Multivitamin Adherence after Bariatric Surgery: A Multicenter Observational Study on the Application of Patient-Centered Care by Health Care Professionals

• Published in: Obesity surgery Vol. 35; no. 6; pp. 2185 - 2190
• Main Authors: van Es, Babs M.J., Smelt, Hendrika J.M., Kruizinga, Ingrid
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.06.2025; Springer Nature B.V
• Subjects: Data analysis; Decision making; Gastrointestinal surgery; Health care; Hospitals; Hypertension; Medical personnel; Medicine; Medicine & Public Health; Metabolism; Obesity; Observational studies; Patient-centered care; Surgery; Vitamin deficiency; Vitamins; Weight control; Health care professionals; Patient centered care; Patient adherence; Patient compliance; Multivitamin supplementation; Bariatric surgery
• DOI: 10.1007/s11695-025-07892-8
• ISSN: 0960-8923; 1708-0428

[...]it contributes to increased adherence to lifelong treatment through features such as good patient-HCP interaction [17]. Prior to the observations, an observation form with a legend was developed by author 1 to ensure accuracy in information collection and data collection. Results of the observation form Subject Total ‘well done’: N (%) Introduces self and explains role 18 (58) Uses open-ended questions appropriately 20 (65) Avoids interrupting patient/family 28 (90) Deliberately explores patient or family’s perspective and concerns 15 (48) Uses logical sequence of questions 27 (87) Uses an appropriate level of detail in questioning 19 (61) Conveys support, concern and respect both verbally and non-verbally 26 (84) Avoids medical jargon 26 (84) Uses an interpreter appropriately n/a Provides accurate and relevant information to patients and family 23 (74) Clearly communicates treatment/care plan n/a Explicitly asks for patients/family’s input 16 (52) Makes decisions jointly with patient/family 8 (26) Appreciates and appropriately explains uncertainty or unknowns 25 (81) Allows opportunity for questions/clarification 31 (100) Observations–Quantitative The observation form scores were not sufficient in 7 of the 15 items (47%). Formally this is an open-ended question, but this question will not lead to a better understanding of the patients’ perspective, needs or struggles Explores perspective and concerns of patient or family In one consultation the patient expressed concerns about not tolerating the supplement very well and the HCP (nurse) responded by saying that folic acid serum levels were too low, implying that adherence is poor. [...]the HCP only emphasized the need for supplementation by saying that this patient should just continue with taking the supplement Uses an appropriate level of detail in questioning In 39% of the cases, questions regarding supplement use were not explored in depth by the HCPs.