Support needs of people undertaking bariatric surgery: A narrative review

Badorrek, Sally; Franklin, Janet; Devadas, Michael; Williams, Kathryn

doi:10.1111/cob.12605

Cited by 5 publications

(1 citation statement)

References 58 publications

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“…Intragastric balloons are a nonsurgical treatment option for suitable patients with overweight and obesity. Similar to bariatric surgery and other medical options, it is recommended that treatment with intragastric balloons be delivered alongside lifestyle modification and behavioral support to achieve and maintain lifestyle changes conducive to sustained weight loss and improved health outcomes [11,12]. Among interventions to deliver lifestyle support and promote healthy lifestyle habits, digital health interventions have become increasingly attractive due to their advantages over face-to-face approaches.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Health Coach–Led, Text-Based Digital Behavior Change Intervention on Weight Loss and Psychological Well-Being in Patients Receiving a Procedureless Intragastric Balloon Program: Prospective Single-Arm Study

Sacher,

Fulton,

Rogers

et al. 2024

JMIR Form Res

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Background: Digital health interventions show promise for weight management. However, few text-based behavior change interventions have been designed to support patients receiving intragastric balloons, and none have simultaneously evaluated weight loss, psychological well-being, and behavior change despite the crucial interplay of these factors in weight management. Objective: To assess whether a health coach-led, asynchronous text-based, Digital Behavior Change Coaching Intervention (DBCCI) delivered to participants receiving an intragastric balloon and its after-care program: (1) was feasible and acceptable to participants, and (2) supported improved outcomes including weight loss, psychological well-being, and lifestyle behavior change conducive to weight loss maintenance. Methods: This 12-month, single-arm, prospective study enrolled adults 21-65 years with body mass index (BMI)?27 kg/m2 receiving a procedureless intragastric balloon (PIGB) at 5 bariatric clinics in the United Kingdom and the Netherlands. Participants received both the DBCCI and the clinic-led PIGB after-care program (remotely delivered) for 6 months after PIGB placement, then no interventions for an additional 6 months. The DBCCI was an evidence-based, personalized, digital behavior change coaching intervention wherein health coaches supported participants via exchanged asynchronous, in-app text messages. Over the 12-month study, we assessed percentage of total body weight loss (TBWL) and psychological well-being via selfadministered validated questionnaires (Warwick-Edinburgh Mental Wellbeing Scale [WEMWBS], Generalized Anxiety Disorder [GAD-7], Impact of Weight on Quality of Life-Lite Clinical Trials Version scale [IWQOL-Lite-CT], Loss of Control Over Eating Scale-Brief [LOCES], Weight Efficacy Lifestyle questionnaire-Short Form [WEL-SF], and Barriers to Being Active Quiz [BBAQ]). Participant engagement and acceptability of the intervention were assessed via self-reported surveys.Results: 107 participants (89.7% female, mean baseline BMI=35.4 kg/m2) were included in the analysis. Mean TBWL was 13.50% at the end of the DBCCI and 11.22% at the 12-month follow-up (P<.001). Significant improvements were observed for all psychological well-being measures throughout the 12 months, except for GAD-7 (improvement at Month 1) and BBAQ (improvements at Months 3 and 6). Surveys showed overall high levels of engagement with, and acceptability of the health coaching provided via the DBCCI, especially during the active intervention period. Conclusions:This study provides evidence that a health coach-led, asynchronous text-based, digital behavior change intervention was engaging and acceptable to participants with overweight and obesity. This behavior change intervention, delivered alongside the PIGB and its after-care program, supported improved weight loss outcomes and psychological well-being versus baseline, and was associated with lifestyle behavior changes known to help achieve and maintain long-term weight loss

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Section: Introductionmentioning

confidence: 99%