The Effect of Tele-Counseling Service on Nutrition, Exercise Attitude, and Medication Adherence After Bariatric Surgery

Çukurova University

Status: Active, not recruiting

Conditions: Bariatric Surgery (Sleeve Gastrectomy )

Treatments: Other: Behavioral Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT07137117

CU-SBF-CB-04

Details and patient eligibility

About

The aim of this study was to evaluate the effects of teleconsultation service on nutrition, exercise attitudes and medication adherence after bariatric surgery.

Full description

Laparoscopic bariatric surgery is a popular procedure that offers proven long-term results in improving obesity-related comorbidities. However, after surgery, patients often experience behavioral adjustments, such as diet, physical activity, and medication use. These adjustments can lead to complications.In particular, poor adherence to vitamin supplements can lead to nutritional deficiencies and related health problems. Lack of adherence to physical activity is also frequently observed. Making lifestyle changes after bariatric surgery is important, and telecounseling stands out as an effective tool in this process. Telecounseling can help patients develop healthy lifestyle habits and increase access to healthcare.Studies show that telephone follow-up and counseling provided via mobile apps after bariatric surgery improves patient health management and treatment adherence. Furthermore, due to the limitations of written educational materials, telephone counseling fosters stronger patient motivation. This method can be customized to individual health needs and facilitates access to healthcare by eliminating geographic limitations. In conclusion, one-on-one telephone counseling can help patients maintain healthy lifestyles after bariatric surgery, improving treatment outcomes and positively impacting long-term health outcomes.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who have undergone laparoscopic bariatric surgery (sleeve gastrectomy only) for the first time,
• Are between the ages of 18 and 65,
• Are conscious and oriented to person, time, and place,
• Can speak Turkish,
• Have no auditory or visual impairments,
• Can use a telephone will be included in the study.

Exclusion criteria

• Patients who developed early postoperative complications (bleeding, anastomotic leakage, etc.), were hospitalized for revision surgery, and did not consent to the study will not be included in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

intervention group

Experimental group

Description:

Patients in the experimental group will be administered a "Patient Information Form" on the morning of surgery. Standard discharge education will be provided within 72 hours after surgery. After discharge, patients will be contacted at 1, 2, 3 weeks, and 2, 4, and 5 months for informational purposes only; no scales will be administered. During this period, regular follow-up and support will be provided to enhance patient compliance with post-surgical care. The "Interview Information Collection Form" will be used during telephone interviews with patients to collect and evaluate current health data. This practice will ensure the systematic and accurate recording of patients' current conditions. Patients will be contacted at 1, 3, and 6 months to complete the "Medication Adherence Scale" and the "Nutrition and Exercise Attitude Scale," which will collect data on medication adherence and behavioral attitudes.

Treatment:

Other: Behavioral Treatment

no intervention group

No Intervention group

Description:

Patients in the control group will be administered a "Patient Information Form" on the morning of surgery. This form will be used to assess the patients' demographic and clinical characteristics. Patients will receive standard discharge education within 72 hours after surgery and then be discharged. Post-discharge follow-up will be conducted via telephone at 1, 3, and 6 months. An "Interview Information Collection Form" will be used during telephone interviews to collect and evaluate current health data. This practice will ensure systematic and accurate recording of patients' current conditions. At each follow-up interview, patients will be administered the "Medication Adherence Scale" and the "Nutrition and Exercise Attitude Scale" to collect data on medication adherence and nutritional and exercise habits. These measurement tools will be used systematically to assess patients' treatment adherence and behavioral attitudes.