Psychosocial predictors of intentions to comply with bariatric surgery guidelines Prospective Validation of American Diabetes Association Risk Tool for Predicting Pre-Diabetes and Diabetes in Taiwan–Taichung Community Health Study Does cognitive behavioral therapy strengthen the effect of bariatric surgery for obesity? Design and methods of a randomized and controlled study. When is the best time to deliver behavioral intervention to bariatric surgery patients: before or after surgery? The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT): a new tool for the psychosocial evaluation of pre-transplant candidates. The impact of a bariatric rehabilitation service on weight loss and psychological adjustment - study protocol An evidence-based gamified mHealth intervention for overweight young adults with maladaptive eating habits: study protocol for a randomized controlled trial
An increasing body of research suggests that many patients have difficulty adopting the eating guidelines after weight-loss surgery , thereby reducing the long-term success of the procedure . Given such difficulties , it is possible that the typical preoperative education regarding post-surgical eating behavior guidelines is ineffective in motivating some individuals to comply . Presently , no accurate predictors of intentions to comply with post-bariatric surgery guidelines have been identified . In the present pilot study , a psychosocial intervention based on protection motivation theory ( PMT ) was presented to patients undergoing bariatric surgery .  PMT is a well-established preventive health model that has been utilized in a variety of health domains . Participants for this study were recruited before undergoing bariatric surgery , and were r and omly assigned to one of two groups : PMT group vs. control . In addition to routine messages from the bariatric surgeon , participants in the PMT group received an intervention based in PMT that focused on the importance of adhering to post-surgical eating behavior guidelines and how best to adhere to these guidelines . Participants in the control group received st and ard of care information from the bariatric surgeon . Results indicated that the PMT intervention did not have a significant impact . However , follow-up analyses revealed that two aspects of PMT , perceived self-efficacy and perceived threat of not following the guidelines , predicted patients ' intentions to comply with post-surgical guidelines . Findings are discussed in terms of the method ological compromises that result ed from the applied research setting as well as promising avenues for future investigation Background A simple diabetes risk tool that does not require laboratory tests would be beneficial in screening individuals at higher risk . Few studies have evaluated the ability of these tools to identify new cases of pre-diabetes . This study aim ed to assess the ability of the American Diabetes Association Risk Tool ( ADART ) to predict the 3-year incidence of pre-diabetes and diabetes in Taiwanese . Methods This was a 3-year prospect i ve study of 1021 residents with normoglycemia at baseline , gathered from a r and om sample of residents aged 40–88 years in a metropolitan city in Taiwan . The areas under the curve ( AUCs ) of three models were compared : ADART only , ADART plus lifestyle behaviors at baseline , and ADART plus lifestyle behaviors and biomarkers at baseline . The performance of ADART was compared with that of 16 tools that had been reported in the literature . Results The AUCs and their 95 % confidence intervals ( CIs ) were 0.60 ( 0.54–0.66 ) for men and 0.72 ( 0.66–0.77 ) for women in model 1 ; 0.62 ( 0.56–0.68 ) for men and 0.74 ( 0.68–0.80 ) for women in model 2 ; and 0.64 ( 0.58–0.71 ) for men and 0.75 ( 0.69–0.80 ) for women in model 3 . The AUCs of these three models were all above 0.7 in women , but not in men . No significant difference in either women or men ( p = 0.268 and 0.156 , respectively ) was observed in the AUC of these three models . Compared to 16 tools published in the literature , ADART had the second largest AUC in both men and women . Conclusions ADART is a good screening tool for predicting the three-year incidence of pre-diabetes and diabetes in females of a Taiwanese population . The performance of ADART in men was similar to the results with other tools published in the literature . Its performance was one of the best among the tools reported in the literature BACKGROUND ( Extreme ) obesity is a chronic harmful condition with high risk of medical comorbidities and negative social and emotional consequences . Bariatric surgery is an effective intervention for obesity , but approximately 20 to 30 % of the patients experience adverse outcomes after surgery and there is a need for augmentation of current treatment strategies . This study examines the added value of pre-operative cognitive behavioral therapy ( CBT ) focused on modification of thoughts and