{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:07:55Z","timestamp":1782846475610,"version":"3.54.5"},"reference-count":35,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian Pac Isl Nurs J"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Bariatric surgery offers quick weight reduction for patients with morbid obesity. Those who plan for bariatric surgery require perioperative preparation, including obstructive sleep apnea (OSA) evaluation, and treatment using a continuous positive airway pressure (CPAP) machine is recommended. There are limited data on how patients have prepared for bariatric surgery or for those who have decided to purchase a CPAP machine prior to surgery.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to use a qualitative method to evaluate how obese patients with OSA who were scheduled for bariatric surgery received information regarding bariatric surgery, including their decision to purchase a CPAP machine prior to bariatric surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This qualitative study enrolled adult patients who planned to undergo bariatric surgery, were diagnosed with OSA, and were treated with CPAP therapy at least 1 month prior to surgery. An in-depth interview was conducted with eligible patients, addressing their perspectives on obesity, strategies for weight loss, and reasons for purchasing or renting CPAP machines prior to bariatric surgery. The interview was conducted using content analysis and triangulation focused on a variety of data informants, theoretical sampling, and achieving data saturation. Themes were summarized and reported.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were 14 patients with obesity and OSA who planned for bariatric surgery. The average age of all patients was 27.21 (SD 4.98) years with male proportion of 28.57% (4\/14) and single marital status of 78.57% (11\/14). The average BMI was 45.28 (SD 7.58) kg\/m\n 2<\/jats:sup>\n and the average apnea-hypopnea index was 40.42 (SD 29.61) events per hour. Seven themes were reported: the causes of obesity, effects of obesity, effects of weight loss, experiences of social media on weight loss, CPAP therapy prior to bariatric surgery, and experiences of social media on bariatric surgery. Morbidly obese patients with OSA who planned for bariatric surgery experienced physical and mental effects of obesity, including social stigmatization. These patients had failed in various weight loss programs and believed that bariatric surgery was the correct solution. Social media was used for data gathering in terms of bariatric surgery and CPAP therapy. CPAP rental or secondhand purchasing was preferred.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Social media platforms are a source of information prior to bariatric surgery. A CPAP machine is not a lifesaving machine; rather, it is a temporary treatment before surgery and may not be required after weight loss. CPAP rental or secondhand purchasing may be preferred. These are participant beliefs, not clinical conclusions.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/84098","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:44:38Z","timestamp":1776275078000},"page":"e84098-e84098","source":"Crossref","is-referenced-by-count":0,"title":["Online Media Platform and Continuous Positive Airway Pressure Machine Purchasing Prior to Bariatric Surgery: Qualitative Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4164-6273","authenticated-orcid":false,"given":"Bundit","family":"Sawunyavisuth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4660-3846","authenticated-orcid":false,"given":"Darunee","family":"Jongudomkarn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3570-8474","authenticated-orcid":false,"given":"Kittisak","family":"Sawanyawisuth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"issue":"4","key":"R1","volume":"1","author":"Jehan","journal-title":"Sleep Med Disord"},{"issue":"8","key":"R2","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis","volume":"7","author":"Benjafield","journal-title":"Lancet Respir Med"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.metop.2025.100375","article-title":"Obesity: prevalence, causes, consequences, management, preventive strategies and future research directions","volume":"27","author":"Ahmed","journal-title":"Metabol Open"},{"issue":"1 Pt C","key":"R4","doi-asserted-by":"publisher","first-page":"102139","DOI":"10.1016\/j.cpcardiol.2023.102139","article-title":"Impact of obstructive sleep apnea treatment on cardiovascular disease associated mortality and morbidity: a systematic review","volume":"49","author":"Grewal","journal-title":"Curr Probl