MyGood Trip, a Telemedicine Intervention for Physical Activity Recovery After Bariatric Surgery: Randomized...

Area of Science:

• Bariatric Surgery Outcomes
• Digital Health Interventions
• Physical Activity Promotion

Background:

• Many bariatric surgery patients experience weight regain post-surgery.
• Telemedicine may support post-bariatric surgery patients in adopting active lifestyles.
• Improving clinical outcomes through enhanced patient engagement is a key goal.

Purpose of the Study:

• To evaluate a 6-month telemedicine program for physical activity promotion post-bariatric surgery.
• The program incorporated digital devices, teleconsultations, and telemonitoring.
• The study aimed to assess the impact on physical activity and weight.

Main Methods:

• Mixed methods design with an open-label randomized controlled trial.
• Two groups: TelePhys (physical activity coaching) and TeleDiet (diet coaching) via telemedicine.
• Data collected via wireless pedometers and scales; interviews and focus groups captured patient perceptions.

Main Results:

• Both groups showed increased steps, significant only in the TeleDiet group (P=.01).
• No significant difference in mobility or steps between TelePhys and TeleDiet groups.
• Patients valued personalized teleconsultations; social support facilitated activity, while external barriers hindered adherence.

Conclusions:

• Telemedicine intervention for physical activity post-bariatric surgery showed no significant difference in mobility recovery.
• Early postoperative timing and the need for public health policy support for eHealth interventions were highlighted.
• Further research on long-term interventions is recommended to combat sedentary lifestyles.