Notice bibliographique
Résumé
BACKGROUND Morbid obesity (body mass index >40) has increased worldwide. The only long-term effective treatment for morbid obesity is bariatric surgery, with Roux-en-Y gastric bypass (RYGB) being the most commonly used, typically resulting in about 25% weight loss. Previous research shows that patients often have unrealistic expectations of surgery. The Internet is now the most widely-used source of healthcare information, and studies show that most RYGB patients have accessed information about the procedure online and wish to come into contact with others who have had the surgery. It has also been shown that many patients have unrealistic expectations about the surgery, despite being given accurate information by healthcare staff. OBJECTIVE The aim of the present study was to describe shared values, feelings, and thoughts among forum posters visiting a web-based forum for those considering and/or undergoing bariatric surgery. METHODS The study was conducted as a cross-sectional observation study using qualitative contents analysis. The material consisted of an online discussion forum thread about bariatric surgery, with 498 posts. These were copied into a separate document, read and re-read in a familiarization process. Data was then coded into meaningful sections and grouped into categories, illustrated with suitable excerpts. RESULTS The following categories emerged from the analysis: a new life - anticipating dramatic changes of body and mind; b) negotiating the system and playing the waiting game; c) a means to an end - managing the pre-operative diet; and d) managing the attitudes of others. The results showed that many posters described the process of bariatric surgery as a journey, riddled with roadblocks, setbacks and trials, but also with joy and great expectations of a new and better life. They struggled with the pre-operative weight loss diet, and many feared negative comments from their surroundings, but the posters provided constant emotional support, information and encouragement to each other in the discussion forum. CONCLUSIONS The results show that the process of making a decision to undergo surgery, and navigating the healthcare system, the preoperative preparations and the reactions of friends and family, can be seen as a journey. As such, it is a process wraught with roadblocks, setbacks and struggles, during which the forum posters provide practical, emotional and social support for each other. Professionals who encounter this group should be aware of their need for support throughout the process, and investigate the possibility of both pre- and postoperative support groups, either online or face-to-face.
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 machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,010 | 0,004 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,821 | 0,709 |
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 source (Gemma direct ou Codex distillé), 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 ».