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 118Bariatric Surgery and OutcomesObesity and Health PracticesMobile Health and mHealth Applications

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.·2017·Obesity Surgery

DOI 10.1007/s11695-016-2337-3

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Abstract

Background Weight regain following bariatric surgery is common and potentially compromises the health benefits initially attained after surgery. Poor compliance to dietary and physical activity prescriptions is believed to be largely responsible for weight regain. Patients may benefit from developing specialized psychological skills necessary to engage in positive health behaviors over the long term. Unfortunately, patients often face challenges to physically returning to the bariatric surgery program for support in developing and maintaining these behaviors. Remotely delivered interventions, in contrast, can be conveniently delivered to the patient and have been found efficacious for a number of health problems, including obesity. To date, they have received little attention with bariatric surgery patients. The study aimed to evaluate a newly developed, remote acceptance-based behavioral intervention for postoperative weight regain.Methods Patients at least 1.5 years out from surgery who experienced postoperative weight regain were recruited to receive the 10-week intervention. Participants were assessed at baseline, mid-treatment, post-treatment, and at 3-month follow-up.Results Support for the intervention's feasibility and acceptability was achieved, with 70 % retention among those who started the program and a high mean rating (4.7 out of 5.0) of program satisfaction among study completers. On average, weight regain was reversed with a mean weight loss of 5.1 ± 5.5 % throughout the intervention. This weight loss was maintained at 3-month follow-up. Significant improvements in eating-related and acceptance-based variables also were observed.Conclusions 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.

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Evidence on remotely delivered ACT-based weight management interventions is scarce; a recent systematic review identified only three studies, which were not designed to detect effects on weight.
“Evidence on remotely delivered ACT-based weight management interventions is currently scarce; a recent systematic review identified only three studies [2], and these were not designed to detect effects on weight [3–5].”
From Supporting Weight Management during COVID-19 (SWiM-C): twelve-month follow-up of a randomised controlled trial of a web-based, ACT-based, guided self-help intervention (2023) · cites this paper as [5]
An online and phone behavioral intervention showed feasibility, acceptability, efficacy, and high satisfaction (70% retention).
“an online and phone behavioral intervention showed feasibility, acceptability, efficacy, and high satisfaction (70% retention) [89].”
From Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps—a Scoping Review (2021) · cites this paper as [89]
Weight regain was reversed, as participants achieved a significant 5.1% weight loss that was maintained at 3 months.
“WR was reversed, as participants achieved a significant 5.1% WL that was maintained at 3 months [89].”
From Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps—a Scoping Review (2021) · cites this paper as [89]

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Method
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Self-citation
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Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps—a Scoping Review
El Ansari, W., & Elhag, W. (2021) · Obesity Surgery · doi:10.1007/s11695-020-05160-5 · Cited by 482 · see citing works
Weight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and Treatment
Noria, S. F., Shelby, R. D., Atkins, K. D., Nguyen, N. T., & Gadde, K. M. (2023) · Current Diabetes Reports · doi:10.1007/s11892-023-01498-z · Cited by 223 · see citing works
Definitions of Long-Term Weight Regain and Their Associations with Clinical Outcomes
Voorwinde, V., Steenhuis, I. H. M., Janssen, I. M. C., Monpellier, V. M., & van Stralen, M. M. (2020) · Obesity Surgery · doi:10.1007/s11695-019-04210-x · Cited by 174 · see citing works
Weight Regain After Bariatric Surgery: Prevalence, Etiology, and Treatment
Velapati, S. R., Shah, M., Kuchkuntla, A. R., Dayyeh, B. A., Grothe, K. B., Hurt, R. T., & Mundi, M. S. (2018) · Current Nutrition Reports · doi:10.1007/s13668-018-0243-0 · Cited by 172 · see citing works
A review of AAQ variants and other context-specific measures of psychological flexibility
Ong, C. W., Lee, E. B., Levin, M. E., & Twohig, M. P. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.02.007 · Cited by 142 · see citing works
Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis
Lawlor, E. R., Islam, N., Bates, S., Griffin, S. J., Hill, A. J., Hughes, C. A., Sharp, S. J., & Ahern, A. L. (2020) · Obesity Reviews · doi:10.1111/obr.13013 · Cited by 103 · see citing works
Patients' Experiences of Weight Regain After Bariatric Surgery
Tolvanen, L., Christenson, A., Surkan, P. J., & Lagerros, Y. T. (2022) · Obesity Surgery · doi:10.1007/s11695-022-05908-1 · Cited by 87 · see citing works
Psychosocial Concerns Following Bariatric Surgery: Current Status
Kalarchian, M. A., & Marcus, M. D. (2019) · Current Obesity Reports · doi:10.1007/s13679-019-0325-3 · Cited by 79 · see citing works
The limits and challenges of antiobesity pharmacotherapy
Gadde, K. M., & Atkins, K. D. (2020) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2020.1748599 · Cited by 65 · see citing works
Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: A systematic review
Messiah, S. E., Sacher, P. M., Yudkin, J. S., Ofori, A., Qureshi, F., Schneider, B. E., Hoelscher, D. M., Cruz-Munoz, N. F. D. L., & Barlow, S. E. (2020) · Digital Health · doi:10.1177/2055207619898987 · Cited by 66 · see citing works
A Review of Telemedicine Interventions for Weight Loss
Ufholz, K. E., & Bhargava, D. (2021) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-021-00680-w · Cited by 62 · see citing works
The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review
Coldebella, B., Armfield, N. R., Bambling, M., Hansen, J., & Edirippulige, S. (2018) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x18795356 · Cited by 63 · see citing works
Multidisciplinary Approach for Weight Regain—how to Manage this Challenging Condition: an Expert Review
Cambi, M. P. C., Baretta, G. A. P., Magro, D. D. O., Boguszewski, C. L., Ribeiro, I. B., Jirapinyo, P., & de Moura, D. T. H. (2021) · Obesity Surgery · doi:10.1007/s11695-020-05164-1 · Cited by 57 · see citing works
Nutrition, Physical Activity, and Prescription of Supplements in Pre- and Post-bariatric Surgery Patients: An Updated Comprehensive Practical Guideline
Tabesh, M. R., Eghtesadi, M., Abolhasani, M., Maleklou, F., Ejtehadi, F., & Alizadeh, Z. (2023) · Obesity Surgery · doi:10.1007/s11695-023-06703-2 · Cited by 59 · see citing works
Digital and Mobile Technologies to Promote Physical Health Behavior Change and Provide Psychological Support for Patients Undergoing Elective Surgery: Meta-Ethnography and Systematic Review
Robinson, A., Oksuz, U., Slight, R. D., Slight, S. P., & Husband, A. (2020) · JMIR mhealth and uhealth · doi:10.2196/19237 · Cited by 55 · see citing works
Current concepts in management of weight regain following bariatric surgery
Shukla, A. P., He, D., Saunders, K. H., Andrew, C., & Aronne, L. J. (2018) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2018.1447922 · Cited by 49 · see citing works
Psychiatric Management of Bariatric Surgery Patients: A Review of Psychopharmacological and Psychological Treatments and Their Impact on Postoperative Mental Health and Weight Outcomes
Sockalingam, S., Leung, S., Wnuk, S., Cassin, S. E., Yanofsky, R., & Hawa, R. (2020) · Psychosomatics · doi:10.1016/j.psym.2020.04.011 · Cited by 49 · see citing works
Resistance Training in Post-Metabolic and Bariatric Surgery Patients: A Systematic Review
Morales-Marroquin, E., Kohl, H. W., Knell, G., de la Cruz-Muñoz, N., & Messiah, S. E. (2020) · Obesity Surgery · doi:10.1007/s11695-020-04837-1 · Cited by 48 · see citing works
Long-Term Follow-Up After Bariatric Surgery: Key to Successful Outcomes in Obesity Management
Budny, A., Janczy, A., Szymański, M., & Mika, A. (2024) · Nutrients · doi:10.3390/nu16244399 · Cited by 49 · see citing works
Disordered eating after bariatric surgery
Conceição, E., & Goldschmidt, A. B. (2019) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000549 · Cited by 45 · see citing works
A Specialized Medical Management Program to Address Post-operative Weight Regain in Bariatric Patients
Srivastava, G., & Buffington, C. K. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3141-z · Cited by 44 · see citing works
Long-term nutritional follow-up post bariatric surgery
Montastier, É., du Rieu, M. C., Tuyeras, G., & Ritz, P. (2018) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000490 · Cited by 37 · see citing works
Weight recurrence after Sleeve Gastrectomy versus Roux-en-Y gastric bypass: a propensity score matched nationwide analysis
Akpinar, E. O., Liem, R. S. L., Nienhuijs, S. W., Greve, J. W. M., de Mheen, P. J. M., de Brauw, L. M., de Castro, S. M. M., Damen, S. L., Demirkiran, A., Dunkelgrün, M., et al. (2023) · Surgical Endoscopy · doi:10.1007/s00464-022-09785-8 · Cited by 36 · see citing works
Does Lifestyle Intervention After Gastric Bypass Surgery Prevent Weight Regain? A Randomized Clinical Trial
Hanvold, S. E., Vinknes, K. J., Løken, E. B., Hjartåker, A., Klungsøyr, O., Birkeland, E., Risstad, H., Gulseth, H. L., Refsum, H., & Aas, A. (2019) · Obesity Surgery · doi:10.1007/s11695-019-04109-7 · Cited by 35 · see citing works
The effectiveness of psychosocial interventions to support psychological well-being in post-operative bariatric patients: A systematic review of evidence
Zyl, N. V., Andrews, L., Williamson, H., & Meyrick, J. (2020) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2020.05.005 · Cited by 36 · see citing works
Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums
Robinson, A., Husband, A., Slight, R. D., & Slight, S. P. (2020) · JMIR Perioperative Medicine · doi:10.2196/17230 · Cited by 34 · see citing works
Remote assessments and behavioral interventions in post-bariatric surgery patients
Bradley, L. E., Thomas, J. G., Hood, M. M., Corsica, J. A., Kelly, M. C., & Sarwer, D. B. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.07.011 · Cited by 32 · see citing works
Self-citation
Weight Loss Outcomes and Lifestyle Patterns Following Sleeve Gastrectomy: an 8-Year Retrospective Study of 212 Patients
Ben‐Porat, T., Mashin, L., Kaluti, D., Goldenshluger, A., Shufanieh, J., Khalaileh, A., Gazala, M. A., Mintz, Y., Brodie, R., Sakran, N., et al. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05650-0 · Cited by 28 · see citing works
Digital technology to support lifestyle and health behaviour changes in surgical patients: systematic review
Robinson, A., Husband, A., Slight, R. D., & Slight, S. P. (2020) · BJS Open · doi:10.1093/bjsopen/zraa009 · Cited by 29 · see citing works
Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery
Ames, G. E., Koball, A. M., & Clark, M. M. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.934680 · Cited by 28 · see citing works
Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review
Wright, C., Mutsekwa, R. N., Hamilton, K., Campbell, K. L., & Kelly, J. T. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.07.020 · Cited by 28 · see citing works
Telehealth Opportunities and Challenges for Managing Pediatric Obesity
Cueto, V., & Sanders, L. (2020) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2020.04.007 · Cited by 27 · see citing works
Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change
Robinson, A., Husband, A., Slight, R. D., & Slight, S. P. (2021) · JMIR Human Factors · doi:10.2196/29782 · Cited by 26 · see citing works
Supporting Weight Management during COVID-19: A Randomized Controlled Trial of a Web-Based, ACT-Based, Guided Self-Help Intervention
Mueller, J., Richards, R., Jones, R. A., Whittle, F., Woolston, J., Stubbings, M., Sharp, S. J., Griffin, S. J., Bostock, J., Hughes, C. A., et al. (2022) · Obesity Facts · doi:10.1159/000524031 · Cited by 24 · see citing works
Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Suboptimal Initial Clinical Response and Weight Gain Recurrence After Bariatric Surgery: a Systematic Review and Meta-analysis
Nie, Y., Zhang, Y., Liu, B., & Meng, H. (2025) · Obesity Surgery · doi:10.1007/s11695-025-07733-8 · Cited by 28 · see citing works
Developing Workshops to Enhance Hope Among Patients With Metastatic Breast Cancer and Oncologists: A Pilot Study
Shah, M., Ferguson, A. K., Corn, P. D., Varadhan, R., Ariely, D., Stearns, V., Smith, B. D., Smith, T. J., & Corn, B. W. (2021) · JCO Oncology Practice · doi:10.1200/op.20.00744 · Cited by 25 · see citing works
How to address weight regain after bariatric surgery in an individualized way
COHEN, R. V., & Petry, T. B. Z. (2023) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-023-09806-4 · Cited by 21 · see citing works
Development of a web-based, guided self-help, acceptance and commitment therapy–based intervention for weight loss maintenance: evidence-, theory-, and person-based approach
Richards, R., Jones, R. A., Whittle, F., Hughes, C. A., Hill, A. J., Lawlor, E. R., Bostock, J., Bates, S., Breeze, P. R., Brennan, A., et al. (2022) · JMIR Formative Research · doi:10.2196/31801 · Cited by 15 · see citing works
Combination anti‐obesity medications to effectively treat bariatric surgery weight regain at an academic obesity center
Wong, G. W., Garner, E. M., Takkouche, S. K., Spann, M. D., English, W. J., Albaugh, V. L., & Srivastava, G. (2022) · Obesity Science & Practice · doi:10.1002/osp4.635 · Cited by 19 · see citing works
An exercise-based educational and motivational intervention after surgery can improve behaviors, physical fitness and quality of life in bariatric patients
Gallé, F., Marte, G., Cirella, A., Dio, M. D., Miele, A., Ricchiuti, R., Liguori, F., Maida, P., & Liguori, G. (2020) · PLoS ONE · doi:10.1371/journal.pone.0241336 · Cited by 20 · see citing works
Weight regain and eating behavior in physically active and inactive women after 24 months of bariatric surgery
dos Rodrigues, L. S., de Vasconcelos, P. H., & Gomes, D. L. (2020) · Eating and Weight Disorders · doi:10.1007/s40519-020-00973-w · Cited by 17 · see citing works
Feasibility of Postoperative Home Monitoring Using Video Consultation and Vital Sign Monitoring of Bariatric Patients
Nijland, L. M. G., van Veen, R. N., Ruys, A. T., van Veldhuisen, C. L., Geerdink, T. H., & de Castro, S. M. M. (2020) · Obesity Surgery · doi:10.1007/s11695-020-04500-9 · Cited by 18 · see citing works
What About My Weight? Insufficient Weight Loss or Weight Regain After Bariatric Metabolic Surgery
Zefreh, H., Amani‐Beni, R., Sheikhbahaei, E., Farsi, F., Ahmadkaraji, S., Barzin, M., Darouei, B., Khalaj, A., & Shahmiri, S. S. (2023) · Intern J Endocrinol Metab · doi:10.5812/ijem-136329 · Cited by 17 · see citing works
Lessons Learned From Developing a Mobile App to Assist in Patient Recovery After Weight Loss Surgery
Dolan, P. T., Afaneh, C. I., Dakin, G. F., Pomp, A., & Yeo, H. (2019) · Journal of Surgical Research · doi:10.1016/j.jss.2019.06.063 · Cited by 17 · see citing works
Acceptance-based therapy: the potential to augment behavioral interventions in the treatment of type 2 diabetes
Cardel, M. I., Ross, K. M., Butryn, M. L., Donahoo, W. T., Eastman, A., Dillard, J. R., Grummon, A. H., Hopkins, P., Whigham, L. D., & Janicke, D. M. (2020) · Nutrition and Diabetes · doi:10.1038/s41387-020-0106-9 · Cited by 19 · see citing works
Self-citation
Extracellular matrix remodeling and matrix metalloproteinase inhibition in visceral adipose during weight cycling in mice
Caria, C. R. E. P., Gotardo, É. M. F., Santos, P. S., Acedo, S. C., de Morais, T. R., Ribeiro, M. L., & Gambero, A. (2017) · Experimental Cell Research · doi:10.1016/j.yexcr.2017.08.026 · Cited by 16 · see citing works
Supporting Weight Management during COVID-19 (SWiM-C): twelve-month follow-up of a randomised controlled trial of a web-based, ACT-based, guided self-help intervention
Mueller, J., Richards, R., Jones, R. A., Whittle, F., Woolston, J., Stubbings, M., Sharp, S. J., Griffin, S. J., Bostock, J., Hughes, C. A., et al. (2023) · International Journal of Obesity · doi:10.1038/s41366-022-01232-x · Cited by 13 · see citing works
Assessment of health behaviors, nutritional behaviors, and self-efficacy in patients with morbid obesity
Sekuła, M., Boniecka, I., & Paśnik, K. (2018) · Psychiatria Polska · doi:10.12740/pp/onlinefirst/81182 · Cited by 14 · see citing works
Pharmacological treatment of non-responders following bariatric surgery
Vinciguerra, F., ROMEO, L. M., Frittitta, L., & Baratta, R. (2021) · Minerva Endocrinology · doi:10.23736/s2724-6507.21.03311-3 · Cited by 15 · see citing works
Weight Regain after Metabolic Surgery: Beyond the Surgical Failure
Salazar, J. J., Durán, P., Garrido, B., Parra, H., Hernández, M., Cano, C., Áñez, R., García-Pacheco, H., Cubillos-Valencia, G., Vasquez, N., et al. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13041143 · Cited by 13 · see citing works
Exhortation to lose weight prior to complex ventral hernia repair: Nudge or noodge?
Ssentongo, P., DeLong, C. G., Ssentongo, A. E., Pauli, E. M., & Soybel, D. I. (2019) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2019.04.013 · Cited by 13 · see citing works
The feasibility of a behavioral group intervention after weight-loss surgery: A randomized pilot trial
Lent, M. R., Campbell, L. K., Kelly, M. C., Lawson, J. L., Murakami, J. M., Gorrell, S., Wood, G. C., Yohn, M., Ranck, S., Petrick, A. T., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0223885 · Cited by 12 · see citing works
The nature of expectations of bariatric surgery in patients during the pre‐ and post‐operative period: A unicentric, qualitative study of patient perspectives
Mercier, L. A., Fortin, A., Atto, E. J., & Lavoie, K. (2023) · Clinical Obesity · doi:10.1111/cob.12621 · Cited by 10 · see citing works
Behavioral Interventions After Bariatric Surgery
Tewksbury, C. M., & Isom, K. A. (2022) · Current Treatment Options in Gastroenterology · doi:10.1007/s11938-022-00388-9 · Cited by 10 · see citing works
Psychosocial and behavioral correlates of weight loss 12 to 15 years after bariatric surgery
Martin‐Fernandez, K. W., Creel, D. B., & Schuh, L. M. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00263-5 · Cited by 11 · see citing works
The effects of using telemedicine for introductory bariatric surgery seminars during the COVID-19 pandemic
Parnell, K. E., Philip, J., Billmeier, S. E., & Trus, T. L. (2022) · Surgical Endoscopy · doi:10.1007/s00464-022-09640-w · Cited by 9 · see citing works
The Value of Tracking Data on the Behavior of Patients Who Have Undergone Bariatric Surgery: Explorative Study
Versteegden, D. P. A., himbeeck, M. J. J. V., Burghoorn, A. W., Lövei, P., Deckers, E., Jansen, J.-M., & Nienhuijs, S. W. (2022) · JMIR Formative Research · doi:10.2196/27389 · Cited by 9 · see citing works
Weight Regain and Insufficient Weight Loss after Bariatric Surgery: A Call for Action
Elhag, W., & Ansari, W. E. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.94848 · Cited by 9 · see citing works
Experiences and expectations of patients with obesity 3 months after metabolic and bariatric surgery: a qualitative study
Li, N., Fan, Y., Deng, L., Wang, H., & Chen, L. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-091390 · Cited by 7 · see citing works
The Effects of a Web-Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self-Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial
Yıldız, E., & Karagözoğlu, Ş. (2023) · Obesity Surgery · doi:10.1007/s11695-023-06795-w · Cited by 7 · see citing works
Weight Loss and Regain After Bariatric Surgery: Importance of the Psychological Therapy in Postoperative Outcomes
Ru, C. G., García, M., Castillo, S., Vamvakiano, N. M., Berdeja, N., Guerrero, B., Simi, A., Rozandal, V., Lascano, F. M., & Esquivel, C. M. (2025) · Obesity Surgery · doi:10.1007/s11695-024-07667-7 · Cited by 7 · see citing works
Remotely Delivered Behavioral Weight Loss Intervention Using an Ad Libitum Plant-Based Diet: Pilot Acceptability, Feasibility, and Preliminary Results
Chwyl, C., Wright, N., Turner‐McGrievy, G. M., Butryn, M. L., & Forman, E. M. (2022) · JMIR Formative Research · doi:10.2196/37414 · Cited by 7 · see citing works
Self-citation
Addressing a critical need: A randomised controlled feasibility trial of acceptance and commitment therapy for bariatric surgery patients at 15–18 months post-surgery
Barley, E. A., Bovell, M., Bennett, K., Lee, J. T., Lee‐Baggley, D., Skene, S. S., Tai, M. Z., Brooks, S., & Scholtz, S. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282849 · Cited by 6 · see citing works
Perioperative nutrition care and dietetic practices in the scope of bariatric surgery in Saudi Arabia using adapted protocols for evaluation
Aljaaly, E. A. (2021) · SAGE Open Medicine · doi:10.1177/20503121211036136 · Cited by 6 · see citing works
MyGood Trip, a Telemedicine Intervention for Physical Activity Recovery After Bariatric Surgery: Randomized Controlled Trial
Puerto, K. L. I., Bruzzi, M., Rives‐Lange, C., Poghosyan, T., Bretault, M., Châtellier, G., Vilfaillot, A., Chevallier, J., Czernichow, S., & Carette, C. (2022) · JMIR Formative Research · doi:10.2196/26077 · Cited by 6 · see citing works
Predicting Factors for Weight Regain after Bariatric Surgery
Tzvetkov, I. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.108715 · Cited by 6 · see citing works
Body composition assessment before and after weight loss following a Roux-en-Y gastric bypass. Are bioimpedanciometry estimations reliable?
