Clicca qui per scaricare

Condividi
Impact of a patient engagement support intervention (PHEinAction) on pre-bariatric surgery patients: a qualitative evaluation study
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Julia Menichetti, Annamaria Kulla, Caterina Bosio, Aslak Steinsbekk, Guendalina Graffigna 
Anno di pubblicazione:  2021 Fascicolo: 2  Lingua: Inglese 
Numero pagine:  22 P. 117-138 Dimensione file:  340 KB
DOI:  10.3280/PDS2021-002008
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Literature highlights the need of feasible interventions where psychological, emotional and behavioral support strategies are leveraged to engage bariatric surgery patients taking care for their health. This study explores severe obese patients’ self-reported outcomes with a nurse-led intervention providing patient engagement support ("PHEinAction") before bariatric surgery. A qualitative evaluation study through semi-structured interviews and self-report ques-tionnaires was led. in an Italian public hospital. Patient Health Engagement Scale was adminis-tered before, at the end, and three months after the intervention. Individual interviews were conducted within the three months after the intervention. Changes in questionnaires were ana-lyzed using paired t-tests, interviews using a thematic inductive approach. Among 17 partici-pants, there was a significant improvement in engagement scores from 2.7 at baseline to 3.3 at the end and to 3.5 three months later. PHEinAction had an impact on patients awaiting bari-atric surgery, with changes in engagement scores and in how they lived their obesity, their in-terpersonal relationships, and their self-care. This study offers preliminary support that PHEinAction helps patients with obesity on the behavioral change path. It is worthwhile to do a larger-scale randomized trial to evaluate its effect.

La letteratura evidenzia la necessità di interventi funzionali in cui le strategie di supporto psicologico, emotivo e comportamentale siano sfruttate per coinvolgere i pazienti di chirurgia bariatrica nella cura della loro salute. Questo studio esplora i risultati auto riferiti dei pazienti obesi gravi con un intervento guidato da un’infermiera che fornisce un supporto all’impegno del paziente ("PHEinAction") prima della chirurgia bariatrica. È stato condotto uno studio di valutazione qualitativa attraverso interviste semi-strutturate e questionari self-report in un ospedale pubblico italiano. La Patient Health Engagement Scale è stata somministrata prima, alla fine e tre mesi dopo l’intervento. Le interviste individuali sono state condotte nei tre mesi dopo l’intervento. I cambiamenti nei questionari sono stati analizzati usando i test a coppie, le interviste usando un approccio induttivo tematico. Tra i 17 parteci-panti, c’è stato un miglioramento significativo nei punteggi di engagement da 2,7 al baseline a 3,3 alla fine e a 3,5 tre mesi dopo l’intervento. PHEinAction ha avuto un impatto sui pazienti in attesa di chirurgia bariatrica, con cambiamenti nei punteggi di engagement e nel modo in cui hanno vissuto la loro obesità, le loro relazioni interpersonali e la loro cura di sé. Questo studio offre un supporto preliminare all’ipotesi che PHEinAction aiuti i pazienti con obesità nel percorso di cambiamento comportamentale.
Keywords: chirurgia bariatrica; engagement del paziente; attivazione del paziente; educazio-ne del paziente; intervento sul paziente; nursing

