Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I),Obesity Surgery

当前位置： X-MOL 学术 › Obes. Surg. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I)
Obesity Surgery ( IF 2.9 ) Pub Date : 2024-03-14 , DOI: 10.1007/s11695-024-07161-0
Aurélie Baillot _{1,

2,

3} , Marine Asselin ₄ , Paquito Bernard _{5,

6} , Josyanne Lapointe _{5,

6} , Dale S Bond ₇ , Ahmed Jérôme Romain _{6,

8} , Pierre Y Garneau ₉ , Laurent Biertho ₁₀ , André Tchernof ₁₁ , Patricia Blackburn ₁₂ , Marie-France Langlois ₁₃ , Jennifer Brunet _{2,

14,

15}

Affiliation

École Interdisciplinaire de Santé, Université du Québec en Outaouais, 283 Boul. Alexandre-Taché, Gatineau, Québec, J8X 3X7, Canada.
Institut du Savoir Montfort, Ottawa, ON, Canada.
Centre de Recherche en Médecine Psychosociale, Centre Intégré de Santé et Services, Sociaux de L'Outaouais, Gatineau, Québec, Canada.
Université de Lorraine, 2LPN, F-57000, Metz, France.
Department of Physical Activity Sciences, Université du Québec À Montréal, Montréal, Québec, Canada.
Centre de Recherche, Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada.
Department of Surgery, Hartford Hospital/HealthCare, Hartford, CT, USA.
School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
Department of Surgery, Université de Montréal, Montréal, Québec, Canada.
Institut Universitaire de Cardiologie et de Pneumologie de Québec et Faculté de Médecine, Université Laval, Québec, Québec, Canada.
Institut Universitaire de Cardiologie et de Pneumologie de Québec et École de Nutrition, Université Laval, Québec, Québec, Canada.
Division of Kinesiology, Department of Health Sciences, Université du Québec À Chicoutimi, Chicoutimi, Québec, Canada.
CHUS Research Center and Division of Endocrinology, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.
Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.

Background

Physical activity (PA) can play an important role in optimizing metabolic/bariatric surgery (MBS) outcomes. However, many MBS patients have difficulty increasing PA, necessitating the development of theory-driven counseling interventions. This study aimed to (1) assess the feasibility and acceptability of the TELEhealth BARIatric behavioral intervention (TELE-BariACTIV) trial protocol/methods and intervention, which was designed to increase moderate-to-vigorous intensity physical activity (MVPA) in adults awaiting MBS and (2) estimate the effect of the intervention on MVPA.

Methods

This trial used a repeated single-case experimental design. Twelve insufficiently active adults awaiting MBS received 6 weekly 45-min PA videoconferencing counseling sessions. Feasibility and acceptability data (i.e., refusal, recruitment, retention, attendance, and attrition rates) were tracked and collected via online surveys, and interviews. MVPA was assessed via accelerometry pre-, during, and post-intervention.

Results

Among the 24 patients referred to the research team; five declined to participate (refusal rate = 20.8%) and seven were ineligible or unreachable. The recruitment rate was 1.2 participants per month between 2021–09 and 2022–07. One participant withdrew during the baseline phase, and one after the intervention (retention rate = 83.3%). No participant dropouts occurred during the intervention and 98.6% of sessions were completed. Participants’ anticipated and retrospective acceptability of the intervention was 3.2/4 (IQR, 0.5) and 3.0/4 (IQR, 0.2), respectively. There was a statistically significant increase in MVPA [Tau-U = 0.32(0.11; 0.51)] from pre- to post-intervention.

Conclusion

Despite a low recruitment rate, which could be explained by circumstances (COVID-19 pandemic), results support feasibility, acceptability, and preliminary efficacy of the TELE-Bari-ACTIV intervention for increasing MVPA in patients awaiting MBS.

Graphical Abstract

中文翻译：

远程医疗减肥行为干预以增加减肥手术前体力活动的可接受性和可行性：单例实验研究（第一部分）

背景

体力活动 (PA) 在优化代谢/减肥手术 (MBS) 效果方面发挥着重要作用。然而，许多 MBS 患者难以增加 PA，因此需要开发理论驱动的咨询干预措施。本研究旨在 (1) 评估 TELEhealth BARIatric 行为干预 (TELE-BariACTIV) 试验方案/方法和干预的可行性和可接受性，该试验旨在增加等待 MBS 的成年人的中等到剧烈强度体力活动 (MVPA) (2) 估计干预措施对 MVPA 的影响。

方法

该试验采用重复的单案例实验设计。 12 名等待 MBS 的活动不足的成年人接受了 6 次每周 45 分钟的 PA 视频会议咨询课程。通过在线调查和访谈来跟踪和收集可行性和可接受性数据（即拒绝率、招聘率、保留率、出勤率和流失率）。 MVPA 通过干预前、干预期间和干预后的加速度测量进行评估。

结果

在转介给研究小组的 24 名患者中； 5 名拒绝参加（拒绝率 = 20.8%），7 名不符合资格或无法联系。 2021-09 年至 2022-07 年期间，招募率为每月 1.2 名参与者。一名参与者在基线阶段退出，一名参与者在干预后退出（保留率 = 83.3%）。干预期间没有发生参与者退出的情况，并且完成了 98.6% 的课程。参与者对干预措施的预期和回顾性可接受性分别为 3.2/4（IQR，0.5）和 3.0/4（IQR，0.2）。从干预前到干预后，MVPA [Tau-U = 0.32(0.11; 0.51)] 有统计学上的显着增加。