Navarro, G. N. C., Fernando Carrasco, N., Moncada, P. R., Papapietro, K., & Salazar, G. (2020) · Nutrición Hospitalaria · doi:10.20960/nh.02942 · Cited by 6 · see citing works
Management of Weight Regain Following Bariatric Surgery: Behavioral Intervention and Pharmacotherapy
Barenbaum, S. R., Zhao, A. S., Saunders, K. H., Aronne, L. J., & Shukla, A. P. (2022) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2022.2101993 · Cited by 5 · see citing works
Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I)
Baillot, A., Asselin, M., Bernard, P., Lapointe, J., Bond, D. S., Romain, A. J., Garneau, P. Y., Biertho, L. D., Tchernof, A., Blackburn, P., et al. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07161-0 · Cited by 5 · see citing works
Pre-Surgery Cortisol Levels as Biomarker of Evolution after Bariatric Surgery: Weight Loss and Weight Regain
Casteràs, A., Fidilio, E., Comas, M., Zabalegui, A., Flores, V., Giralt, M., Troyano, N. D., Ferrer, R., Vilallonga, R., Ciudin, A., et al. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13175146 · Cited by 5 · see citing works
Adoption of telemedicine for obesity treatment during the COVID-19 pandemic achieved comparable outcomes to in-person visits
Latorre‐Rodríguez, A. R., Shah, R. H., Munir, S., & Mittal, S. K. (2024) · Obesity Pillars · doi:10.1016/j.obpill.2024.100131 · Cited by 5 · see citing works
Effects and Acceptability of Technology-Based Physical Activity Interventions in Bariatric Surgery: a Scoping Review
Hayotte, M., Gioda, J., & d’Arripe-Longueville, F. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06049-1 · Cited by 4 · see citing works
How to get back on track? Experiences of patients and healthcare professionals regarding weight recurrence and needs for an intervention after bariatric-metabolic surgery
Voorwinde, V., Moukadem, S., van Stralen, M. M., Janssen, I. M. C., Monpellier, V. M., & Steenhuis, I. H. (2023) · Obesity Pillars · doi:10.1016/j.obpill.2023.100074 · Cited by 4 · see citing works
Animal Models in Type 2 Diabetes Mellitus Research: Pros and Cons
Zakaria, Z. Z., Ahmad, M. N., & Qinna, N. A. (2021) · Jordan Journal of Agricultural Sciences · doi:10.35516/jjas.v17i4.95 · Cited by 4 · see citing works
Physical and social health needs of postoperative bariatric surgery patients: a focus group
Glauser, A. C., Marcus, R. L., McGarrity, L. A., Thackeray, A., Volckmann, E. T., & Terrill, A. L. (2025) · Discover Social Science and Health · doi:10.1007/s44155-025-00149-w · Cited by 3 · see citing works
An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study
Jones, R. A. P., Mueller, J., Richards, R., Woolston, J., Stubbings, M., Whittle, F., Hill, A. J., Hughes, C. A., Duschinsky, R., Sharp, S. J., et al. (2025) · Obesity Science & Practice · doi:10.1002/osp4.70048 · Cited by 3 · see citing works
Patient Satisfaction and Healthcare Utilization with the Transition to Virtual Care in a Multidisciplinary Bariatric Program
Miamen, L., Mathur, V., Ariagno, M., Lavasseur, A., Page, C., Brown, E. B., Lu, Y., Davidson, P., Nimeri, A. A., Tavakkoli, A., et al. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07250-0 · Cited by 3 · see citing works
Telematics pre-operative psychological and nutritional assessment in candidates for bariatric surgery during COVID-19 phase 2: a pilot prospective observational study
Pierro, L., Coluzzi, I., Biasio, A., Paone, E., Scappaticci, L., Capoccia, D., Angelis, F. D., Iossa, A., Boru, C. E., Lai, C., et al. (2021) · Minerva Surgery · doi:10.23736/s2724-5691.20.08706-4 · Cited by 3 · see citing works
Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity: Protocol for a Single-Case Experimental Study
