Bridging the Gap: Patient Experiences Following Transfer of Care from a Pediatric Obesity Management Program to an Adult Bariatric Surgery Program
Bibliographic record
Abstract
Introduction: Obesity rates are increasing to epidemic proportions across the lifespan. However, young adults (18 to 24 years old) experience unique difficulties in psychosocial functioning compared to other age groups. These difficulties result in significant physical and mental health complications during the transition process from pediatric to adult care hospitals. Objectives: (1) To identify themes regarding the experiences of obese young adults (18–24) transferring their care from a pediatric obesity management program to an adult bariatric surgery program; (2) to identify the transition difficulties of these young adults upon transfer; and (3) to understand how developmental needs within this population impact experiences of the transition process. Method: In-depth, semistructured individual interviews were conducted on seven young adult bariatric patients who had transitioned their obesity management care from the pediatric to adult healthcare system. Analysis of interviews used a constant comparative analysis consistent with a grounded theory approach. Results: Our data analysis generated the following themes: (1) loss and adaptation; (2) transition processes from pediatric to adult healthcare; and (3) in-between adolescence and adulthood. Conclusions: Results suggest that young adults experience both positive and negative aspects regarding the transition process. These experiences may be understood in the context of the literature on emerging adulthood in terms of patients' developmental stage and how this impacts their perception and needs within the adult healthcare system compared to the pediatric model of care.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".