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A semi-structured interview is associated with bariatric surgery outcomes.

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Title: A semi-structured interview is associated with bariatric surgery outcomes.
Authors: Punt, Stephanie E., Caicedo, Mariana Rincon, Rhodes, Ashley C., Ilardi, Stephen S., Hamilton, Jessica L.
Source: Journal of Behavioral Medicine. Jun2024, Vol. 47 Issue 3, p483-491. 9p.
Subjects: Bariatric surgery, Patient selection, Interviewing, Preoperative care, Treatment effectiveness, Descriptive statistics, Research methodology, Health behavior, Psychological tests, Social support, Evaluation
Abstract: Pre-surgical psychological evaluations (PSPE) are required by many insurance companies and used to help identify risk factors that may compromise bariatric post-surgical outcomes. These evaluations, however, are not yet standardized. The present study investigated the utility of a semi-structured assessment, Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), on post-surgical outcomes across 18 months. A total of 272 adult patients underwent a psychosocial evaluation and received bariatric surgery November 2017 to September 2020 at a Midwestern academic medical center. Average age at pre-surgical evaluation was 45.2 (SD = 10.7) years and 82.3% of patients were female (n = 224). With an a priori α of 0.05, multi-level modeling with weight as the outcome and regression with complications as the outcome were used. Higher SIPAT Patient Readiness, indicating difficulty with adhering to health behaviors and a reduced understanding of bariatric surgery, was associated with elevated patient weight at the 18-month follow-up (훽 = 0.129, p = 0.03). Higher SIPAT Social Support, was associated with patient weight at the 18-month follow-up, with reduced support associated with greater weight (훽 = 0.254, p = 0.004). Higher SIPAT Social Support also was associated with a greater risk of complications across the 18-month follow-up window (훽 = -0.108, p = 0.05). Patients with higher readiness to adhere to behavioral changes, and those reporting an intact social support system, generally weighed less at 18 months. The SIPAT may be considered as part of the standardized pre-surgical assessment, however, further research is required to elucidate its utility. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A semi-structured interview is associated with bariatric surgery outcomes.
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  Data: <searchLink fieldCode="AR" term="%22Punt%2C+Stephanie+E%2E%22">Punt, Stephanie E.</searchLink><br /><searchLink fieldCode="AR" term="%22Caicedo%2C+Mariana+Rincon%22">Caicedo, Mariana Rincon</searchLink><br /><searchLink fieldCode="AR" term="%22Rhodes%2C+Ashley+C%2E%22">Rhodes, Ashley C.</searchLink><br /><searchLink fieldCode="AR" term="%22Ilardi%2C+Stephen+S%2E%22">Ilardi, Stephen S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hamilton%2C+Jessica+L%2E%22">Hamilton, Jessica L.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Jun2024, Vol. 47 Issue 3, p483-491. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Bariatric+surgery%22">Bariatric surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+selection%22">Patient selection</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Preoperative+care%22">Preoperative care</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
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  Data: Pre-surgical psychological evaluations (PSPE) are required by many insurance companies and used to help identify risk factors that may compromise bariatric post-surgical outcomes. These evaluations, however, are not yet standardized. The present study investigated the utility of a semi-structured assessment, Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), on post-surgical outcomes across 18 months. A total of 272 adult patients underwent a psychosocial evaluation and received bariatric surgery November 2017 to September 2020 at a Midwestern academic medical center. Average age at pre-surgical evaluation was 45.2 (SD = 10.7) years and 82.3% of patients were female (n = 224). With an a priori α of 0.05, multi-level modeling with weight as the outcome and regression with complications as the outcome were used. Higher SIPAT Patient Readiness, indicating difficulty with adhering to health behaviors and a reduced understanding of bariatric surgery, was associated with elevated patient weight at the 18-month follow-up (훽 = 0.129, p = 0.03). Higher SIPAT Social Support, was associated with patient weight at the 18-month follow-up, with reduced support associated with greater weight (훽 = 0.254, p = 0.004). Higher SIPAT Social Support also was associated with a greater risk of complications across the 18-month follow-up window (훽 = -0.108, p = 0.05). Patients with higher readiness to adhere to behavioral changes, and those reporting an intact social support system, generally weighed less at 18 months. The SIPAT may be considered as part of the standardized pre-surgical assessment, however, further research is required to elucidate its utility. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10865-024-00471-9
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        Text: English
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      – SubjectFull: Bariatric surgery
        Type: general
      – SubjectFull: Patient selection
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Preoperative care
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research methodology
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      – SubjectFull: Health behavior
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      – SubjectFull: Psychological tests
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      – SubjectFull: Social support
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      – SubjectFull: Evaluation
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      – TitleFull: A semi-structured interview is associated with bariatric surgery outcomes.
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            NameFull: Caicedo, Mariana Rincon
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            NameFull: Rhodes, Ashley C.
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              M: 06
              Text: Jun2024
              Type: published
              Y: 2024
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