Early-phase study of a telephone-based intervention to reduce weight regain among bariatric surgery patients.

Journal Article (Journal Article)

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. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Full Text

Duke Authors

Cited Authors

  • Voils, CI; Adler, R; Strawbridge, E; Grubber, J; Allen, KD; Olsen, MK; McVay, MA; Raghavan, S; Raffa, SD; Funk, LM

Published Date

  • May 2020

Published In

Volume / Issue

  • 39 / 5

Start / End Page

  • 391 - 402

PubMed ID

  • 31999175

Pubmed Central ID

  • PMC7219473

Electronic International Standard Serial Number (EISSN)

  • 1930-7810

Digital Object Identifier (DOI)

  • 10.1037/hea0000835

Language

  • eng

Conference Location

  • United States