title: Patients' explanations for unsuccessful weight loss after laparoscopic adjustable gastric banding (LAGB).
abstract: OBJECTIVE
  Not all morbidly obese patients attain sufficient weight loss after laparoscopic adjustable gastric banding (LAGB). We examined patients' explanations for unsuccessful weight loss and self-awareness regarding food intake.
  
  
  METHODS
  Interviews with 11 patients (10 female/1 male; mean age 46 years) with unsuccessful weight loss were transcribed and analyzed with the MAXqda2 program.
  
  
  RESULTS
  Interviewees were disappointed with the postoperative outcome. Some showed no awareness of their own role, while others were inefficacious to continue the actions needed to maintain weight loss, especially during times of stress. Typical statements that distinguished interviewees were: 'It didn't work out', 'I don't care anymore', 'I know I have to do it', 'I know I can do it'.
  
  
  CONCLUSIONS
  Some patients with unsuccessful weight loss after LAGB are insufficiently aware that their own effort is needed to maintain weight loss. Others have self-awareness, but find it difficult to turn awareness into action.
  
  
  CONCLUSIONS
  This group could perhaps be helped by tailoring postoperative guidance to the stage of change of an individual patient. Counseling could include increasing awareness of the need to self-control eating and offering assistance to turn intentions into action and to deal with stress, emotions and physical problems.
authors.affiliation: Department of Nutrition and Dietetics, School of Sports and Nutrition, University of Applied Sciences, Amsterdam, The Netherlands. hanna.zijlstra@wxs.nl
authors.forename: Hanna
authors.initials: H
authors.lastname: Zijlstra
authors.forename: Hennie R
authors.initials: HR
authors.lastname: Boeije
authors.forename: Junilla K
authors.initials: JK
authors.lastname: Larsen
authors.forename: Bert
authors.initials: B
authors.lastname: van Ramshorst
authors.forename: Rinie
authors.initials: R
authors.lastname: Geenen
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D015391:Gastroplasty; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009767:Obesity, Morbid / Q000523:psychology* / Q000601:surgery*; D011788:Quality of Life; D017211:Treatment Failure