Bariatric Times

DEC 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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9 Original Research Bariatric Times • December 2017 specific pieces of data that were indexed in the previous stage into c harts of themes. 5. Mapping and interpretation— authors made sense of the relationship between key characteristics in the charts to f inalize the emergent themes. 1 3 Emerging themes are discussed in the results section along with representative quotes from the i nterviews to further illustrate each theme. The authors incorporated credibility in the research by triangulating the data. Data were c oded my multiple members of the research team in efforts to provide a robust analysis of the data and to accurately assess for emerging themes. Credibility was also i ncorporated through member checking purposes. 14 After interviews, authors had the opportunity to ask questions for clarification if any areas of the t ranscript required further understanding. Respondents were also able to receive a copy of the aggregate data after the analysis and a copy of article after publication. Credibility was also incorporated through reflexivity, 15 prior to approaching the study and throughout the study, the authors reflected on their positionality and epistemology regarding working with bariatric patients. The authors also considered transferability when approaching the study. 1 6 The researchers made use of the existing literature when developing the research questions to ensure that the study contributed to gaps in the research. Likewise, the authors made attempts to consider ways to transfer the results to larger populations through developing recommendations that might inform treatment of bariatric surgery patients and MFT education and collaboration. DEMOGRAPHICS There were a total of 15 individuals who participated in the study. While participants resided in various locations, all reported attending graduate school in the southern part of the United States. There were a total of five males and 10 females. The average age of participants was 32, with the range between 25 and 40 years of age. When asked about race/ethnicity, 11 individuals self-identified as "African American," one identified as "Caucasian," one identified as "Asian-Indian," one identified as "Vietnamese," and one identified as "Other." In the study, 10 individuals self-identified as being "single," one identified as "dating," two identified as being "in a committed relationship," and two identified as being "married." When asked about weight loss surgery, 14 individuals reported that they knew someone personally who had weight loss surgery (friend, relative, or someone in their social network), with one participant who reported that they were not aware of anyone who underwent weight loss surgery. The procedures that individuals reported included gastric bypass and laparoscopic banding. When asked if participants would ever consider weight loss surgery if they needed it themselves, nine individuals reported that they would not consider surgery, with six reporting that they would consider weight loss surgery. Participants in the study graduated with their master's degree from 2012 to 2016. For demographics, please see Appendix B, Demographics Table. EMERGING THEMES Theme 1: Knowledge of bariatric surgery. The following excerpt from an interview illustrated the first theme that emerged during the study, knowledge of bariatric surgery. "Is bariatric surgery the same as the gastric bypass? I know there is one that is a band that automatically contracts when a person eats. It [bariatric surgery] was not focused on very heavily in our graduate program." -Brian MFTs were asked questions regarding their familiarity with bariatric surgery and their general knowledge of bariatric surgery. While being interviewed, four therapists reported that they were familiar with bariatric surgery, with the remaining 11 therapists reporting that they heard of bariatric surgery but were not very familiar with the medical specialty. As reflected in the representative quote above, some therapists were not familiar with the term "bariatric APPENDEX A. Interview Questions BARIATRIC SURGERY 1. How familiar are you with bariatric surgery? 2. Can you name any weight loss surgical procedure? (If so, which ones?) 3. What types of clinical issues might you encounter working patients seeking surgical intervention for weight loss? 4. Have you learned about weight loss surgery in your MFT training program or about how to provide therapy for clients involved in this process? 5. What theoretical approach would you utilize in working with weight loss surgery and patients? 6. Have you had any training or exposure to assessments for screening obese patients prior to weight loss surgery? 7. Are you familiar with obstacles that bariatric surgery patients might face pre-surgery? 8. Are you familiar with any potential issues that patients might face within the context of couple or family relationships after surgery? 9. Are you familiar with obstacles that bariatric patients might face post-surgery? 10. Are you familiar with any potential issues that patients might face within the context of couple or family relationships after surgery? 11. What challenges do you imagine having in your work with a client who has undergone weight loss surgery? 12. How might you assist clients with transitioning through the weight loss surgery process? 13. How might you assist couples and families that are transitioning through the weight loss surgery process? 14. How might you assist medical professionals who are treating clients during this time? MFT: marriage and family therapy A P P ENDI X B . Demographi c s Tabl e PSE U D O N YM R E L AT IO N SH IP STAT U S # O F C H I L D R E N KN O WS A PAT IE N T ? WO U L D CO N SID E R SU R G E RY John Married 0 Yes No Cindy Single 0 Yes No Lionel Committed 0 Yes No TC Single 0 Yes No Var nes Single 1 Yes Yes R yan Married 2 Yes Yes N icole Single 0 Yes Yes Br ian Single 0 Yes (3) No Wadell Single 0 Yes (4) Yes Br idget Single 0 Yes (2) No D estiny Committed 0 Yes (2) Yes Leila Single 0 Yes (2) No Cara Single 0 Yes (2) Yes Vela Dating 3 Yes (5) No Grace Single 0 No No

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