Development of a Weight Maintenance Intervention for Bariatric Surgery Patients (MAINTAIN-B)

VA Office of Research and Development

Status: Completed

Conditions: Obesity, Morbid

Treatments: Behavioral: maintenance intervention

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT03246672

PPO 16-331

Details and patient eligibility

About

Although bariatric surgery is highly effective for inducing significant weight loss and resolution of comorbidities, weight regain following surgery is a common problem. This pilot study will test the feasibility and acceptability of an intervention designed to help bariatric surgery patients maintain weight loss. Findings from this pilot will provide the foundation for a randomized controlled trial to evaluate the efficacy of the intervention.

Full description

The first intervention telephone call will occur one week following the baseline assessment. Calls will be made weekly in the first month (weeks 1, 2, 3, 4) and biweekly calls during months 2-4 (weeks 6, 8, 10, 12, 14). The goal of this intervention is to increase adherence to recommendations that patients are already receiving from their bariatric team as part of standard of care. Thus, each call will address maintenance skill building and anticipatory problem solving based on the processes outlined in the investigators' conceptual model and operationalized in the investigators' previous weight loss maintenance protocol. Relapse prevention planning will help patients identify situations in which overeating is common in the bariatric population (e.g., loss of control eating related to emotions, disinhibition).

Enrollment: 33 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Bariatric surgery at a participating VA site
• Laparoscopic Roux-en-Y gastric bypass (RYGB) or laparoscopic vertical sleeve gastrectomy (SG) six to 18 months prior to the time of data pull
• English as preferred language
• Regular access to a telephone

Exclusion criteria

• Receipt of procedure to prevent gastric cancer
• Revisional bariatric surgery
• Hearing impairment
• Cancer not in remission

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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33 participants in 1 patient group

maintenance

Experimental group

Description:

behavioral intervention to increase adherence to lifestyle recommendations

Treatment:

Behavioral: maintenance intervention