Absence of Cognitive or Psychiatric Illness, Not Having Previously Received Cognitive Awareness Training, Not Having Undergone Revision Surgery, Patients Who Gain Weight or Stop Losing Weight After barıatrıc Surgery
Conditions
Keywords
Obesity, Bariatric Surgery, Motivational Interviewing, Mindfulness
Brief summary
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.
Interventions
Awareness initiatives were conducted face-to-face with 31 patients once a week for 8 weeks.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in weight loss maintenance awareness | Baseline and at 8 weeks after the intervention | Awareness related to weight loss maintenance will be assessed using a validated awareness questionnaire administered by a trained researcher. |
Countries
Turkey (Türkiye)