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A Randomised Trial of Text Message Support for Reducing Weight Regain Following Sleeve Gastrectomy

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Abstract

Introduction

Sleeve gastrectomy (SG) is a common bariatric procedure with high rates of weight regain (WR). Clinicians and patients have identified a lack of follow-up support and maladaptive lifestyle behaviours as potential causes for WR. While text message support has been shown to be effective for weight loss in non-surgical patients, it has not been investigated for reducing WR in bariatric patients.

Purpose

To determine the effectiveness of text message support in reducing weight regain following sleeve gastrectomy.

Methods

A text message intervention was designed. The effectiveness of the intervention was investigated by a randomised trial powered to detect a 15% difference in the primary outcome of percent excess weight loss (84 participants required). Secondary outcomes were the Bariatric Analysis and Reporting System (BAROS) score and patient satisfaction. Outcomes were assessed at 6 and 12 months.

Results

Ninety-five participants were randomised to either standard care or text message support (daily text message for 1 year). While there was no significant difference in the primary outcome at 6 or 12 months, patients who received the intervention tended to have less WR and a significantly better BAROS score at 12 months. Participants who received text message support found it beneficial, would have liked the messages to continue, and felt WR was reduced by having the text message support.

Conclusion

Text message support following SG is feasible, may reduce weight regain, improves the BAROS score and is valued by patients.

Trial Registration

NCT02341001

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Funding

This study was funded by the Health Research Council of New Zealand by way of a Clinical Research Training Fellowship (15/008) awarded to the first author.

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Authors and Affiliations

  1. Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, 1064, New Zealand

    Melanie Lauti, Malsha Kularatna, Andrew G Hill & Andrew D MacCormick

  2. Department of Statistics, University of Auckland, Auckland, New Zealand

    Avinesh Pillai

Authors
  1. Melanie Lauti
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  2. Malsha Kularatna
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  3. Avinesh Pillai
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  4. Andrew G Hill
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  5. Andrew D MacCormick
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Corresponding author

Correspondence to Melanie Lauti.

Ethics declarations

It was approved by the Northern B Health and Disability Ethics Committee in December 2014 (reference 14/NTB/206).

Conflict of Interest

The authors declare that they have no conflict of interest.

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Lauti, M., Kularatna, M., Pillai, A. et al. A Randomised Trial of Text Message Support for Reducing Weight Regain Following Sleeve Gastrectomy. OBES SURG 28, 2178–2186 (2018). https://doi.org/10.1007/s11695-018-3176-1

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