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Use of the Stanford Integrative Psychosocial Assessment for Transplant as a Pre-surgical Psychological Evaluation Tool for Bariatric Surgery

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Abstract

How clinicians perform pre-surgical psychological evaluations (PSPE) for bariatric surgery remains variable across institutions. Bariatric PSPE guidelines state that self-report measures should be incorporated in the PSPE procedure, yet only 50–60% of PSPEs utilize patient self-report measures. Previous studies describing the presurgical psychological evaluation report a range of measures, however a gold standard in PSPE has yet to be agreed upon. Given this gap in how a presurgical psychological evaluation for bariatric patients is defined, incorporating more objective measures into this process may help clinicians identify specific areas in which a patient is struggling and benefit from additional psychosocial support. The present study proposes the use of the SIPAT, a semi-structured interview initially developed to assess organ transplant candidates, as part of this evaluation. A total of 292 adult patients underwent a pre-surgical psychological evaluation for bariatric surgery between November 2017 and February 2020 at a Midwest medical center. Patient average age was 45.2 (11.3) years and 83.3% were female. At time of analysis, 160 patients received bariatric surgery. Logistic regression and analyses of bivariate associations were conducted in R. The SIPAT exhibited good convergent validity via correlations with analogous scales on the PROMIS 43, and it yielded a small effect size predicting patients who ultimately received surgery. Accordingly, this semi-structured interview may be a useful tool to help differentiate patients for surgical candidacy.

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Data Availability

Data is not available in repository.

Code Availability

Data analysis was conducted in R.

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Authors and Affiliations

  1. Department of Psychology, University of Kansas, Lawrence, KS, USA

    Stephanie E. Punt & Stephen S. Ilardi

  2. Department Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas City, KS, USA

    Ashley C. Rhodes & Jessica L. Hamilton

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  1. Stephanie E. Punt
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  2. Ashley C. Rhodes
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  3. Stephen S. Ilardi
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  4. Jessica L. Hamilton
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SP, AR, SI, and JH. The first draft of the manuscript was written by SP and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Stephanie E. Punt.

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Conflict of interest

Stephanie E. Punt, Ashley C. Rhodes, Stephen S. Ilardi, and Jessica L. Hamilton certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethics Approval

Ethical approval was obtained through the local Ethics Committee of University Kansas Medical Center for Quality Improvement IRB (10/26/2018). Ethical approval was waived by the local Institutional Research Ethics Board in view of the retrospective nature of the study and all the procedures being performed were part of the routine care.

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Punt, S.E., Rhodes, A.C., Ilardi, S.S. et al. Use of the Stanford Integrative Psychosocial Assessment for Transplant as a Pre-surgical Psychological Evaluation Tool for Bariatric Surgery. J Clin Psychol Med Settings 29, 808–817 (2022). https://doi.org/10.1007/s10880-022-09850-3

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