Exploring the Perceptions of Bariatric Surgery for Adolescents Living with Severe Obesity
Notice bibliographique
Résumé
The purpose of this thesis is to provide insights into the treatment and management of youth living with severe obesity within Quebec through the perspective of key stakeholders with a focus on the decision-making process for adolescent bariatric surgery. Semi-structured interviews were conducted with pediatricians (n=8), bariatric surgeons (n=5), healthcare administrators (n=4), and adolescents contemplating bariatric surgery (n=7). Adolescents also produced body map collages following the interview. This art-based method involves youth outlining their perceived body shape on a piece of paper (16”x20”) and using drawings and/or magazine images to represent their embodied experience with weight management. Interview results were transcribed and analysed inductively to identify emerging themes. Body maps were analysed using collage in conceptualization which resulted in the creation of an analytical collage by grouping related images from the body maps. \nResults are presented as five papers: (1) findings from a pilot study examining the feasibility of using body-map storytelling with adolescents; (2) the perceptions of pediatricians on obesity as a disease and the practice implications; (3) the perceptions of pediatricians on adolescent bariatric surgery; (4) the factors adolescents consider when deciding on bariatric surgery; and (5) a multi-stakeholder perspective on bariatric surgery for adolescents living with severe obesity. \nThere was a generally positive perception regarding bariatric surgery for adolescents with medically urgent needs across all four stakeholder groups. There were also points of divergence regarding pre-requisites for the surgery, and which factors are considered in the decision to refer, finance, or undergo the procedure. Comparison of the stakeholders demonstrated that the acceptability of bariatric surgery was inherent to a healthcare context that offered no other alternative to primary care management for adolescents struggling with weight. Thus the pathway to bariatric surgery was perceived as skipping some key steps in the care pathway. Interestingly, a group of pediatricians and adolescents did not view obesity as a disease. Implications from this study include the need for improved availability of behavioural interventions with a team of weight management experts to address the gap between primary care counseling and tertiary care surgical intervention.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,005 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».