Work, College of Health, Massey University, Albany, North Shore, Auckland, 0745, New Zealand., Sang-Yum G; School of Social Work, College of Health, Massey University, Albany, North Shore, Auckland, 0745, New Zealand., Dewes O; Centre of Methods and Policy Application in the Social Sciences, The Faculty of Arts, University of Auckland, 12 Grafton Road, Auckland, 1010, New Zealand.; Langimalie Research Centre, Tongan Health Society, M20 Business Park, 86F Plunket Avenue, Manukau, Auckland, 2104, New Zealand., Wrapson W; Faculty of Health and Environmental Sciences, School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Auckland, 0627, New Zealand., Taufa N; 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., Campbell ART; Department of Anthropology, The Faculty of Arts, The University of Auckland, 22 Symonds Street, Auckland, 1010, New Zealand., Siegert RJ; Faculty of Health and Environmental Sciences, School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Auckland, 0627, New Zealand., Shepherd P; 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.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Mar; Vol. 34 (3), pp. 959-966. Date of Electronic Publication: 2024 Feb 12.
DOI: 10.1007/s11695-024-07084-w
Abstrakt: Purpose: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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