The Effects of e-Mobile Training and Consultancy Services on Bariatric Surgery Patients: A Randomized Clinical Trial

Sevgi Deniz Doğan, Sevban Arslan, Sevgi Deniz Doğan, Sevban Arslan

Abstract

Purpose: This study was conducted as a randomized controlled trial to determine the effects of e-mobile training and consultancy services on self-care agency, body image, and quality of life in patients undergoing bariatric surgery.

Material and methods: This study was conducted as a randomized controlled interventional study. The sample of the study consisted of 51 patients who met the sample selection criteria and volunteered to participate in the study in the Obesity Center of a City Hospital. The patients in the experimental group received e-mobile training and consultancy services with a mobile application developed specifically for bariatric surgery that started before the operation and lasted for 3 months after the operation. CONSORT checklist was used to report the current study.

Results: A statistically significant difference was found in the mean scores of Self-Care Agency Scale, Body Image Scale, Moorehead-Ardelt Quality of Life II, and BMI of the patients in the experimental and control groups according to the processes (p < 0.05). There was no statistically significant difference between the groups in terms of preoperative, 1st, 2nd, and 3rd months of Self-Care Agency, Body Image, and Quality of Life scale mean scores (p > 0.05). There was a statistically significant difference between the groups in favor of the experimental group in terms of the 1st, 2nd, and 3rd month BMI averages (p < 0.05).

Conclusions: The findings indicate that e-mobile training and consultation services given to patients undergoing bariatric surgery were effective in BMI measurements, but not on self-care agency, body image, and quality of life.

Trial registration: ClinicalTrials.gov Identifier: NCT05278767.

Keywords: Bariatric surgery; Consultation; Nursing, Mobile application; Patient education.

