Lifestyle healthcare professionals (LHCPs), such as dietitians, physiotherapists, and lifestyle coaches, play an important role in supporting patients undergoing metabolic and bariatric surgery (MBS). Preoperatively, they provide nutritional counseling and behavioral support to prepare patients for surgery. Postoperatively, they assist with dietary adaptation and lifestyle changes, supporting long-term weight management and improved outcomes. Despite this critical role, little is known about LHCPs’ attitudes toward MBS, though these views shape care quality, patient engagement, and outcomes. Additionally, research among LHCPs has largely focused on their practical roles, while evidence on their experiences supporting this patient group remains scarce. Hence, this study explores the attitudes and experiences of LHCPs who care for MBS patients. This qualitative descriptive study explored the attitudes and experiences of 22 LHCPs, practicing within the Dutch healthcare system, using semi-structured interviews. Data were analyzed inductively and deductively using thematic analysis. Four main themes emerged: (1) MBS as a tool of last resort, (2) Surgery alone is not enough, (3) The (non) ideal MBS candidate and patient motivation, and (4) Care delivery challenges. LHCPs expressed generally positive attitudes toward MBS, recognizing its effectiveness, but were cautious about the risks, while also acknowledging that long-term success requires sustained behavioral and psychological support. Patient motivation was seen as critical, yet declining adherence to lifestyle changes post-surgery posed challenges. LHCPs reported various challenges in providing post-surgical care, particularly in primary care settings, due to limited expertise and skills, strict care protocols, and insufficient insurance-covered consultation time. LHCPs see MBS as effective but face care challenges. As patients transition back to primary care, LHCPs become critical points of contact. Strengthening training and support structures for LHCPs is essential to ensure optimal long-term care for MBS patients .
Garcia et al. (Sun,) studied this question.