title: THE USE OF THE INTERNET BY THE PATIENT AFTER BARIATRIC SURGERY: CONTRIBUTIONS AND OBSTACLES FOR THE FOLLOW-UP OF MULTIDISCIPLINARY MONITORING.
abstract: BACKGROUND
  Bariatric surgery is presented as the last treatment option for obesity. It requires from all candidates a multidisciplinary evaluation and monitoring throughout treatment. The non-adherence to follow-up with health care teams is related to weight regain. It's possible that the use of internet influences the doctor-patient relationship and patients replace medical care or information provided by health professionals for information from the internet.
  
  
  OBJECTIVE
  Identify and analyze the pattern of internet use by patients after bariatric surgery and check the influence of such use in attending medical appointments with the multidisciplinary team.
  
  
  METHODS
  Electronic questionnaire available on the Internet was used to verify patient's patterns of Internet use and its influence on in attending multidisciplinary care after surgery.
  
  
  RESULTS
  Of the 103 participants, 95% were female, 64% married, 59% with children and 54% with higher education. The mean age was 35.69 years and the mean duration of performing surgery, 11.74 months. The surgical technique that prevailed was Roux-en-Y gastric by-pass (90.3%), the local monitoring concentrated in the private care (93.2%). In the preoperative, most participants consulted more than three times with the surgeon (n=81), nutritionists (n=70), psychologist (n=70). After the surgery, p most patients maintained monitoring with the surgeon and nutritionist. Concerning the internet use, 51.5% accessed the internet in search of information about health and bariatric surgery every day. Facebook and search tools were the most used sites.Conclusion - Data showed the influence of the information contained on the Internet and the adherence to multidisciplinary monitoring. This fact requires the team to consider the use of the Internet as a variable that may interfere and must be handled during follow-up. It is suggested that an active participation of professionals on their websites and social networks and the diversification of services and interventions to stimulate follow-up after surgery.
authors.affiliation: Brasília Institute for Behavior Analysis, Brasília, DF, Brazil.
authors.forename: Michele Pereira
authors.initials: MP
authors.lastname: Martins
authors.affiliation: Brasília Institute for Behavior Analysis, Brasília, DF, Brazil.
authors.forename: Marcela
authors.initials: M
authors.lastname: Abreu-Rodrigues
authors.affiliation: Brasília Institute for Behavior Analysis, Brasília, DF, Brazil.
authors.forename: Juciléia Rezende
authors.initials: JR
authors.lastname: Souza
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D050110:Bariatric Surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult