The Feasibility of a Behavioral Group Intervention after Weight-loss Surgery: A Randomized Pilot Trial

Authors

Michelle R. Lent, Philadelphia College of Osteopathic MedicineFollow
Laura K Campbell
Mackenzie C Kelly
Jessica L Lawson
Jessica M Murakami
Sasha Gorrell
G Craig Wood
Marianne M Yohn
Stephanie Ranck
Anthony T Petrick
Krystal Cunningham
Megan E LaMotte
Christopher D Still

Document Type

Article

Publication Date

1-1-2019

Abstract

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.

Publication Title

PLoS One

Volume

14

Issue

10

First Page

0223885

Last Page

0223885

PubMed ID

31634365

Comments

This article was published in PLoS One, Volume 14, Issue 10.

The published version is available at https://doi.org/10.1371/journal.pone.0223885

Copyright © 2019 Lent et al. CC BY 4.0.

Recommended Citation

Lent, Michelle R.; Campbell, Laura K; Kelly, Mackenzie C; Lawson, Jessica L; Murakami, Jessica M; Gorrell, Sasha; Wood, G Craig; Yohn, Marianne M; Ranck, Stephanie; Petrick, Anthony T; Cunningham, Krystal; LaMotte, Megan E; and Still, Christopher D, "The Feasibility of a Behavioral Group Intervention after Weight-loss Surgery: A Randomized Pilot Trial" (2019). PCOM Scholarly Works. 2023.
https://digitalcommons.pcom.edu/scholarly_papers/2023