Effects of a Psychosocial Intervention on Eating Behavior Compliance in Bariatric Surgery Patients PDF Download
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Author: Abbe Boeka
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 147
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Book Description
Obesity is a leading cause of preventable death in America and its prevalence is increasing at an alarming rate. Given the medical and psychosocial consequences of obesity, surgical intervention for weight loss ("bariatric" surgery) is now considered a viable option. Although the initial success rate of bariatric surgery is high, sustained weight loss requires adherence to strict post-surgical guidelines. There is increasing evidence that a percentage of patients have difficulties adhering to the post-surgical guidelines, with reemergence of poor eating habits (overeating, binge eating) being a major contributing factor. Recurrence of such eating habits can be detrimental to successful weight loss after surgery. Given the difficulties many patients face after surgery, it is possible that the typical post-surgical eating behavior guidelines presented to bariatric surgery patients are ineffective in motivating some individuals to comply. Protection Motivation Theory (PMT), a model that specifies the components of health messages that increase compliance with a health behavior, has been proven to be a reliable model for creating health promotion messages. The present study utilized a PMT-based intervention directed at patients undergoing bariatric surgery. Eighty-two obese individuals seeking surgical treatment of obesity were recruited to participate in this study. Participants were divided into two groups: PMT vs. Control. In addition to routine messages from the bariatric surgeon, participants in the PMT group received an intervention focused on the importance of adhering to post-surgical eating behavior guidelines and how best to adhere to these guidelines. This intervention was in the form of lectures, guided readings, and participant discussion. Participants in the control group received standard of care information from the bariatric surgeon. Those participants who had bariatric surgery during the time frame of the study were followed after surgery to assess post-surgical eating habits and weight loss. Results indicated that overall, the PMT intervention did not have a significant impact. However, follow-up analyses indicated that perceived self-efficacy and perceived threat of not following the guidelines may predict patients' intentions to comply with post-surgical guidelines. In addition, perceived self-efficacy was found to be a significant predictor of post-surgical weight loss. Findings are discussed in terms of the methodological compromises that resulted from the applied research setting as well as promising avenues for future investigation.
Author: Abbe Boeka
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 147
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Book Description
Obesity is a leading cause of preventable death in America and its prevalence is increasing at an alarming rate. Given the medical and psychosocial consequences of obesity, surgical intervention for weight loss ("bariatric" surgery) is now considered a viable option. Although the initial success rate of bariatric surgery is high, sustained weight loss requires adherence to strict post-surgical guidelines. There is increasing evidence that a percentage of patients have difficulties adhering to the post-surgical guidelines, with reemergence of poor eating habits (overeating, binge eating) being a major contributing factor. Recurrence of such eating habits can be detrimental to successful weight loss after surgery. Given the difficulties many patients face after surgery, it is possible that the typical post-surgical eating behavior guidelines presented to bariatric surgery patients are ineffective in motivating some individuals to comply. Protection Motivation Theory (PMT), a model that specifies the components of health messages that increase compliance with a health behavior, has been proven to be a reliable model for creating health promotion messages. The present study utilized a PMT-based intervention directed at patients undergoing bariatric surgery. Eighty-two obese individuals seeking surgical treatment of obesity were recruited to participate in this study. Participants were divided into two groups: PMT vs. Control. In addition to routine messages from the bariatric surgeon, participants in the PMT group received an intervention focused on the importance of adhering to post-surgical eating behavior guidelines and how best to adhere to these guidelines. This intervention was in the form of lectures, guided readings, and participant discussion. Participants in the control group received standard of care information from the bariatric surgeon. Those participants who had bariatric surgery during the time frame of the study were followed after surgery to assess post-surgical eating habits and weight loss. Results indicated that overall, the PMT intervention did not have a significant impact. However, follow-up analyses indicated that perceived self-efficacy and perceived threat of not following the guidelines may predict patients' intentions to comply with post-surgical guidelines. In addition, perceived self-efficacy was found to be a significant predictor of post-surgical weight loss. Findings are discussed in terms of the methodological compromises that resulted from the applied research setting as well as promising avenues for future investigation.
Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288
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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.
Author: Sanjeev Sockalingam
Publisher: Springer
ISBN: 3319425366
Category : Medical
Languages : en
Pages : 351
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Book Description
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.
