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  • Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review.

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    Wright511522-Published.pdf (759.8Kb)
    File version
    Version of Record (VoR)
    Author(s)
    Wright, Charlene
    Mutsekwa, Rumbidzai N
    Hamilton, Kyra
    Campbell, Katrina L
    Kelly, Jaimon
    Griffith University Author(s)
    Campbell, Katrina
    Kelly, Jaimon
    Hamilton, Kyra
    Mutsekwa, Rumbidzai
    Wright, Charlene A.
    Year published
    2021
    Metadata
    Show full item record
    Abstract
    This systematic review aimed to evaluate the effect of eHealth-delivered interventions for adults who undergo bariatric surgery on postoperative weight loss, weight loss maintenance, eating psychopathology, quality of life, depression screening, and self-efficacy. Six electronic databases were searched, with 14 studies (across 17 reports) included, involving 1633 participants. With substantial heterogeneity, qualitative descriptions have been provided. Interventions were delivered via an online program or internet modules (n = 2), telephone (n = 2), text messages (n = 2), videoconferencing (n = 3), mobile application (n = ...
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    This systematic review aimed to evaluate the effect of eHealth-delivered interventions for adults who undergo bariatric surgery on postoperative weight loss, weight loss maintenance, eating psychopathology, quality of life, depression screening, and self-efficacy. Six electronic databases were searched, with 14 studies (across 17 reports) included, involving 1633 participants. With substantial heterogeneity, qualitative descriptions have been provided. Interventions were delivered via an online program or internet modules (n = 2), telephone (n = 2), text messages (n = 2), videoconferencing (n = 3), mobile application (n = 1), and audiovisual media (n = 1). Three studies included a combination, including internet modules and telephone (n = 1), wireless fidelity scales, emails, and telephone (n = 1), and a combination of online treatment, weekly emails, and access to a private Facebook group (n = 1). All the eHealth interventions, except for one, implemented behavior change techniques, including self-monitoring, problem solving, social support, goal setting, and shaping knowledge. Both eHealth intervention and control groups lost weight across the included studies, and eHealth was found to be as effective as or more effective than the control for weight loss. Two studies measured weight loss maintenance; both eHealth and control groups regained weight in the longer term. The interventions showed significant improvement on assessment measures for eating psychopathology. In conclusion, when bariatric surgery patients have limited or no access to healthcare teams or require additional support, eHealth may be a suitable option. Future studies implementing eHealth interventions would benefit from reporting intervention components as per the behavior change techniques taxonomy and further consideration of delivering eHealth in a stepped care approach would be beneficial.
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    Journal Title
    Surgery for Obesity and Related Diseases
    DOI
    https://doi.org/10.1016/j.soard.2021.07.020
    Copyright Statement
    © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Clinical sciences
    Bariatric surgery
    Disordered eating
    Obesity
    Weight loss
    Weight maintenance
    Publication URI
    http://hdl.handle.net/10072/407679
    Collection
    • Journal articles

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