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

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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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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 › Medicine › Public Health, Environmental and Occupational Health › 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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