Scholarlink

Objective <p>The retention rate of Bariatric Surgery (BS) remains a critical concern, yet the decision-making mechanism among obese individuals considering BS is still unclear. This study aims to identify key stages and core mechanisms in the BS decision-making process.</p> Design <p>Qualitative, one-on-one, and focus group in-depth interviews were conducted.</p> Methods <p>Semi-structured interviews were conducted in China from September 2022 to February 2023. Using the Straussian Grounded Theory (SGT) approach, an iterative analysis of the BS decision-making process was performed, ultimately constructing a decision-making mechanism for obese patients opting for BS. Reporting followed the SRQR checklist.</p> Results <p>Interviews were conducted with 21 obese individuals scheduled for BS one day before surgery. A theoretical model was developed to describe and explain the BS decision-making process. The study identified five key stages in the decision-making process: Initial Attention, Proactive Information-Seeking, Decision-Making Process, Definitive Surgical Decision, Preparation Phase, and Abandonment, with the Decision-Making Process being the most critical. The study examined the influence of External Environment on Cognitive Decision-Making, focusing on social pressure, social support, and peer support. Additionally, the Cognitive Trade-off Theory for Bariatric Surgery (CTT-BS) was established, incorporating five cognitive-level factors.</p> Conclusion <p>The identified decision-making stages and cognitive theory provide evidence to clarify the facilitators and barriers to BS motivation retention, offering insights for developing strategies to improve BS retention rates.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Bariatric surgery decision-making of adults with obesity: a grounded theory study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月11日

查看全文
  • Yihong Xu,
  • Wen Li,
  • Liping Zhu,
  • Yunxia Li,
  • Jianan Wang,
  • Xiaoxiao Zhang,
  • Shanni Ding,
  • Mizhi Wu,
  • Hongying Pan,
  • Weihua Yu,
  • Jionghuang Chen

摘要

Objective

The retention rate of Bariatric Surgery (BS) remains a critical concern, yet the decision-making mechanism among obese individuals considering BS is still unclear. This study aims to identify key stages and core mechanisms in the BS decision-making process.

Design

Qualitative, one-on-one, and focus group in-depth interviews were conducted.

Methods

Semi-structured interviews were conducted in China from September 2022 to February 2023. Using the Straussian Grounded Theory (SGT) approach, an iterative analysis of the BS decision-making process was performed, ultimately constructing a decision-making mechanism for obese patients opting for BS. Reporting followed the SRQR checklist.

Results

Interviews were conducted with 21 obese individuals scheduled for BS one day before surgery. A theoretical model was developed to describe and explain the BS decision-making process. The study identified five key stages in the decision-making process: Initial Attention, Proactive Information-Seeking, Decision-Making Process, Definitive Surgical Decision, Preparation Phase, and Abandonment, with the Decision-Making Process being the most critical. The study examined the influence of External Environment on Cognitive Decision-Making, focusing on social pressure, social support, and peer support. Additionally, the Cognitive Trade-off Theory for Bariatric Surgery (CTT-BS) was established, incorporating five cognitive-level factors.

Conclusion

The identified decision-making stages and cognitive theory provide evidence to clarify the facilitators and barriers to BS motivation retention, offering insights for developing strategies to improve BS retention rates.