# Empowering Pacific Patients on the Weight Loss Surgery Pathway: A Co-designed Evaluation Study

## TL;DR

A culturally tailored pre-surgery program for Pacific patients in New Zealand improved retention and satisfaction in weight loss surgery pathways.

## Contribution

The study introduces a co-designed, culturally anchored preoperative program that increases retention and completion rates for Pacific patients.

## Key findings

- Nine out of 14 participants attended all preoperative sessions.
- Six participants underwent weight loss surgery after completing the program.
- Cultural safety, accessibility, and group support were key to program success.

## Abstract

Despite having the highest medical needs by population for weight loss treatment, Pacific patients in Aotearoa New Zealand face substantial levels of attrition in publicly funded weight loss surgery programs. In collaboration with the Auckland City Hospital bariatric surgery team, a Pacific-led preoperative weight loss surgery program was co-designed, delivered, and evaluated between 2020 and 2023.

This was a single-arm, prospective co-designed evaluation study that took place at Auckland City Hospital in Aotearoa New Zealand. Participants were Pacific patients (n = 14) referred to the weight loss surgery program. Survey and video diaries were analyzed to determine if the program had the potential to increase Pacific patient retention through the preoperative stage of weight loss surgery, increase surgery completion rates, and improve the quality of treatment experiences.

Nine out of 14 participants attended all preoperative sessions. Six participants subsequently underwent weight loss surgery. Program components that had positive impacts on patient success and satisfaction were accessibility, information quality, having Pacific role models, cultural safety, and the group support system. The patients found the program to be culturally anchored and there was support for the implementation of the program going forward.

This study demonstrated how a culturally anchored intervention can increase patient retention for those patients who may not respond to mainstream treatment. Adjusting existing preoperative weight loss surgery programs to integrate Pacific-led models of healthcare has the potential to increase Pacific patient resiliency to follow through with surgery.