Obesity significantly contributes to human illness and to subsequent rising healthcare expenditures. Bariatric surgery has been identified as the only effective option to achieve the weight loss necessary for those who are morbidly obese. Previous research indicated that maintaining significant weight loss has been a problem for individuals who undergo bariatric surgery. The number of bariatric surgeries is increasing and factors that contribute to or interfere following bariatric-surgery weight-loss maintenance need to be determined. Research on weight-loss maintenance following bariatric surgery is very limited, particularly among the Hispanic population. This case-study research used an explanatory, multiple-case-study design to gain greater insight into how some individuals have been more successful in maintaining weight loss while others have been less successful. These explanations may be able to address deficits in the healthcare system or in a person’s personal life that could be addressed to promote future success for persons having bariatric surgery. With better outcomes following bariatric surgery, positive impacts could be facilitated regarding cost viii effectiveness of care and overall health and well-being of individuals who have had bariatric surgery for weight loss.

Date of publication

Fall 11-17-2016

Document Type




Persistent identifier


Committee members

Gloria Duke, Ph.D, Beth Mastel-Smith, Ph.D., Jennifer Chilton, Ph.D., Robert McKinney, MD,


Doctor of Philosophy in Nursing degree