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Figures

Fig. 1
Fig. 1
CONSORT flow diagram

References

    1. Güven B, Akyolcu N. Effects of nurse-led education on quality of life and weight loss in patients undergoing bariatric surgery. Bariatr Surg Pract Patient Care. 2020;15:81–87. doi: 10.1089/bari.2019.0025.
    1. Vaamonde JG, Álvarez-Món MA. Obesity and overweight. Med. 2020;13:767–776. doi: 10.1016/j.med.2020.07.010.
    1. Tedik SE. Healthy life and role of nursing in the control of body weight. Turkish J Diabetes Obes. 2017;1:54–62. doi: 10.25048/tjdo.2017.9.
    1. Çıray Gündüzoğlu N, Kakı M, Tüzel A. Self care agency of obese indıvıduals. Int Ref Acad J Sport 2019;0:0–0. 10.17363/sstb.2019.30.5.
    1. Yıldız S, Çetinkaya F. Obesity and quality of life study in adults. Ahi Evran Med J. 2020;4:29–34. doi: 10.46332/aemj.782657.
    1. Lacerda RMR, Castanha CR, Castanha AR, et al. Perception of body image by patients undergoing bariatric surgery. Rev Col Bras Cir. 2018;45:1793. doi: 10.1590/0100-6991e-20181793.
    1. Yazdani N, Hosseini SV, Amini M, et al. Relationship between body image and psychological well-being in patients with morbid obesity. Int J Comm Based Nurs Midwifery. 2018;6:175–84. doi: 10.30476/ijcbnm.2018.40825.
    1. Heymsfield SB, Wadden TA. Mechanisms, pathophysiology, and management of obesity. N Engl J Med. 2017;376:1490–1492. doi: 10.1056/nejmc1701944.
    1. Öztürk Gök S, Akçil OM. Comparison of nutrition knowledge levels of obese individuals who have obesity surgery, use weight loss drugs and only diet. BÜSBİD. 2020;5:215–225.
    1. Usta E, Aygin D. Prospective randomized trial on effects of structured training and counseling on depression, body image, and quality of life. Bariatr Surg Pract Patient Care. 2020;15:55–62. doi: 10.1089/bari.2019.0028.
    1. Yildiz E, Karagözoğlu Ş. The effects of nursing education constructed according to Roy adaptation model on adaptation process of patients undergoing bariatric surgery. Bariatr Surg Pract Patient Care. 2021;16:98–108. doi: 10.1089/bari.2020.0030.
    1. Marshall S, Mackay H, Matthews C, Maimone IR, Isenringet E. Does intensive multidisciplinary intervention for adults who elect bariatric surgery improve post-operative weight loss, co-morbidities, and quality of life? A systematic review and meta-analysis. Obes Rev. 2020;21:e13012. 10.1111/obr.13012.
    1. Palacı H, Yarar O, Kuru İ, Yıldırım G. Evaluation of smart phone applications’ validity, certification, security and users adoptation perspective. Med Technol Congr. 2016;308–11.
    1. Liu P, Astudillo K, Velez D, Kelley L, Cobbs-Lomax D, Spatz ES. Use of mobile health applications in low-income populations. Circ Cardiovasc Qual Outcomes. 2020;13:e007031. 10.1161/CIRCOUTCOMES.120.007031.
    1. Kopmaz B, Arslanoğlu A. Mobile health and smart health applications. Heal Care Acad J. 2018;5:251–255. doi: 10.5455/sad.1543239549.
    1. Changizi M, Kaveh MH. Effectiveness of the mHealth technology in improvement of healthy behaviors in an elderly population—a systematic review. MHealth. 2017;3:51–51. doi: 10.21037/mhealth.2017.08.06.
    1. Özdemir C, Şendir M. Mobıle health applıcatıons and change of health behavıor. J Heal Sci. 2020;29:210–6. doi: 10.34108/eujhs.728647.
    1. Klasnja P, Rosenberg DE, Zhou J, et al. A quality-improvement optimization pilot of BariFit, a mobile health intervention to promote physical activity after bariatric surgery. Transl Behav Med. 2021;11:530–539. doi: 10.1093/tbm/ibaa040.
    1. Elvin-Walsh L, Ferguson M, Collins PF. Nutritional monitoring of patients post-bariatric surgery: implications for smartphone applications. J Hum Nutr Diet. 2018;31:141–148. doi: 10.1111/jhn.12492.
    1. Messiah SE, Sacher PM, Yudkin J, et al. Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: a systematic review. Digit Heal. 2020;6:205520761989898. doi: 10.1177/2055207619898987.
    1. Mangieri CW, Johnson RJ, Sweeney LB, et al. Mobile health applications enhance weight loss efficacy following bariatric surgery. Obes Res Clin Pract. 2019;13:176–179. doi: 10.1016/j.orcp.2019.01.004.
    1. Bond DS, Thomas JG. Measurement and intervention on physical activity and sedentary behaviours in bariatric surgery patients: emphasis on mobile technology. Eur Eat Disord Rev. 2015;23:470–478. doi: 10.1002/erv.2394.
    1. Nahcivan NO. A Turkish language equivalence of the exercise of Self-Care Agency Scale. West J Nurs Res. 2004;26:813–824. doi: 10.1177/0193945904267599.
    1. Ates D, Cebeci F. Adaptation and validation of Turkish version of the Moorehead-Ardelt Quality of Life Questionnaire II in bariatric patients. Bariatr Surg Pract Patient Care. 2019;14:165–171. doi: 10.1089/bari.2019.0004.
    1. Esmaeilishad B. The effectiveness of self-care training on quality of life, self-care behaviors and blood sugar in elderly without self-care behaviors. Orginal Artic Aging Psychol. 2020;6:1–11.
    1. Serpici A, Gürsoy A. Nurse-led patient training improves deep vein thrombosis knowledge and self-care practices. J Vasc Nurs. 2018;36:53–63. doi: 10.1016/j.jvn.2018.03.002.
    1. Caltabiano ML. Translational aspects of body image research for obesity-related quality of life and weight loss maintenance post-bariatric surgery. Ann Transl Med. 2020;8:S2–S2. doi: 10.21037/ATM.2019.09.63.
    1. Bertoletti J, GalvisAparicio MJ, Bordignon S, et al. Body image and bariatric surgery: a systematic review of literature. Bariatr Surg Pract Patient Care. 2019;14:81–92. doi: 10.1089/bari.2018.0036.
    1. Wild B, Hünnemeyer K, Sauer H, et al. A 1-year videoconferencing-based psychoeducational group intervention following bariatric surgery: results of a randomized controlled study. Surg Obes Relat Dis. 2015;11:1349–1360. doi: 10.1016/j.soard.2015.05.018.

Source: PubMed

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