behaviors in terms of eating behavior and physical exercise as well as preparation for surgery and postoperative life style . We hypothesize that pre-operative CBT will result in better weight loss maintenance , reduction of maladaptive eating behavior and better adherence to postoperative lifestyle on the long term as compared to bariatric surgery alone . METHODS One hundred and twenty eight patients that are on a waiting list for bariatric surgery are r and omly assigned to the control or treatment condition . Patients in the treatment condition receive 10 sessions of CBT before surgery aim ed at modifying dysfunctional eating habits and behaviors and developing more rational weight and body-related beliefs in order to enable long term maintenance of a healthier lifestyle after surgery . Weight loss , eating behavior , eating disorders , depression , quality of life and psychological distress are assessed before and after treatment , as well as 1 , 3 , and 5 year following surgery BACKGROUND Many comprehensive bariatric surgery programs have implemented preoperative behavioral interventions for patients presenting with problematic eating behaviors in an effort to enhance postoperative weight loss and improve psychosocial adjustment . However , it is unknown whether these interventions are best delivered pre- or postoperatively . The purpose of this study was to determine when bariatric surgery patients are most receptive to a behavioral intervention , before or after surgery . METHODS A total of 32 pre- and postoperative patients were referred to a 10-week intervention design ed to reduce eating behaviors associated with postoperative weight gain ( e.g. ,  loss  of control while eating , grazing )  . The sample was 78.1 % female and 84.4 % white , with an average age of 49.43 + /- 9.13 years and a body mass index of 44.22 + /- 6.48 kg/m(2 ) . Of the 32 patients , 21 were referred preoperatively and 11 were referred postoperatively ( 5.63 + /- 2.91 months after surgery ) . These patients were tracked prospect ively to determine whether pre- or postoperative patients were more likely to attend and complete the behavioral intervention . RESULTS Compared with the preoperative patients , the postoperative patients were more likely to follow-up with their referral and initiate treatment [ chi(2)(1 ) = 10.06 , P = .002 ] . Of the postoperative patients , 100 % attended the first intervention session  compared with only 43 % of preoperative patients . The postoperative patients also attended more intervention sessions [ t(18 ) = 2.51 , P = .02 ] and were more likely to complete the intervention [ chi(2)(1 ) = 7.21 , P = .007 ] . Only 14 % of the preoperative referral patients completed the program compared with 91 % of the postoperative patients . CONCLUSION Comprehensive bariatric surgery programs ought to consider balancing the needs of the preoperative patients presenting with maladaptive eating behavior with the likelihood of them participating in a behavioral intervention before surgery BACKGROUND While medical criteria have been well established for each end-organ system , psychosocial listing criteria are less st and ardized . To address this limitation , we developed and tested a new assessment tool : the  Stanford Integrated Psychosocial Assessment for Transplantation ( SIPAT ) . METHODS The SIPAT was developed from a comprehensive review of the literature on the psychosocial factors that impact transplant outcomes . Five examiners blindly applied the SIPAT to 102 r and omly selected transplant cases , including liver , heart , and lung patients . After all subject 's files had been rated by the examiners , the respective transplant teams provided the research team with the patient 's outcome data . RESULTS Univariate logistic regression models were fit in order to predict the transplant psychosocial outcome ( positive or negative ) using each rater 's SIPAT scores . These results show that SIPAT scores are highly predictive of the transplant psychosocial outcome ( P < 0.0001 ) . The instrument has excellent inter-rater reliability ( Pearson 's correlation coefficient = 0.853 ) , even among novice raters . CONCLUSIONS The SIPAT is a comprehensive screening tool to assist in the psychosocial assessment of organ transplant c and i date s. Its strengths includes the st and ardization of the evaluation process and its ability to identify subjects who are at risk for negative outcomes after the transplant , in order to allow for the development of interventions directed at improving the patient 's c and idacy . Our goal is that the SIPAT , in addition to a set of agreed upon minimal psychosocial listing criteria , would be used in combination with organ-specific medical listing criteria in order to establish st and ardized criteria for the selection of transplant recipients Background Bariatric surgery is currently the most effective form of obesity management for those whose BMI is greater than 40 ( or 35 with co morbidities ) . A minority of patients , however , either do not show the desired loss of excess weight or show weight regain by follow up . Research highlights some of the reasons for this variability , most of which centres on the absence of any psychological support with patients describing how although surgery fixes their body , psychological issues relating to dietary control , self esteem , coping and emotional eating remain neglected . The present study aims to evaluate the impact of a health psychology led bariatric rehabilitation service ( BRS ) on patient health outcomes . The bariatric rehabilitation service will provide information , support and mentoring pre and post surgery and will address psychological issues such as dietary control , self esteem , coping and emotional eating . The package reflects the rehabilitation services now common place for patients post heart attack and stroke which have been shown to improve patient health outcomes . Methods / Design The study is a r and omised control trial and patients will be allocated to receive either usual care or the bariatric rehabilitation service pre and post bariatric surgery . Follow up measures of weight loss and psychological issues will be taken at baseline ( 2 weeks preoperatively ) , 3 , 6 and 12 months postoperatively . The contents of the bariatric service and the follow up measures are based on previous pilot work and have been developed further by the research team working closely with two patient support groups ( BOSPA & WLSinfo ) . This study will take place in St Richard 's Hospital in Chichester in the UK . Discussion It is predicted that a bariatric rehabilitation service will improve weight loss following surgery and will also facilitate changes in other psychological variables such as quality of life , dietary control , self esteem , coping and emotional eating . This also has cost implication s for the NHS and other healthcare providers as improved effectiveness of bariatric surgery reduces the health costs of obese patients in the longer term . Trial registration Clinical Trials.gov NCT01264120 Background Cognitive behavior therapy ( CBT ) is the first-line of treatment for overweight and obesity patients whose problems originate in maladaptive eating habits ( e.g. , emotional eating ) . However , in-person CBT is currently difficult to access by large segments of the population . The proposed SIGMA intervention ( i.e. , the Self-help , Integrated , and Gamified Mobile-phone Application ) is a mHealth intervention based on CBT principles . It specifically targets overweight young adults with underlying maladaptive behaviors and cognitions regarding food . The SIGMA app was design ed as a serious game and intended to work as a st and alone app for weight maintenance or alongside a calorie-restrictive diet for weight loss . It uses a complex and novel scoring system that allows points earned within the game to be supplemented by points earned during outdoor activities with the help of an embedded pedometer . Methods / design The efficacy of the SIGMA mHealth intervention will be investigated within a r and omized , placebo-controlled trial . The intervention will be set to last 2 months with a 3-month follow-up . Selected participants will be young overweight adults with non- clinical maladaptive eating habits embodied by food cravings , binge eating , and emotional eating . The primary outcomes will be represented by changes in ( 1 ) self-reported maladaptive thoughts related to eating and body weight , ( 2 ) self-reported maladaptive eating behaviors in the range of urgent food cravings , emotional eating or binge eating , ( 3 ) as well as biased attentional processing of food items as indexed by reaction times . Secondary outcomes will be represented by changes in weight , Body Mass Index , general mood , and physical activity as indexed by the number of steps per day . Discussion Through an evidence -based cognitive behavioral approach and a user-friendly game interface , the SIGMA intervention offers a significant contribution to the development of a cost-effective and preventive self-help tool for young overweight adults with maladaptive eating habits . Trial registration IS RCT N , ID : 70907354 . Registered on 6 February 2017 . The IS RCT N registration is in line with the World Health Organization Trial Registration Data Set . The present paper represents the original version of the protocol . Any changes to the protocol will be communicated to IS RCT
Validity varied extensively and there was a widespread lack of information regarding measurement of change over time and patient burden .
According to the evaluation criteria , there was adequate support for two tools .
The present study aims to identify the range of  eating behavior self- assessment tools reported in the adult bariatric surgery literature and evaluate the measurement properties of these tools using pre-established criteria .