Author: Christina Escuder
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 47
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Book Description
Obesity is a chronic disease defined as having a body mass index (BMI) of at least 30 kg/m2. Current data indicate that over 30% of U.S. adults are obese. Obesity is a public health concern due to its considerable increase in recent decades and its adverse effects on physical and psychological wellness. Currently, bariatric surgery is identified as the most effective treatment for obesity and long-term weight loss/weight maintenance despite post-surgical treatment failure rates of up to 30%. Few psychological interventions have been implemented pre- or post-surge1y in order to address treatment failure. The current standard of care includes a pre-surgical psychological evaluation aimed at identifying any factors that may interfere with long-term success. There continues to be a lack of consensus regarding the effects of a pre- or post-psychological intervention on those who undergo bariatric surgery. Therefore, the purpose of this literature review is to clarify which interventions have led to changes in psychosocial or weight loss outcomes in this population. Additionally, this reviewed examined when the intervention was provided, whether it was preoperatively, postoperatively, or both pre and postoperatively. A total of 15 empirical articles met criteria for inclusion in this systematic literature review. Results showed that interventions provided pre or postoperatively resulted in decreased psychological distress, reduced depressive symptoms, increased dietary consistency and physical activity, and improvements in eating disordered behavior and body image. Results from the two studies that examined the benefit of a psychosocial intervention provided to patients both pre and postoperatively did not demonstrate significant changes in weight loss or BMI. Studies that had a relatively short-term follow-up period and did not find statistically significant changes should be interpreted carefully since weight loss is likely to occur rapidly immediately after surgery; often termed the "honeymoon period." Studies that limited their follow-up to this period of time might yield results that may lead consumers to underestimate the value of a psychological intervention in helping the patient to lose weight and improve overall functioning. The lack of standardization among programs, participants, and assessment protocols limits the ability to generalize these findings.Future research should aim to conduct more longitudinal studies with larger samples who underwent surgeries that are more commonly utilized today (e.g., sleeve gastrectomy).Additionally, future studies should work towards standardizing the following: "treatment as usual," assessment measures, duration of intervention, as well as an effort to replicate previous studies so as to bolster support for the effectiveness of psychosocial interventions for change in psych-social outcomes and weight with this population.
Author: James E. Mitchell
Publisher: Routledge
ISBN: 1135412359
Category : Psychology
Languages : en
Pages : 184
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Book Description
This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf
Author: Caroline Anne Carducci
Publisher:
ISBN:
Category :
Languages : en
Pages : 49
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Book Description
Abstract: There is a growing obesity epidemic in the United States and increasing numbers of individuals are turning to bariatric surgery as the solution. Fifty percent of patients regain weight after 48 months and post-surgical programs targeting behavior modification are not available at every surgery site. Project REACH (Relearn how to Eat, increase Activity and Create better Habits) was a newly developed intervention aimed at bariatric surgery patients 2-years post surgery who are struggling to maintain their weight loss. The purpose of this pre-experimental study was to analyze the effects of this 12- week exercise and diet plus counseling intervention on psychosocial and fitness variables. Eight participants self-selected into the program in the winter of 2010 and four completed the posttest. Large effects (Cohen's d) for changes in several variables were found. Social Support for Eating from family, cardiorespiratory endurance (6 min. walk test), and Self-Regulation for Goal-Setting had large positive effects. We concluded postsurgical programs that foster social support, include in-class exercise and counseling, and target self-regulation skills have the potential to prevent regaining weight. Future research should focus on this understudied population and incorporate healthy eating technology, multiple groups, and longer duration into an experimental study.