Cardiol"},{"issue":"23","key":"R5","doi-asserted-by":"publisher","DOI":"10.3390\/nu14234989","article-title":"Sleep apnea and cardiovascular risk in patients with prediabetes and type 2 diabetes","volume":"14","author":"Paschou","journal-title":"Nutrients"},{"issue":"2","key":"R6","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1164\/rccm.202007-2906ED","article-title":"Weight loss is integral to obstructive sleep apnea management. Ten-year follow-up in sleep AHEAD","volume":"203","author":"St-Onge","journal-title":"Am J Respir Crit Care Med"},{"issue":"12","key":"R7","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1016\/j.soard.2022.08.013","article-title":"2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): indications for metabolic and bariatric surgery","volume":"18","author":"Eisenberg","journal-title":"Surg Obes Relat Dis"},{"issue":"7","key":"R8","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/j.soard.2024.01.013","article-title":"Sex- and operation-dependent effects on 5-year weight loss results of bariatric surgery","volume":"20","author":"Samuels","journal-title":"Surg Obes Relat Dis"},{"issue":"5","key":"R9","doi-asserted-by":"publisher","first-page":"1544","DOI":"10.1007\/s11695-024-07124-5","article-title":"Obstructive sleep apnea: the effect of bariatric surgery after five years-a prospective multicenter trial","volume":"34","author":"Peromaa-Haavisto","journal-title":"Obes Surg"},{"issue":"12","key":"R10","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.4158\/GL-2019-0406","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","volume":"25","author":"Mechanick","journal-title":"Endocr Pract"},{"issue":"7","key":"R11","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1016\/j.soard.2017.03.022","article-title":"Perioperative management of obstructive sleep apnea in bariatric surgery: a consensus guideline","volume":"13","author":"de Raaff","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"R12","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07950-2","article-title":"Information needs of patients undergoing bariatric surgery in Germany: a qualitative study","volume":"22","author":"Breuing","journal-title":"BMC Health Serv Res"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/j.obpill.2023.100067","article-title":"A qualitative exploration on the needs of health care providers working with adolescents who are undergoing bariatric surgery","volume":"6","author":"Farnesi","journal-title":"Obes Pillars"},{"issue":"7","key":"R14","doi-asserted-by":"publisher","first-page":"2016","DOI":"10.1007\/s11695-023-06557-8","article-title":"Peri- and postoperative outcomes for obstructive sleep apnoea patients after bariatric surgery-a systematic review and meta-analysis","volume":"33","author":"Katasani","journal-title":"Obes Surg"},{"issue":"2","key":"R15","doi-asserted-by":"publisher","first-page":"802","DOI":"10.21037\/jtd-22-1501","article-title":"Peri-operative outcomes of bariatric surgery in obstructive sleep apnoea: a single-centre cohort study","volume":"15","author":"van Zeller","journal-title":"J Thorac Dis"},{"issue":"2","key":"R16","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1378\/chest.15-1777","article-title":"CPAP in the perioperative setting: evidence of support","volume":"149","author":"Chung","journal-title":"Chest"},{"issue":"1416","key":"R17","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.172023.2","article-title":"Exploring peer tutoring experiences in improving nursing students\u2019 academic success and performance: a qualitative study among Emirati undergraduate nursing students","volume":"14","author":"Dias","journal-title":"F1000Res"},{"issue":"17","key":"R18","doi-asserted-by":"publisher","first-page":"7343","DOI":"10.7314\/apjcp.2014.15.17.7343","article-title":"A volunteer alcohol consumption reduction campaign: participatory action research among Thai women in the Isaan region","volume":"15","author":"Jongudomkarn","journal-title":"Asian Pac J Cancer Prev"},{"issue":"1","key":"R19","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2021.1967260","article-title":"A phenomenological study on older persons as a breadwinner of a skipped-generation family: day by day coping journey in Thai context","volume":"16","author":"Hongthai","journal-title":"Int J Qual Stud Health Well-being"},{"issue":"20","key":"R20","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_321_19","article-title":"Qualitative methods in health care research","volume":"12","author":"Renjith","journal-title":"Int J Prev Med"},{"issue":"7","key":"R21","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1111\/jan.13569","article-title":"Conducting phenomenological research: rationalizing the