TY  - INPR
N1  - This version is the author accepted manuscript. For information on re-use, please refer to the publisher?s terms and conditions.
AV  - restricted
Y1  - 2025/01/15/
EP  - 17
TI  - Barriers to and enablers of modifying diet after metabolic bariatric surgery: A systematic review of published literature
A1  - Yousefi, Reyhaneh
A1  - Bacon, Simon L
A1  - Boucher, Vincent Gosselin
A1  - Acosta, Patricia FC
A1  - O'Neill, John
A1  - Gonzalez-Gonzalez, Manuela
A1  - Raymond, Florence Coulombe
A1  - Lorencatto, Fabiana
KW  - ADHERENCE
KW  -  barrier
KW  -  behavior change
KW  -  BEHAVIOR-CHANGE
KW  -  diet
KW  -  enabler
KW  -  Endocrinology & Metabolism
KW  -  FOLLOW-UP
KW  -  GASTRIC BYPASS-SURGERY
KW  -  IMPACT
KW  -  Life Sciences & Biomedicine
KW  -  metabolic bariatric surgery
KW  -  OUTCOMES
KW  -  PATIENTS EXPERIENCES
KW  -  PERSPECTIVES
KW  -  Science & Technology
KW  -  SUPPORT
KW  -  WEIGHT-LOSS
JF  - Obesity Reviews
UR  - https://doi.org/10.1111/obr.13893
PB  - Wiley-Blackwell
SN  - 1467-7881
N2  - This is a qualitative systematic review in which we investigated barriers and enablers influencing dietary behavior change after metabolic bariatric surgery (MBS). Database searches retrieved publications reporting perceived factors influencing dietary behavior change post-MBS. Data (quotes, survey results, interpretative summaries) were extracted and analyzed using combined deductive and inductive thematic analyses. The generated barrier/enabler themes mapped to the Theoretical Domains Framework and then behavior change techniques to identify potential strategies to improve post-operative dietary behavior. Thirty-four publications were included. Key barriers fell within the domains of ?Environmental Context and Resources? (e.g., insufficient and unreliable healthcare services), ?Behavioral Regulation? (e.g., lack of self-discipline), ?Emotions? (e.g., eating as a strategy to overcome negative emotions), ?Beliefs about Consequences? (e.g., the extent of realistic expectations from MBS), and ?Social Influences? (e.g., challenge of eating at social events). Key enablers were also identified within ?Environmental Context and Resources? (e.g. self-access internet-based resources), ?Behavioral Regulation? (e.g. learning how to develop new dietary strategies), ?Beliefs about Consequences? (e.g., positive impacts of surgery-induced food intolerances), and ?Social Influences? (e.g., support from social/group sessions). Potential strategies to change postoperative dietary behavior include social support, problem-solving, goal setting, and self-monitoring of behavior. This provides insight into the targets for future post-operative nutrition-focused interventions.
ID  - discovery10206579
ER  -