title: Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB).
abstract: Adolescent obesity is a significant global health challenge and severely obese adolescents commonly experience serious medical and psychosocial challenges. Consequently, severe adolescent obesity is increasingly being treated surgically. The limited available research examining the effectiveness of adolescent bariatric surgery focuses primarily on bio-medical outcomes. There is a need for a more comprehensive understanding of the behavioural, emotional and social factors which affect adolescents' and parents' experience of weight loss surgery.
  
  
  
  Patient and parents' perspectives of adolescent LAGB were examined using a qualitative research methodology. Individual, semi-structured interviews were conducted with eight adolescent patients and five parents. Thematic analysis was used to identify key themes in the qualitative data.
  
  
  
  Patients and parents generally considered adolescent laparoscopic adjustable gastric banding (LAGB) to be a life-changing experience, resulting in physical and mental health benefits. Factors considered to facilitate weight loss following surgery included parental support and adherence to treatment guidelines. Many adolescents reported experiencing surgical weight loss stigma and challenging interpersonal outcomes after weight loss for which they felt unprepared.
  
  
  
  Patients and parents perceived LAGB positively. There are opportunities to improve both the experience and outcomes of adolescent LAGB through parental education and enhancements to surgical aftercare programmes.
authors.affiliation: School of Psychology, Australian Catholic University, Locked Bag 4115, Melbourne, Victoria, 3065, Australia.
authors.forename: Kim
authors.initials: K
authors.lastname: Willcox
authors.affiliation: School of Social Sciences, Monash University, Wellington Road, Clayton, Victoria, 3168, Australia.
authors.forename: Narelle
authors.initials: N
authors.lastname: Warren
authors.affiliation: Centre for Obesity Research and Education, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: O'Brien
authors.affiliation: Centre for Obesity Research and Education, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Brown
authors.affiliation: Hobson's Bay Specialist Centre, 93 Ferguson Street, Williamstown, Victoria, 3106, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Nottle
authors.affiliation: Winnett Specialist Group, 382 Victoria Parade, East Melbourne, Victoria, 3002, Australia.
authors.forename: Jason
authors.initials: J
authors.lastname: Winnett
authors.affiliation: Darebin Weightloss Surgery, 3/195 Thompsons Road, Bulleen, Victoria, 3105, Australia.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Aly
authors.affiliation: School of Psychology, Australian Catholic University, Locked Bag 4115, Melbourne, Victoria, 3065, Australia. leah.brennan@acu.edu.au.|Centre for Obesity Research and Education, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004, Australia. leah.brennan@acu.edu.au.
authors.forename: Leah
authors.initials: L
authors.lastname: Brennan
mesh_terms: D000293:Adolescent; D005260:Female; D015391:Gastroplasty / Q000379:methods / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D010535:Laparoscopy; D008016:Life Change Events; D008297:Male; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D010290:Parents / Q000523:psychology*; D010349:Patient Compliance; D063766:Pediatric Obesity / Q000523:psychology* / Q000601:surgery*; D036301:Qualitative Research; D012944:Social Support; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Adolescent; LAGB; Laparoscopic adjustable gastric banding; Outcomes; Patient perspectives; Qualitative