The feasibility of a behavioral group intervention after weight-loss surgery: A randomized pilot trial


Autoři: Michelle R. Lent aff001;  Laura K. Campbell aff002;  Mackenzie C. Kelly aff002;  Jessica L. Lawson aff002;  Jessica M. Murakami aff002;  Sasha Gorrell aff002;  G. Craig Wood aff002;  Marianne M. Yohn aff002;  Stephanie Ranck aff002;  Anthony T. Petrick aff002;  Krystal Cunningham aff002;  Megan E. LaMotte aff002;  Christopher D. Still aff002
Působiště autorů: Clinical Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, United States of America aff001;  Geisinger Clinic, Geisinger, Danville, Pennsylvania, United States of America aff002
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223885

Souhrn

Background

Formal psychosocial support programs after weight-loss surgery are limited in scope and availability.

Objective

This randomized pilot study evaluated the feasibility of a postoperative behavioral intervention program.

Materials and methods

Postoperative weight-loss surgery patients (N = 50) were recruited from February 2017–July 2017 and randomized to a four-month behavioral program or usual care wait-list. Outcomes evaluated in addition to feasibility included health-related quality of life (Short Form -36), psychosocial functioning and adherence. Secondary outcomes included within-group changes for each outcome.

Results

Out of eight possible sessions, intervention participants attended a mean of 4.2 sessions. Intervention group participants experienced greater improvements in the social functioning domain of health-related quality of life compared to usual care. Self-reported dietary adherence in the intervention group remained stable, while usual care group dietary adherence declined. Within the intervention group, participants also reported gains in the physical function, pain and general health aspects of quality life from baseline to post-treatment. No differences in weight, mood or other eating behaviors (e.g., loss of control, emotional eating) were evident between groups.

Conclusion

Though participation in a postoperative behavioral intervention varied, the program helped participants to maintain aspects of quality of life and self-reported adherence to dietary recommendations.

Trial registration

ClinicalTrials.gov NCT03092479

Klíčová slova:

Behavior – Digestive system procedures – Eating – Emotions – Physical activity – Psychological and psychosocial issues – Quality of life – Surgical and invasive medical procedures


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