Ignite Creation Date:
2024-05-05 @ 11:08 PM
Last Modification Date:
2024-10-26 @ 10:29 AM
Study NCT ID:
NCT01264120
Status:
UNKNOWN
Last Update Posted:
2014-01-24
First Post:
2010-12-16
Brief Title:
The Impact of a Bariatric Rehabilitation Service on Patient Outcomes
Sponsor:
University of Surrey
Organization:
University of Surrey
Study Overview
Official Title:
The Impact of a Bariatric Rehabilitation Service on Weight Loss and Psychological Adjustment
Status:
UNKNOWN
Status Verified Date:
2014-01
Last Known Status:
ENROLLING_BY_INVITATION
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Obesity is a major health problem that is affecting more and more peoples lives One of the most successful treatments for obesity is weight loss surgery Not all patients however lose the desired amount of weight some regain weight and some have the surgery reversed Interviews with patients and discussions with patient support groups indicate that many of the unsuccessful patients feel unprepared for the operation and describe how although the surgery fixes their body it neglects their mind They would therefore like to have more psychological support
The present study aims to set up and evaluate a health psychology led bariatric rehabilitation service BRS and determine the impact of such a service on patient outcomes following surgery The BRS would offer information support and mentoring pre and post surgery and address psychological issues such as dietary control self esteem coping and emotional eating It is predicted that a bariatric rehabilitation service would primarily improve weight loss following surgery but would also aid changes in other aspects of the patients well being
Obesity is a risk factor for a multitude of illnesses such as heart disease diabetes and cancer If effective obesity surgery improves a patients health and reduces their need for NHS care If unsuccessful then the costs include not only subsequent NHS costs due to these other illnesses but also the costs of the unsuccessful operation and the emotional cost to the patient The bariatric rehabilitation service should help to improve the effectiveness of surgery which in the longer term is likely to be cost effective
This research is a direct response to the needs identified by patients and by offering a more comprehensive bariatric service the success and subsequent health and well being of obese patients should be improved
The present study aims to set up and evaluate a health psychology led bariatric rehabilitation service BRS and determine the impact of such a service on patient outcomes following surgery The BRS would offer information support and mentoring pre and post surgery and address psychological issues such as dietary control self esteem coping and emotional eating It is predicted that a bariatric rehabilitation service would primarily improve weight loss following surgery but would also aid changes in other aspects of the patients well being
Obesity is a risk factor for a multitude of illnesses such as heart disease diabetes and cancer If effective obesity surgery improves a patients health and reduces their need for NHS care If unsuccessful then the costs include not only subsequent NHS costs due to these other illnesses but also the costs of the unsuccessful operation and the emotional cost to the patient The bariatric rehabilitation service should help to improve the effectiveness of surgery which in the longer term is likely to be cost effective
This research is a direct response to the needs identified by patients and by offering a more comprehensive bariatric service the success and subsequent health and well being of obese patients should be improved
Detailed Description:
Design The study will involve a trial open randomised parallel group control trial with patients allocated to receive either usual care or the bariatric rehabilitation service BRS pre and post bariatric obesity surgery Follow up measures will be recorded at 3 6 and 12 months post-surgery at routine follow-up clinics In addition qualitative interviews will be carried out with 20 participants from both arms of the trial BRS n10 usual care n10
Piloting The contents of the bariatric service and the follow up measures are based on pilot work This pilot work has already been completed exploring what bariatric patients want and why bariatric surgery either fails or succeeds from the patients perspective Furthermore pilot research has explored the impact of bariatric surgery on changes in mood cognitions and eating behaviours The quantitative measures and qualitative responses derived from these studies will form the basis of the intervention and the measures for the present study
Sample St Richards Hospital in Chichester West Sussex offers a NHS based bariatric service for obese patients with a BMI over 40 or 35 with serious co morbidities This is the largest centre in the UK with 600 patients per year receiving a bariatric operation at this clinic 70 being a primary bypass and 20 bands the remaining 10 are revisions Patients will be recruited if they have been approved for surgery and had their date set for their operation The consultant surgeon Mr Chris Pring is a collaborator on this proposal
Procedure Ethical approval will be in place before the start of the project In the week before their operation patients attend the bariatric clinic for routine tests When patients are sent their appointment letters they will be sent the information sheet along with it to give them approximately 2 weeks to think about whether they would like to take part At the appointment patients will see the researcher who will explain the trial obtain consent and randomly allocate the patient to either the usual care condition or the bariatric rehabilitation service BRS condition
Randomisation All patients who fulfil the inclusion criteria will be approached by the researcher asked to read an information sheet and if interested offered a written consent form Once a patient is consented the researcher will contact the clinical trial unit at Surrey University who will provide third party blinded randomization to either the BRS or usual care
Timeline The study will take 34 months New patients will be recruited over a 12 month period and followed up for 12 months postoperatively The first 6 months will involve preparation setting up procedures for data collection and training the health psychologist The next 25 months will involve rolling out the intervention recruitment randomly allocating patients to the 2 conditions providing the BRS and collecting data on the evaluation of service At 18 months the 20 interviews will take place and be transcribed The final 3 months will be spent analyzing the data assessing cost-effectiveness disseminating the results to patients and health professionals and writing up findings for publication
Piloting The contents of the bariatric service and the follow up measures are based on pilot work This pilot work has already been completed exploring what bariatric patients want and why bariatric surgery either fails or succeeds from the patients perspective Furthermore pilot research has explored the impact of bariatric surgery on changes in mood cognitions and eating behaviours The quantitative measures and qualitative responses derived from these studies will form the basis of the intervention and the measures for the present study
Sample St Richards Hospital in Chichester West Sussex offers a NHS based bariatric service for obese patients with a BMI over 40 or 35 with serious co morbidities This is the largest centre in the UK with 600 patients per year receiving a bariatric operation at this clinic 70 being a primary bypass and 20 bands the remaining 10 are revisions Patients will be recruited if they have been approved for surgery and had their date set for their operation The consultant surgeon Mr Chris Pring is a collaborator on this proposal
Procedure Ethical approval will be in place before the start of the project In the week before their operation patients attend the bariatric clinic for routine tests When patients are sent their appointment letters they will be sent the information sheet along with it to give them approximately 2 weeks to think about whether they would like to take part At the appointment patients will see the researcher who will explain the trial obtain consent and randomly allocate the patient to either the usual care condition or the bariatric rehabilitation service BRS condition
Randomisation All patients who fulfil the inclusion criteria will be approached by the researcher asked to read an information sheet and if interested offered a written consent form Once a patient is consented the researcher will contact the clinical trial unit at Surrey University who will provide third party blinded randomization to either the BRS or usual care
Timeline The study will take 34 months New patients will be recruited over a 12 month period and followed up for 12 months postoperatively The first 6 months will involve preparation setting up procedures for data collection and training the health psychologist The next 25 months will involve rolling out the intervention recruitment randomly allocating patients to the 2 conditions providing the BRS and collecting data on the evaluation of service At 18 months the 20 interviews will take place and be transcribed The final 3 months will be spent analyzing the data assessing cost-effectiveness disseminating the results to patients and health professionals and writing up findings for publication
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None