Melanie Lauti1, Malsha Kularatna2, Avinesh Pillai3, Andrew G Hill2, Andrew D MacCormick2. 1. Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, 1064, New Zealand. m.lauti@auckland.ac.nz. 2. Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, 1064, New Zealand. 3. Department of Statistics, University of Auckland, Auckland, New Zealand.
Abstract
INTRODUCTION:Sleeve gastrectomy (SG) is a common bariatric procedure with high rates of weight regain (WR). Clinicians and patients have identified a lack of follow-up support and maladaptive lifestyle behaviours as potential causes for WR. While text message support has been shown to be effective for weight loss in non-surgical patients, it has not been investigated for reducing WR in bariatric patients. PURPOSE: To determine the effectiveness of text message support in reducing weight regain following sleeve gastrectomy. METHODS: A text message intervention was designed. The effectiveness of the intervention was investigated by a randomised trial powered to detect a 15% difference in the primary outcome of percent excess weight loss (84 participants required). Secondary outcomes were the Bariatric Analysis and Reporting System (BAROS) score and patient satisfaction. Outcomes were assessed at 6 and 12 months. RESULTS:Ninety-five participants were randomised to either standard care or text message support (daily text message for 1 year). While there was no significant difference in the primary outcome at 6 or 12 months, patients who received the intervention tended to have less WR and a significantly better BAROS score at 12 months. Participants who received text message support found it beneficial, would have liked the messages to continue, and felt WR was reduced by having the text message support. CONCLUSION:Text message support following SG is feasible, may reduce weight regain, improves the BAROS score and is valued by patients. TRIAL REGISTRATION: NCT02341001.
RCT Entities:
INTRODUCTION: Sleeve gastrectomy (SG) is a common bariatric procedure with high rates of weight regain (WR). Clinicians and patients have identified a lack of follow-up support and maladaptive lifestyle behaviours as potential causes for WR. While text message support has been shown to be effective for weight loss in non-surgical patients, it has not been investigated for reducing WR in bariatric patients. PURPOSE: To determine the effectiveness of text message support in reducing weight regain following sleeve gastrectomy. METHODS: A text message intervention was designed. The effectiveness of the intervention was investigated by a randomised trial powered to detect a 15% difference in the primary outcome of percent excess weight loss (84 participants required). Secondary outcomes were the Bariatric Analysis and Reporting System (BAROS) score and patient satisfaction. Outcomes were assessed at 6 and 12 months. RESULTS: Ninety-five participants were randomised to either standard care or text message support (daily text message for 1 year). While there was no significant difference in the primary outcome at 6 or 12 months, patients who received the intervention tended to have less WR and a significantly better BAROS score at 12 months. Participants who received text message support found it beneficial, would have liked the messages to continue, and felt WR was reduced by having the text message support. CONCLUSION: Text message support following SG is feasible, may reduce weight regain, improves the BAROS score and is valued by patients. TRIAL REGISTRATION: NCT02341001.
Entities:
Keywords:
Behaviour change; Quality of life; SMS; Sleeve gastrectomy; Text message; Weight regain; mHealth
Authors: Stacy A Brethauer; Ali Aminian; Héctor Romero-Talamás; Esam Batayyah; Jennifer Mackey; Laurence Kennedy; Sangeeta R Kashyap; John P Kirwan; Tomasz Rogula; Matthew Kroh; Bipan Chand; Philip R Schauer Journal: Ann Surg Date: 2013-10 Impact factor: 12.969
Authors: Abeezar I Sarela; Simon P L Dexter; Mary O'Kane; Ashok Menon; Michael J McMahon Journal: Surg Obes Relat Dis Date: 2011-07-20 Impact factor: 4.734
Authors: Henry H Fischer; Ilana P Fischer; Rocio I Pereira; Anna L Furniss; Jeanne M Rozwadowski; Susan L Moore; Michael J Durfee; Silvia G Raghunath; Adam G Tsai; Edward P Havranek Journal: Diabetes Care Date: 2016-02-09 Impact factor: 19.112
Authors: Paul N Montero; Dimitrios Stefanidis; H James Norton; Keith Gersin; Timothy Kuwada Journal: Surg Obes Relat Dis Date: 2010-10-11 Impact factor: 4.734
Authors: Gerald J Jerome; Arlene Dalcin; Janelle W Coughlin; Stephanie Fitzpatrick; Nae-Yuh Wang; Nowella Durkin; Hsin-Chieh Yeh; Jeanne Charleston; Thomas Pozefsky; Gail L Daumit; Jeanne M Clark; Thomas A Louis; Lawrence J Appel Journal: J Med Internet Res Date: 2014-07-15 Impact factor: 5.428
Authors: María José Torrente-Sánchez; Manuel Ferrer-Márquez; Beatriz Estébanez-Ferrero; María Del Mar Jiménez-Lasserrotte; Alicia Ruiz-Muelle; María Isabel Ventura-Miranda; Iria Dobarrio-Sanz; José Granero-Molina Journal: Int J Environ Res Public Health Date: 2021-06-17 Impact factor: 3.390