Tele-CBT after bariatric surgery
Trial question
What is the effect of telephone-based CBT delivered 1 year after bariatric surgery?
Study design
Multi-center
Open label
RCT
Population
Characteristics of study participants
83.0% female
17.0% male
N = 306
306 patients (255 female, 51 male).
Inclusion criteria: adult patients 1 year after bariatric surgery.
Key exclusion criteria: active suicidal ideation; poorly controlled severe psychiatric illness.
Interventions
N=152 tele-CBT (receipt of 7 sessions of telephone CBT 1 year after bariatric surgery).
N=154 standard care (receipt of standard bariatric care).
Primary outcome
Total weight loss at 18 months
1.08%
0.86%
1.1 %
0.8 %
0.5 %
0.3 %
0.0 %
Tele-CBT
Standard
care
No significant
difference ↔
No significant difference in total weight loss at 18 months (1.08% vs. 0.86%; AD 0.22%, 95% CI -1.47 to 1.91).
Secondary outcomes
Significant decrease in mean Binge Eating Scale at 18 months (6.48 points vs. 9.11 points; AD -2.63 points, 95% CI -4.19 to -1.07).
Significant decrease in mean Emotional Eating Scale at 18 months (39.69 points vs. 45.34 points; AD -5.65 points, 95% CI -9 to -2.3).
Significant decrease in Generalized Anxiety Disorders 7-item scale at 18 months (2.02 points vs. 3.46 points; AD -1.44 points, 95% CI -2.29 to -0.59).
Conclusion
In adult patients 1 year after bariatric surgery, tele-CBT was not superior to standard care with respect to total weight loss at 18 months.
Reference
Sanjeev Sockalingam, Samantha E Leung, Clement Ma et al. Efficacy of Telephone-Based Cognitive Behavioral Therapy for Weight Loss, Disordered Eating, and Psychological Distress After Bariatric Surgery: A Randomized Clinical Trial. JAMA Netw Open. 2023 Aug 1;6(8):e2327099.
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