{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:59:02Z","timestamp":1762869542629,"version":"build-2065373602"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR204217"],"award-info":[{"award-number":["NIHR204217"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022244","name":"National Institute for Health Research Applied Research Collaboration West","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022244","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015250","name":"NIHR Bristol Biomedical Research Centre","doi-asserted-by":"publisher","award":["BRC\u20101215\u201020011"],"award-info":[{"award-number":["BRC\u20101215\u201020011"]}],"id":[{"id":"10.13039\/100015250","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000883","name":"University of Bristol","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000883","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Bariatric surgery is an effective treatment for obesity, but long\u2010term can lead to health\u2010related issues. Guidelines highlight the importance of long\u2010term post\u2010bariatric surgery follow\u2010up. However, in the UK, there is currently no specific funding to support the delivery of this care. Our aim was to understand the views and experiences of healthcare professionals (HCPs) around long\u2010term post\u2010bariatric surgery follow\u2010up, and barriers and enablers to care. Semi\u2010structured interviews with HCPs in UK primary care or specialist weight management services were conducted. The topic guide was theoretically informed by the Capability\u2010Opportunity\u2010Motivation\u2010Behaviour model and the Theoretical Domains Framework. Thematic analysis was undertaken. Twenty\u2010six HCPs were interviewed. Three core themes were interpreted: <jats:italic>Existing Challenges<\/jats:italic>, <jats:italic>Mediating Factors<\/jats:italic> and <jats:italic>Future Directions<\/jats:italic>. While there was agreement on the need for long\u2010term support, current provision was variable and hampered by a paucity of referral options. Follow\u2010up care could be contingent upon the patients' surgical pathway and the culture and expertise within the general practitioner surgery. Participants discussed potential ways to improve care, including using technology, adapting approaches used in other chronic conditions, shared care models and harnessing the potential for peer\u2010based support to improve wellbeing and quality of life. Healthcare professionals' views and experiences shared in this study highlight the complex issues associated with long\u2010term bariatric surgery follow\u2010up. The findings will inform future research to design and implement care pathways that are urgently needed to improve service provision for these patients.<\/jats:p>","DOI":"10.1111\/cob.70016","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T21:39:17Z","timestamp":1745962757000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Making do in the absence of specialist support: Exploring healthcare professionals' views, experiences and behaviours around long\u2010term post\u2010bariatric surgery follow\u2010up care in the United Kingdom"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8191-3335","authenticated-orcid":false,"given":"Ross","family":"Watkins","sequence":"first","affiliation":[{"name":"Lifespan Health Centre, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4018-3855","authenticated-orcid":false,"given":"Laura L.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7054-444X","authenticated-orcid":false,"given":"Kenneth","family":"Clare","sequence":"additional","affiliation":[{"name":"Obesity Institute Leeds Beckett University  Leeds UK"},{"name":"Obesity UK  Halifax UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0510-4290","authenticated-orcid":false,"given":"Karen D.","family":"Coulman","sequence":"additional","affiliation":[{"name":"Bristol Population Health Sciences, Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4425-2691","authenticated-orcid":false,"given":"Colin J.","family":"Greaves","sequence":"additional","affiliation":[{"name":"School of Sport, Exercise and Rehabilitation Sciences University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6224-2115","authenticated-orcid":false,"given":"Kate","family":"Jolly","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Shuttlewood","sequence":"additional","affiliation":[{"name":"Specialist Weight Management Service University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-269X","authenticated-orcid":false,"given":"Helen M.","family":"Parretti","sequence":"additional","affiliation":[{"name":"Lifespan Health Centre, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organisation.Obesity and overweight. Accessed August 16 2024.2024.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight"},{"key":"e_1_2_9_3_1","unstructured":"Public Health England.Health matters: obesity and the food environment. Accessed August 16 2024.2017.https:\/\/www.gov.uk\/government\/publications\/health-matters-obesity-and-the-food-environment\/health-matters-obesity-and-the-food-environment--2"},{"key":"e_1_2_9_4_1","unstructured":"National Health Service.Online NHS long term plan: chapter 2: more NHS action on prevention and health inequalities. Obesity. Accessed August 16 2024.2019.https:\/\/www.longtermplan.nhs.uk\/online-version\/chapter-2-more-nhs-action-on-prevention-and-health-inequalities\/obesity\/"},{"key":"e_1_2_9_5_1","unstructured":"National Institute for Health and Care Excellence.Obesity: identification assessment and management. Clinical guidance [CG189]. accessed Spetember 4 2024.2014.https:\/\/www.nice.org.uk\/guidance\/cg189\/"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07118-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12012"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v8.i11.464"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.6147"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-016-2152-x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14433"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000481825"},{"issue":"12","key":"e_1_2_9_13_1","first-page":"1346","article-title":"Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures \u2013 2019 update: cosponsored by American Association of Clinical Endocrinologists\/American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists \u2013 executive summary","volume":"25","author":"Mechanick JI","year":"2019","journal-title":"Endocr Pract"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp20X714161"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.03.029"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-014-1500-y"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004563214535562"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2017.05.004"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08329-w"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00849-8"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12764"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2012-302514b.50"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-017-3090-y"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-016-2055-x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2007.01.038"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-37"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.18574\/nyu\/9780814732939.001.0001"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-035013"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.658"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12195"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06629-4"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.70016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:25:12Z","timestamp":1760487912000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.70016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/cob.70016"],"URL":"https:\/\/doi.org\/10.1111\/cob.70016","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"type":"print","value":"1758-8103"},{"type":"electronic","value":"1758-8111"}],"subject":[],"published":{"date-parts":[[2025,4,29]]},"assertion":[{"value":"2024-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70016"}}