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Coconstruction of adjunct behavioral interventions to bariatric surgery: The INTER-Change program.

Annabelle Fortin¹, Kim L Lavoie¹, Tair Ben-Porat¹

¹Montreal Behavioural Medicine Centre (MBMC), Centre Integre Universitaire de sante et de Services Sociaux du Nord-de-l'Ile-de-Montreal (CIUSSS-NIM).

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association

|April 10, 2023

Summary

Developing adjunct behavioral interventions for bariatric surgery patients is crucial. This research integrates patient and professional input to create effective, long-term behavior change strategies for improved outcomes.

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Area of Science:

Behavioral science
Obesity research
Surgical outcomes

Background:

Bariatric surgery (BS) requires long-term behavior change for optimal outcomes.
Adjunct behavioral interventions can enhance weight maintenance and overall well-being post-surgery.
Current interventions often lack patient-centered design and stakeholder engagement.

Purpose of the Study:

To detail the INTER-Change program's strategies for developing adjunct behavioral interventions for BS patients.
To outline the methods used to engage diverse stakeholders in shaping these interventions.
To improve long-term behavior change and patient outcomes following bariatric surgery.

Main Methods:

Living systematic review of behavioral weight management (BWM) interventions adjunct to BS.
Focus groups with patients, healthcare professionals, and administrators.
Patient-generated surveys, international eDelphi study, and consensus meetings to prioritize intervention components and protocols.

Main Results:

Postoperative BWM interventions show promise for weight maintenance, but existing ones are often poorly developed and lack stakeholder input.
Key goals for adjunct interventions include psychological well-being and health-related behaviors, beyond just weight loss.
Ongoing and planned data collection (surveys, eDelphi, consensus) will inform intervention development and testing protocols.

Conclusions:

An integrated knowledge translation approach ensures behavioral interventions are relevant, well-designed, and effective.
Stakeholder engagement is critical for the successful development and implementation of adjunct behavioral interventions.
This program aims to create more efficient and implementable behavioral support for bariatric surgery patients.