Baillot, A., St‐Pierre, M., Lapointe, J., Bernard, P., Bond, D. S., Romain, A. J., Garneau, P. Y., Biertho, L. D., Tchernof, A., Blackburn, P., et al. (2022) · JMIR Research Protocols · doi:10.2196/39633 · Cited by 3 · see citing works
Motivating increases in physical activity to prevent recurrence of weight gain after metabolic bariatric surgery: The Exercise Values of Life and Vitality Everyday (EVOLVE) trial
Bond, D. S., Papasavas, P. K., Wu, Y., Levin, M. E., DUNSIGER, S. I., Sarwer, D. B., Schumacher, L. M., Saad-Pendergrass, D., Schwartz, A., & Lillis, J. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.108098 · Cited by 2 · see citing works
Self-citation
Multimodal Lifestyle Intervention: Outlines and Outcomes
Abulmeaty, M. M. A. (2017) · InTech eBooks · doi:10.5772/66371 · Cited by 2 · see citing works
Positive Program Evaluation and Health Maintenance among Post-Metabolic and Bariatric Surgery Patients Following a 6-Week Pilot Program
McIntosh, S., Hayes, M., & Barr, M. L. (2024) · Obesity Surgery · doi:10.1007/s11695-023-07013-3 · Cited by 2 · see citing works
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A remote, acceptance-based intervention for weight regain after bariatric surgery
Bradley, L. E., & Forman, E. M. (2015) · doi:10.17918/etd-6325 · Cited by 1 · see citing works
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A Pilot Study to Assess Feasibility, Acceptability, and Effectiveness of a Remotely-Delivered Intervention to Address Weight Regain after Bariatric Surgery
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A Pilot Study of an Acceptance-Based Behavioral Intervention for Weight Regain After Bariatric Surgery
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A265 Project HELP: A Randomized Controlled Trial Evaluating the Effect of a Remotely-Delivered Acceptance-Based Behavioral Intervention for Reducing Postoperative Weight Regain
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An acceptance-based intervention to minimize weight regain after bariatric surgery
Bradley, L. E., & Forman, E. M. (2013) · doi:10.17918/etd-4294
Self-citation

Authors: Bradley, L. E., Forman, E. M., Kerrigan, S. G., Goldstein, S. P., Butryn, M. L., Thomas, J. G., Herbert, J. D., & Sarwer, D. B.
Affiliations: Rush University Medical Center (US)
Drexel University (US)
Brown University (US)
Temple University (US)
Corresponding author: Bradley, Lauren E.
ORCID: Bradley, Lauren E.
Forman, Evan M.
Kerrigan, Stephanie G.
Goldstein, Stephanie P.
Butryn, Meghan L.
Thomas, J. Graham
Sarwer, David B.
Venue: Obesity Surgery
Publisher: Springer Science and Business Media LLC
Published: 2016-09-01
Volume: 27
Issue: 3
Pages: 586-598
ISSN: 0960-8923 (ISSN-L)
1708-0428
DOI: 10.1007/s11695-016-2337-3
OpenAlex: W2517308393
Cited by: 118
References: 73
Citations by year: 2026: 3 · 2025: 12 · 2024: 12 · 2023: 17 · 2022: 18 · 2021: 18 · 2020: 16 · 2019: 11 · 2018: 9 · 2017: 2
FWCI: 8.12
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Obesity Surgery (publishedVersion)
PubMed (publishedVersion)
Funders: American Psychological Assocation (n/a)
Society for a Science of Clinical Psychology (n/a)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: postoperative weight regain, bariatric surgery
MeSH terms: Adult, Aged, Behavior Therapy, Combined Modality Therapy, Female, Humans, Male, Middle Aged, Obesity, Morbid, Patient Acceptance of Health Care, Pilot Projects, Postoperative Period, Weight Gain, Health Behavior, Telemedicine, Bariatric Surgery

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

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