Factors Affecting Patient Adherence to Multivitamin Intake After Bariatric Surgery: Thematic Analysis of Qualitative Data From a Multicenter Study.
bariatric surgery
metabolic surgery
multivitamin supplement
patient adherence
patient compliance
thematic analysis
vitamin supplementation
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
accepted:
03
08
2023
medline:
5
9
2023
pubmed:
5
9
2023
entrez:
5
9
2023
Statut:
epublish
Résumé
Introduction Adherence to daily intake of multivitamin supplementation (MVS) is a major challenge after bariatric surgery (BS). The aim of this study was to identify insights into patients' beliefs and experiences on adherence to MVS intake. Methods A thematic analysis of qualitative data from four high-volume bariatric centers in the Netherlands was conducted. A series of texts from the open-ended question of 1,246 patients were thematically analyzed for common or overarching themes, ideas, and patterns. Results Five key themes emerged regarding participants' suggestions on adherence to daily MVS intake: "gastrointestinal side effects to MVS intake" (n = 850, 68.2%), "negative features of MVS" (n = 296, 23.8%), "satisfaction with advice on MVS" (n = 272, 21.8%), "dissatisfaction with service provision" (n = 160, 12.8%), and "costs" (n = 93, 7.5%). Most problems were experienced when using specialized weight loss surgery (WLS) MVS. These supplements may cause gastrointestinal side effects, and costs are too high. After bariatric surgery, numerous patients strongly felt that information provision was poor in several aspects, and the aftercare pathway process did not provide sufficient support. Conclusion This study found five major themes involved in patient adherence to multivitamin intake after BS: gastrointestinal side effects to MVS intake, negative features of MVS, satisfaction with advice on MVS, dissatisfaction with service provision, and costs of specialized MVS. Challenges lie in stronger education for both patients and healthcare professionals. More personalized care could probably increase patient satisfaction, and MVS companies should look at further optimizing supplements for better tolerability and reducing costs.
Identifiants
pubmed: 37667703
doi: 10.7759/cureus.42928
pmc: PMC10475153
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e42928Informations de copyright
Copyright © 2023, Smelt et al.
Déclaration de conflit d'intérêts
The authors have declared financial relationships, which are detailed in the next section.
Références
Rev Bras Enferm. 2020 Apr 22;73(3):e20190250
pubmed: 32321144
Lancet. 2004 Nov 27-Dec 3;364(9449):1923-4
pubmed: 15566996
Obes Surg. 2020 May;30(5):1768-1792
pubmed: 31940138
Health Policy. 2014 Aug;117(2):216-27
pubmed: 24837516
N Engl J Med. 2005 Aug 4;353(5):487-97
pubmed: 16079372
J Nutr Sci. 2020 Oct 08;9:e46
pubmed: 33101663
Psychother Psychosom. 2008;77(4):219-26
pubmed: 18418028
Obes Surg. 2021 Oct;31(10):4316-4326
pubmed: 34304380
Obes Surg. 2022 Nov;32(11):3740-3751
pubmed: 36057021
J Intern Med. 2013 Mar;273(3):219-34
pubmed: 23163728
Obes Surg. 2019 May;29(5):1551-1556
pubmed: 30652245
Fam Pract. 2004 Apr;21(2):125-30
pubmed: 15020377
Surg Obes Relat Dis. 2017 May;13(5):727-741
pubmed: 28392254
Nutrients. 2020 Jan 16;12(1):
pubmed: 31963247
Obes Surg. 2010 Dec;20(12):1654-9
pubmed: 20107919
Obesity (Silver Spring). 2020 Apr;28(4):O1-O58
pubmed: 32202076
Obes Facts. 2017;10(6):597-632
pubmed: 29207379