دورية أكاديمية

Early-Phase Study of a Telephone-Based Intervention to Reduce Weight Regain Among Bariatric Surgery Patients.

التفاصيل البيبلوغرافية
العنوان: Early-Phase Study of a Telephone-Based Intervention to Reduce Weight Regain Among Bariatric Surgery Patients.
المؤلفون: Voils, Corrine I., Adler, Rachel, Strawbridge, Elizabeth, Grubber, Janet, Allen, Kelli D., Olsen, Maren K., McVay, Megan A., Raghavan, Sridharan, Raffa, Susan D., Funk, Luke M.
المصدر: Health Psychology; May2020, Vol. 39 Issue 5, p391-402, 12p
مستخلص: Objective: This study describes early-phase development of a behavioral intervention to reduce weight regain following bariatric surgery. We utilized the Obesity-Related Behavioral Intervention Trials model to guide intervention development and evaluation. We sought to establish recruitment, retention, and fidelity monitoring procedures; evaluate feasibility of utilizing weight from the electronic medical record (EMR) as an outcome; observe improvement in behavioral risk factors; and evaluate treatment acceptability. Method: The intervention comprised 4 weekly telephone calls addressing behavior change strategies for diet, physical activity, and nutrition supplement adherence and 5 biweekly calls addressing weight loss maintenance constructs. Veterans (N = 33) who received bariatric surgery 9–15 months prior consented to a 16-week, pre-post study. Self-reported outcomes were obtained by telephone at baseline and 16 weeks. Clinic weights were obtained from the EMR 6 months pre- and postconsent. Qualitative interviews were conducted at 16 weeks to evaluate treatment acceptability. We aimed to achieve a recruitment rate of ≥25% and retention rate of ≥80%, and have ≥50% of participants regain <3% of their baseline weight. Results: Results supported the feasibility of recruiting (48%) and retaining participants (93% provided survey data; 100% had EMR weight). Pre-post changes in weight (73% with <3% weight regain) and physical activity (Cohen's ds 0.38 to 0.52) supported the potential for the intervention to yield clinically significant results. Intervention adherence (mean 7.8 calls of 9 received) and positive feedback from interviews supported treatment acceptability. Conclusions: The intervention should be evaluated in an adequately powered randomized controlled trial. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:02786133
DOI:10.1037/hea0000835