methods and rigour of the phenomenology of practice","volume":"74","author":"Errasti-Ibarrondo","journal-title":"J Adv Nurs"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-13772-9","article-title":"Integrated strategies of support and home care by family caregivers for prevention of hospital readmissions among stroke survivors","volume":"25","author":"Yu","journal-title":"BMC Health Serv Res"},{"issue":"8","key":"R23","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21081005","article-title":"Comprehensive Criteria for Reporting Qualitative Research (CCQR): reporting guideline for global Health qualitative research methods","volume":"21","author":"Sinha","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"R24","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009389","article-title":"Expectations and patients\u2019 experiences of obesity prior to bariatric surgery: a qualitative study","volume":"6","author":"Homer","journal-title":"BMJ Open"},{"issue":"3","key":"R25","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12643","article-title":"\u201cSurgery is my only hope\u201d: a qualitative study exploring perceptions of living with obesity and the prospect of having bariatric surgery","volume":"14","author":"Keyte","journal-title":"Clin Obes"},{"issue":"1","key":"R26","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1136\/thoraxjnl-2021-217714","article-title":"Cardiovascular outcomes in obstructive sleep apnoea and implications of clinical phenotyping on effect of CPAP treatment","volume":"78","author":"Xu","journal-title":"Thorax"},{"issue":"S34","key":"R27","doi-asserted-by":"publisher","first-page":"S4262","DOI":"10.21037\/jtd.2018.11.48","article-title":"Cardiovascular outcomes of continuous positive airway pressure therapy for obstructive sleep apnea","volume":"10","author":"Peker","journal-title":"J Thorac Dis"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.801167","article-title":"Cardiovascular outcomes in sleep-disordered breathing: are we under-estimating?","volume":"13","author":"Yasir","journal-title":"Front Neurol"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.3389\/frsle.2023.1212936","article-title":"The impact of bariatric surgery on breathing-related polysomnography parameters-updated systematic review and meta-analysis","volume":"2","author":"Mashaqi","journal-title":"Front Sleep"},{"issue":"2","key":"R30","doi-asserted-by":"publisher","DOI":"10.2196\/ijmr.7000","article-title":"How, when and why people seek health information online: qualitative study in Hong Kong","volume":"6","author":"Chu","journal-title":"Interact J Med Res"},{"issue":"274","key":"R31","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_19_21","article-title":"A qualitative study of health information-seeking behavior on the Internet among information technology professionals","volume":"10","author":"Pattath","journal-title":"J Educ Health Promot"},{"issue":"12","key":"R32","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3706","article-title":"Dr Google and the consumer: a qualitative study exploring the navigational needs and online health information-seeking behaviors of consumers with chronic health conditions","volume":"16","author":"Lee","journal-title":"J Med Internet Res"},{"issue":"12","key":"R33","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9121740","article-title":"Online health information seeking behavior: a systematic review","volume":"9","author":"Jia","journal-title":"Healthcare (Basel)"},{"issue":"12","key":"R34","doi-asserted-by":"publisher","first-page":"5316","DOI":"10.1007\/s11695-025-08352-z","article-title":"Anatomical remodeling of the upper airway after laparoscopic sleeve gastrectomy: a multimodal assessment of structural and functional improvements in obstructive sleep apnea","volume":"35","author":"Hany","journal-title":"Obes Surg"},{"issue":"6","key":"R35","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1001\/archinternmed.2010.8","article-title":"Individualized medical decision making: necessary, achievable, but not yet attainable","volume":"170","author":"Fraenkel","journal-title":"Arch Intern Med"}],"container-title":["Asian\/Pacific Island Nursing Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/apinj.jmir.org\/2026\/1\/e84098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:18:15Z","timestamp":1782843495000},"score":1,"resource":{"primary":{"URL":"https:\/\/apinj.jmir.org\/2026\/1\/e84098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":35,"URL":"https:\/\/doi.org\/10.2196\/84098","relation":{},"ISSN":["2373-6658"],"issn-type":[{"value":"2373-6658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]},"article-number":"v10i4e84098"}}