Background

The nutrition component of bariatric surgery can be challenging to follow. This may contribute to adolescents who experience poor long-term adherence or lower percentage of weight loss. No established survey tools exist to evaluate patient satisfaction with dietitian support in adolescent bariatric surgery. This study will contribute to the understanding of best care practices for health care teams, especially the dietitians who are most responsible for the dissemination of nutrition information. The aim of this study is to evaluate patient satisfaction with pre and post-surgical nutrition support, and evaluate the relationship between patient satisfaction and weight loss.

Methods

This is a single-center retrospective survey on multicultural adolescent population who underwent LSG at Stanford Children’s Health pediatric hospital from January 2009, to present. All participants are at least 6 months post-op. A validated patient satisfaction survey was developed using a 5-point Likert scale, 1 strongly disagree to 5 strongly agree (16 Likert-scale questions, one multiple-choice, 2 free-response). The survey was electronically emailed with consent to 57 patients, and distributed in clinic for voluntary participation. We anticipate >10-15% enrollment of total patients.

Results

Preliminary results (N = 6) demonstrate satisfaction (4, “agree,” and 5, “strongly agree,” on Likert scale) of 100% with “Nutrition Staff Support and Social Skills”, 86% with “Nutrition Education”, and 33% in favor of online group or individual sessions. Fifty percent favorable for accessing nutrition education in a form other than paper with Phone App, most commonly reported. One patient responded that a 'protein cheat sheet' would have helped their learning. Patients reported 83% overall satisfaction with their nutrition sessions.

Conclusions

So far, our data suggests that in person, one-on-one nutrition education is greatly valued by this patient population, while one third would want online groups or nutrition support.