THE EFFECT OF MOTİVATİONAL INTERVİEWİNG-BASED MİNDFULNESS INTERVENTION ON WEİGHT MANAGEMENT AFTER WEİGT LOSS,7SLİMMİNG SURGERY: A RANDOMİZED CONTROLLED TRIAL.

Duygu Ateş

Status: Invitation-only

Conditions: Patients Who Gain Weight or Stop Losing Weight After barıatrıc Surgery; Not Having Undergone Revision Surgery; Absence of Cognitive or Psychiatric Illness; Not Having Previously Received Cognitive Awareness Training

Treatments: Behavioral: A MİNDFULNESS İNİTİATİVE BASED ON MOTİVATİONAL İNTERVİEWİNG

Study type: Interventional

Funder types: Other

Identifiers

NCT07351214

KA25/84

Details and patient eligibility

About

Obesity is one of the most critical health problems in developed and developing countries, recognized as a chronic disease that adversely affects both individual and societal health. The World Health Organization (WHO) and other health authorities classify obesity based on Body Mass Index (BMI). Individuals with a BMI above 30 are categorized as obese, while those with a BMI above 40 are considered severely obese. Global statistics show a rapid increase in obesity prevalence, predicting that the number of obese individuals will reach 1.53 billion by 2035. In Turkey, the rate of women with high BMI has risen to 76%, and obesity prevalence has surpassed 30%.

Obesity is caused by unhealthy dietary habits, physical inactivity, genetic predisposition, and environmental factors, leading to serious health problems such as diabetes, hypertension, and cardiovascular diseases. Treatment methods include diet, exercise, medication, behavioral therapies, and surgical interventions. However, post-surgery patients are at risk of regaining lost weight if they fail to regulate their eating behaviors.

In recent years, motivational interviewing and mindfulness-based interventions have come to the forefront in obesity treatment. Motivational interviewing is an evidence-based technique that supports behavioral change by enhancing an individual's intrinsic motivation. Mindfulness-based approaches have proven effective in emotional regulation, stress management, and improving eating behaviors. Research has shown that these methods help post-bariatric surgery patients adjust their eating habits, maintain weight control, and improve their quality of life.

Enrollment: 52 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Literacy,
• Being between 18-65 years old,
• Regaining 5% or more of the minimum weight achieved at least 6 months after the surgery.

Exclusion criteria

• Having a diagnosed cognitive or psychiatric illness that would make it difficult for them to understand and adapt to the training content
• Having previously received cognitive awareness training
• Having undergone revision surgery

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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52 participants in 2 patient groups

Intervention Group

Experimental group

Description:

a mindfulness initiative based on motivational interviewing: Motivational interviewing over the phone three times, Mindfulness practices are face to face once a week for 8 weeks

Treatment:

Behavioral: A MİNDFULNESS İNİTİATİVE BASED ON MOTİVATİONAL İNTERVİEWİNG

Control Group

No Intervention group

Description:

standard training in an obesity clinic: In an obesity clinic, standard follow-up training is provided once a month by a dietitian, psychologist, nurse, and physiotherapist.