TY - JOUR
T1 - Barriers to Adolescents’ Adherence to Medical Advice after Metabolic Bariatric Surgery
T2 - A Statistical Analysis
AU - Shellac, Evia
AU - Lev-Wiesel, Rachel
AU - Shachar-Lavie, Iris
AU - Hadas, Arie
AU - Sela, Adi
AU - Halifa-Kurzman, Irit
AU - Bar-Eyal, Adi
AU - Shalitin, Shlomit
AU - Kravarusic, Dragan
AU - Cohen, Osher
AU - Tyroler, Simona
AU - Lavan, Orly
AU - Fennig, Silvana
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/3/19
Y1 - 2024/3/19
N2 - Background: Adolescent obesity has markedly increased worldwide, and metabolic bariatric surgery is an effective treatment option. A major predictor of the outcomes of this procedure is adherence to post-surgery lifestyle changes and medical recommendations. While adolescents generally have more difficulty adhering to medical advice than adults, their failure to do so could adversely affect their physical and psychological health, the cost-effectiveness of medical care, and the results of clinical trials. To our knowledge, this is the first attempt to identify the characteristics associated with the adherence of adolescents and their families to medical advice after bariatric surgery. Methods: We investigated potential variables influencing adherence to medical advice in adolescents diagnosed with severe obesity enrolled in a nutritional and behavior-oriented bariatric program—a 3-month pre-surgical outpatient intervention and a 6-month post-surgical follow-up. The program monitored weight, program attendance, diet compliance, lifestyle changes, and daily activities. All participants and parents completed a standard battery of questionnaires, provided demographic information, and participated in a semi-structured interview about their lifestyle. Results: The study group consisted of 47 adolescents: 34 girls and 13 boys, aged 13–18 years. Over time, three groups emerged with different degrees of adherence—high, low, and delayed low adherence. The analyses showed that adolescents’ depression, autonomy, and independence from their family had strong, significant effects on adherence across the groups. Conclusions: Using adherence typologies, practitioners may be able to identify, predict, and tailor interventions to improve adolescent adherence to post-surgery recommendations. Parents have an important role in ensuring that adolescents undergoing metabolic bariatric surgery follow medical advice after the procedure.
AB - Background: Adolescent obesity has markedly increased worldwide, and metabolic bariatric surgery is an effective treatment option. A major predictor of the outcomes of this procedure is adherence to post-surgery lifestyle changes and medical recommendations. While adolescents generally have more difficulty adhering to medical advice than adults, their failure to do so could adversely affect their physical and psychological health, the cost-effectiveness of medical care, and the results of clinical trials. To our knowledge, this is the first attempt to identify the characteristics associated with the adherence of adolescents and their families to medical advice after bariatric surgery. Methods: We investigated potential variables influencing adherence to medical advice in adolescents diagnosed with severe obesity enrolled in a nutritional and behavior-oriented bariatric program—a 3-month pre-surgical outpatient intervention and a 6-month post-surgical follow-up. The program monitored weight, program attendance, diet compliance, lifestyle changes, and daily activities. All participants and parents completed a standard battery of questionnaires, provided demographic information, and participated in a semi-structured interview about their lifestyle. Results: The study group consisted of 47 adolescents: 34 girls and 13 boys, aged 13–18 years. Over time, three groups emerged with different degrees of adherence—high, low, and delayed low adherence. The analyses showed that adolescents’ depression, autonomy, and independence from their family had strong, significant effects on adherence across the groups. Conclusions: Using adherence typologies, practitioners may be able to identify, predict, and tailor interventions to improve adolescent adherence to post-surgery recommendations. Parents have an important role in ensuring that adolescents undergoing metabolic bariatric surgery follow medical advice after the procedure.
KW - adherence
KW - adolescents
KW - autonomy
KW - family activities
KW - metabolic bariatric surgery
UR - http://www.scopus.com/inward/record.url?scp=85189026843&partnerID=8YFLogxK
U2 - 10.3390/jcm13061762
DO - 10.3390/jcm13061762
M3 - Article
C2 - 38541985
AN - SCOPUS:85189026843
SN - 2077-0383
VL - 13
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 6
M1 - 1762
ER -