  1. Groller K.D. (2017). Systematic review of patient education practices in weight loss surgery. Surgery for Obesity and Related Diseases, 13 (6)r: 1072-1085.
  2. Hole G. (2011). Wilcoxon test Handoout 2011. sussex.ac.uk.
  3. Abdelaal M., le Roux C.W. and Docherty N.G. (2017). Morbidity and mortality associated with obesity. Annals of Translational Medicine, 5 (7): 161-166.
  4. Anderson L.M. and Chacko T.P. (2018). Bariatric outcomes: Self-management for sustained surgical success: A multicomponent treatment for dysregulated overeating in bariatric surgery patients. Journal of Addictions Nursing, 29 (1): 32-42., DOI: 10.1097/JAN.000000000000021
  5. Barello S., Graffigna G., Pitacco G., Mislej M., Cortale M. and Provenzi L. (2016). An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study. Frontiers in Psychology, 7: 2020.
  6. Barnes R.D. and Ivezaj V. (2015). A systematic review of motivational interviewing for weight loss among adults in primary care. Obesity Reviews, 16 (4): 304-318.
  7. Bolen S.D., Chandar A., Falck-Ytter C., Tyler C., Perzynski A.T., Gertz A.M., Sage P., Lewis S., Cobabe M., Ye Y., Menegay M. and Windish D.M. (2014). Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: Systematic review, meta-analysis, and meta-regression. Journal of General Internal Medicine, 29 (8): 1166-1176.
  8. Chang S., Stoll C.R.T., Song J., Varela J.E., Eagon C.J. and Colditz G.A. (2014). The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surgery, 149 (3): 275-287.
  9. Elkins G., Whitfield P., Marcus J., Symmonds R., Rodriquez J. and Cook T. (2005). Noncompliance with behavioral recommendations after bariatric surgery. Surgery for Obesity and Related Diseases, 1 (3): 287.
  10. Funnell M.M., Anderson R.M. and Ahroni J.H. (2005). Empowerment and self-management after weight loss surgery. Obesity Surgery, 15 (3): 417-422., DOI: 10.1381/096089205357679
  11. Graffigna G. and Barello S. (2018). Patient Health Engagement (PHE) model in enhanced recovery after surgery (ERAS): Monitoring patients’ engagement and psychological resilience in minimally invasive thoracic surgery. Journal of Thoracic Disease, 10: S517-S528.
  12. Graffigna G., Barello S. and Bonanomi A. (2017). The role of Patient Health Engagement model (PHE-model) in affecting patient activation and medication adherence: A structural equation model. PLoS ONE, 12 (6): 1-19.
  13. Graffigna G., Barello S., Bonanomi A. and Lozza E. (2015). Measuring patient engagement: Development and psychometric properties of the patient health engagement (PHE) scale. Frontiers in Psychology, 6 (MAR).
  14. Hsu L.K.G., Benotti P.N., Dwyer J., Roberts S.B., Saltzman E., Shikora S., Rolls B.J. and Rand W. (1998). Nonsurgical factors that influence the outcome of bariatric surgery: A review. In Psychosomatic Medicine, 60 (3): 338-346., DOI: 10.1097/00006842-199805000-0002
  15. Kangovi S. and DA A. (2018). Behavioral phenotyping in health promotion: Embracing or avoiding failure. JAMA, 319 (20): 2075-2076.
  16. Libeton M., Dixon J.B., Laurie C. and O’Brien P.E. (2004). Patient motivation for bariatric surgery: Characteristics and impact on outcomes. Obesity Surgery, 14 (3): 392-398., DOI: 10.1381/09608920432291793
  17. Magallares A., Graffigna G., Barello S., Bonanomi A. and Lozza E. (2017). Spanish adaptation of the Patient Health Engagement scale (S.PHE-s) in patients with chronic diseases. Psicothema, 29 (3): 408-413.
  18. Marie N., Flemming T., Robinson M., Thompson B. and Graetz N. (2013). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 384 (9945): 766-781., DOI: 10.1016/S0140-6736(14)60460-
  19. McGrice M. and Don Paul K. (2015). Interventions to improve long-term weight loss in patients following bariatric surgery: Challenges and solutions. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 8: 263-274., DOI: 10.2147/DMSO.S5705
  20. Menichetti J. and Graffigna G. (2016). “PHE in action”: Development and modeling of an intervention to improve patient engagement among older adults. Frontiers in Psychology, 7 (SEP).
  21. Menichetti J., Graffigna G. and Steinsbekk A. (2018). What are the contents of patient engagement interventions for older adults? A systematic review of randomized controlled trials. Patient Education & Counseling, 101 (6): 995-1005.
  22. Menichetti Julia and Graffigna G. (2016). “PHE in action”: Development and modeling of an intervention to improve patient engagement among older adults. Frontiers in Psychology, 7 (SEP): 1-12.
  23. Munoz D., Lal M., Chen E.Y., Mansour M., Fischer S., Roehrig M., Sanchez-Johnsen L., Dymek-Valentine M., Alverdy J.C. and le Grange D. (2007). Why patients seek bariatric surgery: A qualitative and quantitative analysis. Obesity Surgery, 17: 1487-1491.
  24. Park J. (2016). Self-determination and motivation for bariatric surgery: a qualitative study. Psychology, Health and Medicine, 21 (7): 800-805., DOI: 10.1080/13548506.2015.113199
  25. Peacock J.C., Perry L. and Morien K. (2018). Bariatric patients’ reported motivations for surgery and their relationship to weight status and health. Surgery for Obesity and Related Diseases, 14 (1): 39-45.
  26. Shah V.O., Carroll C., Mals R., Ghahate D., Bobelu J., Sandy P., Colleran K., Schrader R., Faber T. and Burge M.R. (2015). A home-based educational intervention improves patient activation measures and diabetes health indicators among Zuni Indians. PLoS ONE, 10 (5).
  27. Smith K.B. and Smith M.S. (2016). Obesity Statistics. Primary Care ‒ Clinics in Office Practice, 43 (1): 121-135.
  28. Teixeira P.J., Carraça E.V., Marques M.M., Rutter H., Oppert J.M., De Bourdeaudhuij I., Lakerveld J. and Brug J. (2015). Successful behavior change in obesity interventions in adults: A systematic review of self-regulation mediators. BMC Medicine, 13 (1):
  29. Terracciano A., McCrae R.R., and Costa P.T. (2003). Factorial and construct validity of the Italian Positive and Negative Affect Schedule (PANAS). European Journal of Psychological Assessment, 19 (2): 131-141., DOI: 10.1027//1015-5759.19.2.13
  30. Van Hout G.C.M., Verschure S.K.M. and Van Heck G.L. (2005). Psychosocial predictors of success following bariatric surgery. Obesity Surgery, 15 (4): 552-560., DOI: 10.1381/096089205372348
  31. Walters-Salas T. (2012). The Challenge of Patient Adherence. Bariatric Nursing and Surgical Patient Care, 7 (4): 186.
  32. Watson D., Clark L.A. and Tellegen A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54 (6): 1063-1070.
  33. Zhang Y., Graffigna G., Bonanomi A., Choi K.C., Barello S., Mao P. and Feng H. (2017). Adaptation and validation of a Chinese version of patient health engagement scale for patients with chronic disease. Frontiers in Psychology, 8 (FEB:.



  1. Impossibile comunicare con Crossref: The request was aborted: Could not create SSL/TLS secure channel.

Julia Menichetti, Annamaria Kulla, Caterina Bosio, Aslak Steinsbekk, Guendalina Graffigna, L’impatto di un intervento di supporto all’engagement del paziente (PHEinAction) sui pazien-ti di chirurgia pre-bariatrica: uno studio qualitativo in "PSICOLOGIA DELLA SALUTE" 2/2021, pp. 117-138, DOI:10.3280/PDS2021-002008

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche