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A novel patient-reported outcome monitoring with clinical feedback system in bariatric surgery care: study protocol, design and plan for evaluation
  1. Pål André Hegland1,2,
  2. Anny Aasprang1,
  3. Ronette L Kolotkin1,3,4,
  4. Christian Moltu5,
  5. Grethe S Tell2,
  6. John Roger Andersen1,6
  1. 1Faculty of Health and Social Sciences, Western Norway University of Applied Sciences—Forde Campus, Forde, Norway
  2. 2Department of Global Public Health and Primary Care, University of Bergen Faculty of Medicine and Dentistry, Bergen, Norway
  3. 3Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina, USA
  4. 4Quality of Life Consulting, PLCC, Durham, North Carolina, United States
  5. 5Department of Psychiatry, Førde Hospital Trust, Forde, Norway
  6. 6Centre of Health Research, Førde Hospital Trust, Forde, Norway
  1. Correspondence to MSC Pål André Hegland; palaheg{at}


Background Consultations before and after bariatric surgery should include structured assessments of patients’ health-related quality of life (HRQOL) and mental health. One way to conduct this assessment is to implement patient-reported outcome monitoring with a clinical feedback system (PRO/CFS).

Aim We will explore patients’ and healthcare professionals’ experiences when a PRO/CFS is an integrated part of bariatric surgery care.

Methods and analyses This is a design paper in which a PRO/CFS will be implemented in two bariatric outpatient clinics. All patients who have an appointment with a healthcare professional prior to, and 3 and 12 months after surgery, will be asked to complete six digital questionnaires measuring HRQOL, mental health, bowel symptoms and eating self-efficacy prior to each consultation. A digital summary report generated from the patient’s responses will form the basis for the clinical consultation. A team of patient representatives, healthcare professionals and researchers will be involved in all phases of designing the PRO/CFS to ensure its relevance for clinical consultations. The patients’ experiences will be explored with a generic 12-item questionnaire, developed for use in outpatient clinics, prior to and 12 months after bariatric surgery. We will conduct focus-group interviews with patients and healthcare professionals to explore their experiences when PRO/CFS is integrated into the consultations.

Ethics and dissemination Written informed consent will be obtained for all participants in the study. The project is approved by the Norwegian Centre for Research Data, Department of Data Protection Services (ref. no. 282738). The project has also undergone Data Protection Impact Assessments, both at Førde Hospital Trust and at St. Olav Hospital (registration no. 2016/3912). Data from the qualitative and quantitative studies will be kept in de-identified form in a secured research database, and the findings will be published in international peer-reviewed journals and presented at scientific conferences.

  • surgery
  • mental health
  • gastroenterology

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  • Contributors PAH has been involved in planning, writing and editing of the entire manuscript. AA, RLK, CM, GST and JRA have contributed through editing the manuscript. JRA has also been involved in planning the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests CM owns intellectual property in Norse Feedback, one of the measures used in the protocol.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.