Bariatric Surgery, Body Image, Mental Health, Obesity (Disorder)
Conditions
Keywords
3D Reconstruction, Virtual Reality, Body Image, Machine Learning, Bariatric Metabolic Surgery
Brief summary
Studies have shown that following bariatric metabolic surgery (BMS), patients continue to experience dissatisfaction with their new body image and identity). The reason for this is poorly understood but negative body image perception after surgery is linked to poor psychological and clinical outcomes. Our pilot study looking at the acceptability and feasibility of 3D reconstruction and virtual reality (VR) in addressing body image in BMS found that participants felt better informed about how their body will change following significant weight loss and agreed this novel intervention would be beneficial in helping patients adjust to changes in their body after BMS. The investigators propose a randomised control trial comparing group body image counselling and group body image counselling with 3D reconstruction and VR in addressing body image in BMS. The study aims to enrol 80 participants from the Tier 4 bariatric group at St Mary's Hospital and Chelsea & Westminster Hospital. After consent, participants will be divided into two groups: the control group will receive traditional group body image counselling, and the intervention group will receive the same counselling supplemented with VR and 3D reconstructed images depicting 15% and 25% total less body weight. Both groups will undergo four sessions over six months. The investigators will collect data including body measurements and 3D images of the participant in their underwear using a secure password protected device at baseline and follow participants at 3, 6, 9, 12, 18, 24, and 36 months post-BMS. Patient reported outcomes will be assessed through patient-reported questionnaires. This trial seeks to determine if integrating 3D reconstruction and VR technology into body image counselling can provide better support for patients adjusting to body image changes post-BMS, potentially leading to improved psychological and clinical outcomes.
Interventions
BEHAVIORALBody Image Counselling with Virtual Reality
Body image counselling using personalised 3D reconstructed images of participant with 15% and 25% total body weight loss in a virtual reality environment.
Sponsors
Imperial College London
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Tier 4 bariatric group * On waiting list for bariatric metabolic surgery * Able to stand unaided for at least 5 minutes
Exclusion criteria
* Anyone who cannot provide informed consent * Anyone who is involved in current research or has recently been involved in any research prior to recruitment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Weight | Baseline and through study completion, an average of 3 years. | kg |
| Patient reported outcome measure - Weight Bias Internalisation Scale. | Baseline and through study completion, an average of 3 years. | Minimum score 1. Maximum score 7. Score 1 - 3.9 = Low to Moderate Internalisation Score 4 = High internalisation Score 5 - 7 = Severe internalisation |
| Patient reported outcome measure - Hospital Anxiety and Depression Scale (HADS) | Baseline and through study completion, an average of 3 years. | Scored by calculating separate totals for its two subscales: Anxiety (HADS-A) and Depression (HADS-D) Each subscale is scored out of 21 points 0 - 7 = Normal 8 - 10 = Borderline Abnormal / Mild 11 - 21 = Abnormal / Moderate to Severe |
| Patient reported outcome measure - Body Image Questionnaire | Baseline, and through study completion, an average of 3 years | Total score ranging from 0 to 18. Score 0 - 8 = Minimal to Mild Concern Score 9 - 14 = Moderate Concern Score 15 - 28 = Severe / Probable Clinical Body Dysmorphic Disorder |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant opinion on virtual reality environments. | Duration of body image counselling sessions, average of 6 months. | Qualitative data based on discussions and feedback held during group sessions. |
Countries
United Kingdom
Contacts
CONTACTNazrin Assaf
Outcome results
None listed