Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients
Abstract Background Metabolic and bariatric surgery (MBS) is safe and efficacious in treating adolescents with severe obesity. Behavioral/lifestyle programs can support successful preparation for surgery and post-MBS weight loss, but no standardized lifestyle intervention exists for adolescents. Her...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | Journal of Translational Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12967-024-04953-x |
| _version_ | 1797273482379132928 |
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| author | Maral Misserian Alicia Wheelington Rashon King Jackson Francis M. Sunil Mathew Marlyn A. Allicock Bethany R. Cartwright Adejumoke Adewunmi Aparajita Chandrasekhar Dhatri Polavarapu Faisal G. Qureshi Sarah E. Barlow Sarah E. Messiah |
| author_facet | Maral Misserian Alicia Wheelington Rashon King Jackson Francis M. Sunil Mathew Marlyn A. Allicock Bethany R. Cartwright Adejumoke Adewunmi Aparajita Chandrasekhar Dhatri Polavarapu Faisal G. Qureshi Sarah E. Barlow Sarah E. Messiah |
| author_sort | Maral Misserian |
| collection | DOAJ |
| description | Abstract Background Metabolic and bariatric surgery (MBS) is safe and efficacious in treating adolescents with severe obesity. Behavioral/lifestyle programs can support successful preparation for surgery and post-MBS weight loss, but no standardized lifestyle intervention exists for adolescents. Here we describe the process of developing and adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP/GLB) curriculum to support adolescents pre- and post-MBS. Methods We collected both qualitative and quantitative data from a diverse group of adolescents (N = 19, mean age 15.2 years, range 13–17, 76% female, 42% non-Hispanic Black, 41% Hispanic, 17% other). Additionally, we included data from 13 parents, all of whom were mothers. These participants were recruited from an adolescent MBS program at Children’s Health System of Texas. In an online survey, we asked participants to rank their preferences and interests in DPP/GLB content topics. We complemented these results with in-depth interviews from a subset of 10 participants. This qualitative data triangulation informed the development of the TeenLYFT lifestyle intervention program, designed to support adolescents who were completing MBS and described here. This program was adapted from adolescent and parent DPP/GLB content preferences, incorporating the social cognitive model (SCM) and the socioecological model (SEM) constructs to better cater to the needs of adolescent MBS patients. Results Adolescents’ top 3 ranked areas of content were: (1) steps to adopt better eating habits and healthier foods; (2) healthy ways to cope with stress; and (3) steps to stay motivated and manage self-defeating thoughts. Nearly all adolescent participants preferred online delivery of content (versus in-person). Mothers chose similar topics with the addition of information on eating healthy outside the home. Key themes from the adolescent qualitative interviews included familial support, body image and self-confidence, and comorbidities as key motivating factors in moving forward with MBS. Conclusions The feedback provided by both adolescents and parents informed the development of TeenLYFT, an online support intervention for adolescent MBS candidates. The adapted program may reinforce healthy behaviors and by involving parents, help create a supportive environment, increasing the likelihood of sustained behavior change. Understanding adolescent/parent needs to support weight management may also help healthcare providers improve long-term health outcomes for this patient population. |
| first_indexed | 2024-03-07T14:43:56Z |
| format | Article |
| id | doaj.art-b0b1ba7958ff4952a1111dd3d9ee479d |
| institution | Directory Open Access Journal |
| issn | 1479-5876 |
| language | English |
| last_indexed | 2024-03-07T14:43:56Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Translational Medicine |
| spelling | doaj.art-b0b1ba7958ff4952a1111dd3d9ee479d2024-03-05T20:06:21ZengBMCJournal of Translational Medicine1479-58762024-02-0122111310.1186/s12967-024-04953-xAdaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patientsMaral Misserian0Alicia Wheelington1Rashon King2Jackson Francis3M. Sunil Mathew4Marlyn A. Allicock5Bethany R. Cartwright6Adejumoke Adewunmi7Aparajita Chandrasekhar8Dhatri Polavarapu9Faisal G. Qureshi10Sarah E. Barlow11Sarah E. Messiah12School of Health Professions, University of Texas Southwestern Medical CenterChildren’s Health System of TexasCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthUTHealth School of Public Health at HoustonDepartment of Pediatrics, University of Texas Southwestern Medical CenterCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthChildren’s Health System of TexasChildren’s Health System of TexasCenter for Pediatric Population Health, University of Texas Health Science Center at Houston (UTHealth) School of Public HealthAbstract Background Metabolic and bariatric surgery (MBS) is safe and efficacious in treating adolescents with severe obesity. Behavioral/lifestyle programs can support successful preparation for surgery and post-MBS weight loss, but no standardized lifestyle intervention exists for adolescents. Here we describe the process of developing and adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP/GLB) curriculum to support adolescents pre- and post-MBS. Methods We collected both qualitative and quantitative data from a diverse group of adolescents (N = 19, mean age 15.2 years, range 13–17, 76% female, 42% non-Hispanic Black, 41% Hispanic, 17% other). Additionally, we included data from 13 parents, all of whom were mothers. These participants were recruited from an adolescent MBS program at Children’s Health System of Texas. In an online survey, we asked participants to rank their preferences and interests in DPP/GLB content topics. We complemented these results with in-depth interviews from a subset of 10 participants. This qualitative data triangulation informed the development of the TeenLYFT lifestyle intervention program, designed to support adolescents who were completing MBS and described here. This program was adapted from adolescent and parent DPP/GLB content preferences, incorporating the social cognitive model (SCM) and the socioecological model (SEM) constructs to better cater to the needs of adolescent MBS patients. Results Adolescents’ top 3 ranked areas of content were: (1) steps to adopt better eating habits and healthier foods; (2) healthy ways to cope with stress; and (3) steps to stay motivated and manage self-defeating thoughts. Nearly all adolescent participants preferred online delivery of content (versus in-person). Mothers chose similar topics with the addition of information on eating healthy outside the home. Key themes from the adolescent qualitative interviews included familial support, body image and self-confidence, and comorbidities as key motivating factors in moving forward with MBS. Conclusions The feedback provided by both adolescents and parents informed the development of TeenLYFT, an online support intervention for adolescent MBS candidates. The adapted program may reinforce healthy behaviors and by involving parents, help create a supportive environment, increasing the likelihood of sustained behavior change. Understanding adolescent/parent needs to support weight management may also help healthcare providers improve long-term health outcomes for this patient population.https://doi.org/10.1186/s12967-024-04953-xAdolescentMetabolic and bariatric surgeryWeight loss surgeryLifestyle interventionWeight loss |
| spellingShingle | Maral Misserian Alicia Wheelington Rashon King Jackson Francis M. Sunil Mathew Marlyn A. Allicock Bethany R. Cartwright Adejumoke Adewunmi Aparajita Chandrasekhar Dhatri Polavarapu Faisal G. Qureshi Sarah E. Barlow Sarah E. Messiah Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients Journal of Translational Medicine Adolescent Metabolic and bariatric surgery Weight loss surgery Lifestyle intervention Weight loss |
| title | Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| title_full | Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| title_fullStr | Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| title_full_unstemmed | Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| title_short | Adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| title_sort | adaptation of a standardized lifestyle intervention to maximize health outcomes in adolescent metabolic and bariatric surgery patients |
| topic | Adolescent Metabolic and bariatric surgery Weight loss surgery Lifestyle intervention Weight loss |
| url | https://doi.org/10.1186/s12967-024-04953-x |
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