Bariatric Times

SEP 2017

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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23 Hot Topics in Integrated Health Bariatric Times • September 2017 t ogether, the committee has created a comprehensive curriculum to enhance the skills of support group leaders. In terms of research and r esources, the IH Support Group Committee, as well as the IH Clinical Issues and Guidelines Committee, have taken on a systematic review of the support group literature. E lements of this will be presented at ObesityWeek 2017, with a goal of publishing an updated review and analysis in the future. After our successful IH Support Group Course a t ObesityWeek 2016, interest in our committee has grown our roster of professionals to include additional clinicians who bring hands-on experience regarding patient o utcomes to our large fund of knowledge. In addition to exploring outcome data, the committee is focused on trying to understand why patients attend (or do not attend) s upport groups and how to encourage participation and grow group attendance. This includes developing patient and provider surveys to examine the issue, which will be disseminated directly to ASMBS and Obesity Action Coalition (OAC) members. Through collaboration with the Integrated Health Executive Committee, an online toolbox is being developed as part of the ASMBS website. The Support Group Committee has been collecting useful tools on an ongoing basis to help individuals running or looking to start support groups. These resources will be available to all members. Additionally, a listserv was developed two years ago to offer a forum for support group leaders to raise questions and share ideas with one another, and it is anticipated that this will be expanded each year. IH Support Group Committee members add value by contributing up-to-date feedback in their respective areas of practice and patient care. Future work will investigate virtual outreach, online support group meetings, and social media platforms. The third leg of the committee's agenda is the promotion of increased professionalism in the delivery and guidance of support group services provided for bariatric patients to improve success and satisfaction. To achieve these ends, the committee is undertaking an evaluation of core competencies for running both professional and peer- led groups. Empirical evidence is being explored to better define appropriate standards for support group leaders with the hope of advising accrediting agencies of clinically sound guidelines in this arena. Ultimately, this might inform the development of both in person and online education to gain the n ecessary knowledge to lead an accredited group program. The IH Support Group Committee continues to discuss ideas and receive feedback from the a dministrative councils of ASMBS and their key leaders. The committee has seen a sharp rise in commitment to addressing the issues of the patient in a "holistic" m anner: physical and emotional challenges that contribute to the comprehensive care of patients, particularly in the short and long term post-operative period for the p atient population as a whole. The committee is here to support our professional colleagues in applying the latest evidence and best practice to further patient care through b ariatric support groups. With great enthusiasm, we look forward to continuing to serve the metabolic and bariatric surgery community and encourage your involvement in our o fferings. FUNDING: No funding was provided. DISCLOSURES: The author reports no conflicts of interest relevant to the content of this article. AUTHOR AFFILIATION: Lori Nevins is a clinical social worker and bariatric care specialist in private practice. Paul Davidson is Director of Behavioral Services, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital/Brigham and Women's Faulkner Hospital and Harvard Medical School, Boston, Massachusetts. ADDRESS FOR CORRESPONDENCE: Lori S. Nevins, LCSW; E-mail: COMPLIMENTARY CONTINUING EDUCATION FOR DIETITIANS Improving Adherence to Micronutrient Supplementation in the Metabolic and Bariatric Surgery Patient Population NOW AVAILABLE Dietitians: Visit to ACCESS the Activity Course Overview: The improved health outcomes of metabolic and bariatric surgery are undeniable, however, the high frequency of micronutrient deficiencies, especially those that are under-recognized and left untreated, can lead to irreversible consequences. This article discusses barriers to adherence, common known clinical manifestations of micronutrient deficiency, and strategies for improving patient adherence, including clinician familiarity with available professional guidelines for micronutrient supplementation in the metabolic and bariatric surgery patient population. Provider: This educational program is provided by Matrix Medical Communications. This educational activity is approved by the Commission on Dietetic Registration, the credentialing agency for Academy of Nutrition and Dietetics, for 1.0 CPEU; Activity Number 134321 1 CPEU Course Description: This educational program is designed to educate, through independent study, multidisciplinary clinicians who care for the metabolic and bariatric surgery patient population. Course Objectives: Upon completion of this program, the participant should be able to: 1. List known barriers to micronutrient supplementation adherence in the metabolic and bariatric surgery patient population 2. Identify the most prevalent micronutrient deficiencies in metabolic and bariatric surgery patients, including examples of accompanying physical signs and symptoms 3. Discuss available professional guidelines for micronutrient supplementation in the metabolic and bariatric surgery patient population 4. Discuss strategies for improving patient adherence to micronutrient supplementation. Follow instructions to take the post-test and submit for continuing education credit

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