title: Impact of Spanish-language information sessions on Spanish-speaking patients seeking bariatric surgery.
abstract: BACKGROUND
  Bariatric centers frequently provide preoperative educational programs to inform patients about the risks and benefits of weight loss surgery. However, most programs are conducted in English, which may create barriers to effective treatment and access to care for non-English speaking populations. To address this concern, we instituted a comprehensive Spanish-language education program consisting of preoperative information and group nutrition classes conducted entirely in, and supported with Spanish-language materials.
  
  
  OBJECTIVE
  The primary aim was to examine the effect of this intervention on Spanish-speaking patients' decision to undergo surgery in a pilot study.
  
  
  METHODS
  University Hospital/Community Health Center, United States.
  
  
  METHODS
  Three cohorts of patients seeking bariatric surgery between January 1, 2011 and March 31, 2012 were identified: 1) primary English speakers attending English-language programs ("English-English"); 2) primary Spanish speakers attending Spanish-language programs ("Spanish-Spanish"); and 3) primary Spanish speakers attending English-speaking programs with the assistance of a Spanish-to-English translator ("Spanish-English").
  
  
  RESULTS
  26% of the English-English cohort ultimately underwent surgery compared with only 12% of the Spanish-Spanish cohort (P = .009). Compared with the English-English group, time to surgery was 35 days longer for the Spanish-Spanish and 185 days longer for the Spanish-English group (both P< .001).
  
  
  CONCLUSIONS
  Spanish-speaking patients were less likely to undergo bariatric surgery regardless of the language in which educational sessions are provided. For those choosing surgery, providing Spanish-language sessions can shorten time to surgery. A barrier to effective obesity treatment may exist for Spanish speakers, which may be only partially overcome by providing support in Spanish.
authors.affiliation: Harvard School of Public Health, Boston, Massachusetts.
authors.forename: Allison N
authors.initials: AN
authors.lastname: Martin
authors.affiliation: Harvard School of Public Health, Boston, Massachusetts; Department of Family Medicine, Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Miguel
authors.initials: M
authors.lastname: Marino
authors.affiliation: Department of Family Medicine, Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Marie
authors.initials: M
authors.lastname: Killerby
authors.affiliation: Southern Jamaica Plain Health Center, Boston, Massachusetts.
authors.forename: Liliana
authors.initials: L
authors.lastname: Rosselli-Risal
authors.affiliation: Brigham and Women's Hospital, Center for Metabolic Health and Bariatric Surgery, Boston, Massachusetts.
authors.forename: Kellene A
authors.initials: KA
authors.lastname: Isom
authors.affiliation: Brigham and Women's Hospital, Center for Metabolic Health and Bariatric Surgery, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: mkrobinson@partners.org.
authors.forename: Malcolm K
authors.initials: MK
authors.lastname: Robinson
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000706:statistics & numerical data*; D001900:Boston / Q000208:ethnology; D003144:Communication Barriers; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D008297:Male; D009767:Obesity, Morbid / Q000208:ethnology / Q000601:surgery; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010353:Patient Education as Topic; D010865:Pilot Projects; D012189:Retrospective Studies; D013030:Spain; D015431:Weight Loss / Q000502:physiology
keywords: Obesity; Spanish-language; community health; education; weight loss