A Positive Emotion-Focused Intervention to Increase Physical Activity After Bariatric Surgery: Protocol for a Pilot Randomized Controlled Trial.
A Positive Emotion-Focused Intervention to Increase Physical Activity After Bariatric Surgery: Protocol for a Pilot Randomized Controlled Trial.
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DOI：
10.2196/39856
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发表时间：
2022-10-06
影响因子：
1.7
通讯作者：
Huffman, Jeff C.
中科院分区：
文献类型：
--
作者：
Feig, Emily H.;Harnedy, Lauren E.;Thorndike, Anne N.;Psaros, Christina;Healy, Brian C.;Huffman, Jeff C.
关键词：
减肥手术后的体力活动水平通常较低，尽管体力活动对这一人群的健康有显著的保护作用。积极的心理健康与改善对健康行为的坚持有关，但减肥手术患者通常与阻止持续参与的体育活动有负相关。减肥手术后获得乐观情绪（GOALS）试点随机对照试验旨在测试一种新的干预措施，以增加减肥手术后的身体活动，该干预措施将积极的心理技能建设与动机访谈和目标设定相结合。aims试验是一项为期24周的两组随机对照试验，旨在招募58名成年人，这些成年人报告每周进行的中度至剧烈体育活动少于200分钟，并希望在减肥手术后6-12个月内变得更加活跃。目标是测试积极心理动机访谈电话干预的可行性、可接受性和初步效果，以增加身体活动和相关的积极影响为目标。干预成分包括积极心理学、目标设定、通过提供的fitbit进行自我监控，以及克服障碍和增加动机的动机性访谈。这种干预与体育活动教育控制相比较，后者包括围绕体育活动进行心理教育的邮件和提供Fitbit。试点试验的主要结果是可行性和可接受性，以会话完成率和参与者对每个会话的易用性和有用性的评分来衡量。主要的次要结果是干预后和24周随访时加速度计测量的中度至剧烈身体活动的变化。其他结果包括与身体活动、心理健康和身体健康措施有关的态度的改变。该多阶段项目于2020年获得资助，并于2021年获得机构审查委员会对拟议试验的批准。随机对照试验的招募于2022年7月开始。在试点完成后，我们将审查干预的可行性、可接受性和初步效果。虽然减肥手术是治疗严重肥胖最有效的方法，但体重反弹往往发生在心理健康状况不佳的情况下。许多人会从减肥手术后增加积极心理健康的学习策略中受益，这可以帮助他们保持生活方式的改变。积极心理学是一种新的方法，通过增加与健康行为（包括体育活动）的积极联系来提高依从性。aims试点试验将确定这类干预措施对这一人群是否可行和可接受，并将为未来的全面随机对照疗效试验奠定基础。ClinicalTrials.gov NCT04868032;https://clinicaltrials.gov/ct2/show/NCT04868032 prr1 - 10.2196/39856
Physical activity levels after bariatric surgery are usually low, despite the significant protective health benefits of physical activity in this population. Positive psychological well-being is associated with improved adherence to health behaviors, but bariatric surgery patients often have negative associations with physical activity that prevent sustained engagement. The Gaining Optimism After weight Loss Surgery (GOALS) pilot randomized controlled trial is aimed at testing a novel intervention to increase physical activity after bariatric surgery, which incorporates positive psychological skill-building with motivational interviewing and goal-setting. The GOALS trial is a 2-arm, 24-week pilot randomized controlled trial that aims to enroll 58 adults who report less than 200 minutes per week of moderate to vigorous physical activity and a desire to become more active 6-12 months after bariatric surgery. GOALS is testing the feasibility, acceptability, and preliminary efficacy of a positive psychology–motivational interviewing telephone intervention targeting to increase physical activity and associated positive affect. Intervention components include positive psychology, goal-setting, self-monitoring via provided Fitbits, and motivational interviewing to overcome barriers and increase motivation. The intervention is compared to a physical activity education control that includes mailings with psychoeducation around physical activity and provision of a Fitbit. The primary outcomes of the pilot trial are feasibility and acceptability, measured as session completion rates and participant ratings of ease and helpfulness of each session. The main secondary outcome is change in accelerometer-measured moderate to vigorous physical activity post intervention and at 24-week follow-up. Additional outcomes include changes in attitudes related to physical activity, psychological well-being, and physical health measures. This multiphase project was funded in 2020 and institutional review board approval was obtained for the proposed trial in 2021. Recruitment for the randomized controlled trial began in July 2022. Upon completion of the pilot trial, we will examine the feasibility, acceptability, and preliminary efficacy of the intervention. Although bariatric surgery is the most effective treatment available for severe obesity, weight regain occurs, often in the context of low psychological well-being. Many individuals would benefit from learning strategies to increase positive psychological well-being after bariatric surgery, which could help them maintain lifestyle changes. Positive psychology is a novel approach to improve adherence by increasing positive associations with health behaviors including physical activity. The GOALS pilot trial will determine whether this type of intervention is feasible and acceptable to this population and will provide a foundation for a future full-scale randomized controlled efficacy trial. ClinicalTrials.gov NCT04868032; https://clinicaltrials.gov/ct2/show/NCT04868032 PRR1-10.2196/39856
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影响因子：
5.4
作者：
Cornelissen VA;Smart NA
通讯作者：
Smart NA
DOI：
10.1038/oby.2010.88
发表时间：
2010-12
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Bond DS;Jakicic JM;Unick JL;Vithiananthan S;Pohl D;Roye GD;Ryder BA;Sax HC;Wing RR
通讯作者：
Wing RR
影响因子：
2.4
作者：
Backhouse, Susan H.;Ekkekakis, Panteleirnon;Williams, Clyde
通讯作者：
Williams, Clyde
影响因子：
4.2
作者：
Czajkowski, Susan M.;Powell, Lynda H.;Charlson, Mary E.
通讯作者：
Charlson, Mary E.
影响因子：
16.9
作者：
Courcoulas, Anita P.;King, Wendy C.;Yanovski, Susan Z.
通讯作者：
Yanovski, Susan Z.