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 226
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Book Description
Bariatric surgery is regarded as the most effective treatment for obesity; however, weight regain is common. The inability to maintain weight loss following bariatric surgery is largely attributed to poor compliance to dietary recommendations made during the preoperative psychoeducation process. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. However, a significant barrier to implementing behavioral interventions is the fact that patients are unwilling or unable to physically return to their bariatric surgery clinics for follow-up care. Internet-delivered treatments, in contrast, can be conveniently delivered in the home, and have been found efficacious for a number of health problems, including obesity. The current study aimed to develop and evaluate a 10-week, remotely-delivered, acceptance-based behavioral intervention for individuals who have experienced weight regain post-surgery via an open trial. Twenty-two participants at least 1.5 years out from surgery and who experienced weight regain were enrolled. The intervention was shown to be feasible and acceptable, with 70% retention in those who started the program and a high mean rating (4.7 out of 5.0) of program satisfaction among those who completed the study. On average, weight regain was stopped and even reversed, with a mean weight change of -5.1% ℗ł 5.5% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eating-related process variables. Overall, these pilot data provide initial support for the feasibility, acceptability, and preliminary effectiveness of a remotely-delivered acceptance-based intervention for individuals who have undergone bariatric surgery.
Author: Andrea Lenzi
Publisher: Springer
ISBN: 3319090453
Category : Medical
Languages : en
Pages : 346
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Book Description
This book describes in detail the multidisciplinary management of obesity, providing readers with a thorough understanding of the rationale for a multidisciplinary approach and with the tools required to implement it effectively. The emphasis is on a translational approach, starting from basic concepts and fundamental mechanisms of the pathology and clinical morbidity. Experts in the field discuss the full range of relevant topics, including the significance of physical exercise, psychological issues, nutritional strategies, pharmacological options and bariatric surgery. Put another way, the book covers all aspects from the bench to the bedside. Physicians, scientists and postgraduate students will all find it to be invaluable in understanding the causes and optimal management of obesity, which has rapidly become a major public health problem.
Author: Victor R Preedy
Publisher: Academic Press
ISBN: 0128040637
Category : Health & Fitness
Languages : en
Pages : 685
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Book Description
Pathophysiology of Bariatric Surgery: Metabolism, Nutrition, Procedures, Outcomes and Adverse Effects uses a metabolic and nutritional theme to explain the complex interrelationships between obesity and metabolic profiles before and after bariatric surgery. The book is sectioned into seven distinct areas, Features of Obesity, Surgical Procedures, Nutritional Aspects, Metabolic Aspects, Diabetes, Insulin Resistance and Glucose Control, Cardiovascular and Physiological Effects, and Psychological and Behavioral Effects. Included is coverage on the various types of bariatric surgery, including Roux-en-Y gastric bypass, gastric banding, sleeve gastrectomy, biliopancreatic diversion, and jejunoileal bypass, as well as the variations upon these procedures. Provides information on diet, nutrition, surgical procedures, outcomes, and side effects in relation to bariatric surgery in one comprehensive text Contains a Dictionary of Terms, Key Facts, and Summary Points in each chapter Includes access to a companion website with accompanying videos
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Clinical psychology
Languages : en
Pages : 310
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Book Description
Bariatric surgery is regarded as the most effective obesity treatment to date; however, tens of thousands of patients each year experience sub-optimal weight losses and/or significant regain. Poor outcomes have been associated with decreased compliance to the recommended postoperative diet, which is quite restrictive in nature. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger, and desire for food) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. The current study aimed to develop an acceptance-based intervention to stop weight regain in bariatric surgery patients and to establish its feasibility, acceptability, and preliminary effectiveness. A group of postoperative patients (n = 153) were surveyed to assess their current status as well as interest and preferences for postoperative programs to promote long term success. An open trial was then conducted of a newly-developed, 10-week, acceptance-based behavioral weight control intervention modified for bariatric surgery patients. The intervention emphasized skills thought to be integral to successful weight control postsurgery, i.e., a commitment to engaging in behaviors (e.g., healthy eating, physical activity) that are in accordance with one's values (e.g., living a healthy life) despite difficulty doing so (e.g., due to the return of food cravings, hunger). Eleven bariatric surgery patients who had regained at least 10% of their lost weight since their lowest postoperative weight were recruited and enrolled in groups to evaluate this program. The intervention was shown to be feasible and acceptable, with 72% retention (100% retention in those who attended more than 1 session) and high mean rating (4.25 out of 5.00) of program satisfaction among completers. In addition, weight regain was stopped, and even reversed, with a mean weight loss of 3.58 ± 3.02% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eatingrelated process variables. Overall, these pilot data provide initial support for the feasibility and acceptability of an acceptance-based intervention for the post-bariatric surgery population. In addition, preliminary effectiveness in stopping and reversing weight regain was demonstrated.
