Cited by 90Bariatric Surgery and OutcomesBody Contouring and SurgeryObesity and Health Practices

Motivation, Readiness to Change, and Weight Loss Following Adjustable Gastric Band Surgery

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Dixon, John B., Laurie, Cheryl P., Anderson, Margaret L., Hayden, Melissa J., Dixon, Maureen E., O'Brien, Paul E.·2009·Obesity

Abstract

High levels of readiness to change (RTC) are considered critical to the long‐term success of weight management programs including bariatric surgery. However, there are no data to support this assertion. We hypothesize that RTC level will not influence weight outcomes following surgery. In 227 consecutive patients undergoing adjustable gastric banding surgery, we recorded reasons for seeking surgery, and RTC measured with the University of Rhode Island Change Assessment. Scores were blinded until study completion. The primary outcome measure was percentage of excess BMI loss at 2 years (%EBMIL‐2); others included compliance and surgical complications. Of 227 subjects, 204 (90%) had weight measurement at 2 years. There was no significant correlation between RTC score and %EBMIL‐2 (r = 0.047, P = 0.5). Using the median split for RTC score the lowest 102 subjects mean %EBMIL‐2 was 52.9 ± 26.9% and the highest 52.2 ± 28.3%, P = 0.869. There was no weight loss difference between highest and lowest quartiles, or a nonlinear relationship between weight loss and RTC score. There was no significant relationship between RCT score and compliance, or likelihood of complications. Those motivated by appearance were more likely to be younger women who lost more weight at 2 years. Poor attendance at follow‐up visits was associated with less weight loss, especially in men. Measures of RTC did not predict weight loss, compliance, or surgical complications. Caution is advised when using assessments of RTC to predict outcomes of bariatric surgery.

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  1. Pendleton VR, Poston WS 2nd, Goodrick GK et al. The predictive validity of the Diet Readiness Test in a clinical population. Int J Eat Disord 1998;24:363-369.

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Authors
Dixon, J. B., Laurie, C. P., Anderson, M. L., Hayden, M. J., Dixon, M. E., & O'Brien, P. E.
Affiliations
Monash University (AU)
Corresponding author
Dixon, John B.
Venue
Obesity
Publisher
Wiley
Published
2009-04
Volume
17
Issue
4
Pages
698-705
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
OpenAlex
W2041839069
Cited by
90
References
60
Citations by year
2026: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 6 · 2015: 7 · 2014: 11 · 2013: 15 · 2012: 4
FWCI
5.39
Type
journal article
Language
en
Open access
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • Deakin Research Online (Deakin University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
gastric banding, bariatric surgery, readiness to change, motivation, weight loss, excess BMI loss, University of Rhode Island Change Assessment, surgical complications, follow-up attendance
MeSH terms
Adult, Feeding Behavior, Female, Follow-Up Studies, Health Surveys, Humans, Male, Middle Aged, Motivation, Obesity, Patient Compliance, Predictive Value of Tests, Prospective Studies, Satiety Response, Weight Loss, Outcome Assessment, Health Care, Bariatric Surgery

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