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Online and smartphone based cognitive behavioral therapy for bariatric surgery patients: Initial pilot study
Melvyn W B Zhang1, Roger C M Ho2, Stephanie E Cassin3
1National HealthCare Group, Singapore.
Summary
Bariatric surgery patients showed interest in a new online and smartphone Cognitive Behavioral Therapy (CBT) intervention. This digital approach may help address psychological needs and improve weight management outcomes.
Area of Science:
- Obesity and Bariatric Surgery
- Digital Health Interventions
- Psychological Therapies
Background:
- Obesity rates in Canada (24.1%) and the US (34.1%) necessitate effective treatment options.
- Bariatric surgery is a recognized obesity treatment, but psychological factors are often overlooked.
- Cognitive Behavioral Therapy (CBT) effectively reduces binge eating and aids weight loss maintenance, yet geographical barriers limit access.
Purpose of the Study:
- To assess bariatric surgery patients' receptiveness to an online and smartphone-based CBT intervention.
- To explore a scalable digital solution for psychological support in bariatric care.
Main Methods:
- Developed a low-cost online portal and smartphone application for CBT delivery (July-December 2013).
- Employed a 4-phase development process: requirements, design, evaluation, and deployment.
- Recruited participants from Toronto Western Hospital's bariatric surgery outpatient service.
Main Results:
- The online portal attracted 2408 visitors, with 1879 from Canada.
- 8 users engaged with pre-assessment and modules; 4 completed at least 3 modules during the pilot (Jan-Oct 2014).
Conclusions:
- This study demonstrates the potential feasibility of online and smartphone CBT for bariatric surgery patients.
- Digital CBT platforms can address the psychological needs of bariatric surgery patients, overcoming traditional access barriers.
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