Project HELP: a Remotely Delivered Behavioral Intervention for Weight Regain after Bariatric Surgery

Bradley, Lauren E.; Forman, Evan M.; Kerrigan, Stephanie G.; Goldstein, Stephanie P.; Butryn, Meghan L.; Thomas, J. Graham; Herbert, James D.; Sarwer, David B.

doi:10.1007/s11695-016-2337-3

Cited by 107 publications

(118 citation statements)

References 71 publications

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“…Seventeen studies used a two‐group RCT, four used a three‐group RCT, and one used a two‐group cluster RCT design . Fourteen studies used a pre‐intervention to post‐intervention one‐group design, and one study was a non‐randomized three‐group study . The majority of studies were conducted in the United States (n = 28).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty‐two studies evaluated MBCT, eleven evaluated ACT‐based interventions, three evaluated DBT (one in combination with pharmacotherapy), and one evaluated CFT . Twenty‐seven studies used primarily face‐to‐face, group‐format delivery.…”

Section: Resultsmentioning

confidence: 99%

“…One study used individual face‐to‐face lifestyle counselling and telephone delivery. Three delivered interventions on an individual, remote basis using email and online website, two of these included telephone support . One study had two intervention arms with the same content delivered face to face or through mobile telephone.…”

Section: Resultsmentioning

confidence: 99%

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Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

et al. 2020

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This systematic review and network meta-analysis synthesized evidence on the effects of third-wave cognitive behaviour therapies (3wCBT) on body weight, and psychological and physical health outcomes in adults with overweight or obesity.Studies that included a 3wCBT for the purposes of weight management and measured weight or body mass index (BMI) pre-intervention and ≥ 3 months postbaseline were identified through database searches (MEDLINE, CINAHL, Embase, Cochrane database [CENTRAL], PsycINFO, AMED, ASSIA, and Web of Science).Thirty-seven studies were eligible; 21 were randomized controlled trials (RCT) and included in the network meta-analyses. Risk of bias was assessed using RoB2, and evidence quality was assessed using GRADE. Random-effects pairwise meta-analysis found moderate-to high-quality evidence suggesting that 3wCBT had greater weight loss than standard behavioural treatment (SBT) at post-intervention (standardized mean difference [SMD]: −0.09, 95% confidence interval [CI]: −0.22, 0.04; N = 19; I 2 = 32%), 12 months (SMD: −0.17, 95% CI: −0.36, 0.02; N = 5; I 2 = 33%), and 24 months (SMD: −0.21, 95% CI: −0.42, 0.00; N = 2; I 2 = 0%). Network meta-analysis compared the relative effectiveness of different types of 3wCBT that were not tested in head-to-head trials up to 18 months. Acceptance and commitment therapy (ACT)-based interventions had the most consistent evidence of effectiveness. Only ACT had RCT evidence of effectiveness beyond 18 months. Meta-regression did not identify any specific intervention characteristics (dose, duration, delivery) that were associated with greater weight loss. Evidence supports the use of 3wCBT for weight management, specifically ACT. Larger trials with long-term follow-up are needed to identify who these interventions work for, their most effective components, and the most cost-effective method of delivery. network meta-analysis, obesity, third-wave behavioural therapy, weight loss 1 | BACKGROUND Although behavioural interventions are effective at helping people to lose weight, many people struggle to sustain effective weight management behaviours over extended periods due to a combination of biological, psychological, social, and environmental factors that drive weight gain. 1,2 Standard behavioural programmes can be effective in the short term, but less so in the longer term. 3-6 These usually combine diet and physical activity advice with core behavioural change techniques including goal setting, self-monitoring, problem solving, and planned social support. 7 It has been proposed that third-wave cognitive behaviour therapies (3wCBT), including acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), mindfulness-based cognitive behavioural ther- Nazrul Islamhttps://orcid.org/0000-0003-3982-4325

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

et al. 2020

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“…The search revealed nine longitudinal cohort design studies with a total sample size greater than 8000 patients (ranging from seven to 3484 patients) and using a variety of eHealth mechanisms including online/teleconference delivery of pre-operative educational seminars 43,44 and post-operative behavioral interventions, 45 internet-connected weighing scales, 46 smartphone-based education modules, 48 web-based weight loss trajectory tools 49 and tracking apps. 47 Primary outcomes included pre-operative surgical attrition rates in online versus in-person educational seminar delivery, 42,43 feasibility and acceptability of online delivery of behavioral/lifestyle interventions, 44 education modules, [47][48][49] physical activity tracking 46 and weekly usage of an online-connected scale.…”

Section: Retrospective/prospective Cohort Studiesmentioning

confidence: 99%

Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: A systematic review

et al. 2020

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Objective: To date the application of eHealth strategies among adults and adolescents undergoing metabolic and bariatric surgery (MBS) has not been systematically reviewed. This study comprehensively examines eHealth intervention studies among MBS patients within the RE-AIM framework to assess reach, effectiveness, adoption, implementation and maintenance of these efforts.Methods: A search was conducted using PubMed, EMBASE, CINAHL, PsycNET and SCOPUS of original research relating to eHealth strategies for MBS patients published in peer-reviewed journals and revealed 38 published articles between 2011 and 2019.Results: Studies varied widely in terms of design (qualitative to randomized controlled trials) and eHealth delivery method (telemedicine to blog post content) with a balance of pre-or post-MBS use. No studies included adolescents and very few reported (1) a conceptual framework to support study design/outcomes; and (2) race/ethnicity composition. Conclusions:Although some studies report that eHealth strategies/interventions are effective in producing post-MBS weight loss and other positive health outcomes, most are pilot studies or have study design limitations. There is an opportunity for development of (1) tailored eHealth interventions to support pre-and post-MBS sustained behavior change and improved outcomes; and (2) rigorous studies that employ robust conceptual frameworks so dissemination and implementation efforts can be mapped to construct-driven outcomes.

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“…Low success rates of nonsurgical treatments of obesity and inadequate results may not only result in a management failure but may increase severity of obesity [3]. Even in surgical solutions of obesity, one can ind a promising rate of weight loss in short-term basis, but after few years, weight regained especially if not combined with lifestyle modiications such as compliance to dietary and physical activity prescriptions [4]. Accordingly, it can be concluded that single treatment modality is not suicient for obesity management even with bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Multimodal Lifestyle Intervention: Outlines and Outcomes

Abulmeaty¹

2017

Adiposity - Epidemiology and Treatment Modalities

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Multimodal lifestyle intervention is an essential step in obesity management. This chapter will discuss the structure and components of a proper multimodal lifestyle intervention. The seting for suppling this intervention is preferred to be served by a multidisciplinary team in a secondary care seting, but primary healthcare or even online seting is efective. The results of this type of holistic intervention are much more promising than single-discipline outcome. Success rates of intensive multimodal lifestyle intervention are growing to make it as a potential alternative to bariatric surgery in selected morbidly obese cases. However, this intervention has some limitations such as unpredicted outcomes and high dropout rates. Future studies should augment its curing efects and address the underlying mechanisms.

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Project HELP: a Remotely Delivered Behavioral Intervention for Weight Regain after Bariatric Surgery

Abstract: This pilot study provides initial support for the feasibility, acceptability, and preliminary efficacy of a remotely delivered acceptance-based behavioral intervention for postoperative weight regain.

Cited by 107 publications

References 71 publications

Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: A systematic review

Multimodal Lifestyle Intervention: Outlines and Outcomes

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