scholarly journals Smartphone applications to support weight loss: current perspectives

2015 ◽  
pp. 13 ◽  
Author(s):  
Christine Pellegrini ◽  
Angela Pfammatter ◽  
David Conroy ◽  
Bonnie Spring
Keyword(s):  
Weight Loss ◽  
Smartphone Applications ◽  
Support Weight

Obese Patients and Mechanical Circulatory Support: Weight Loss, Adverse Events, and Outcomes

2011 ◽  
Vol 92 (4) ◽  
pp. 1420-1426 ◽  
Author(s):  
Firas Zahr ◽  
Elizabeth Genovese ◽  
Michael Mathier ◽  
Michael Shullo ◽  
Kathleen Lockard ◽  
...  
Keyword(s):  
Weight Loss ◽  
Adverse Events ◽  
Mechanical Circulatory Support ◽  
Circulatory Support ◽  
Obese Patients ◽  
Support Weight

scholarly journals STructured lifestyle education for people WIth SchizophrEnia (STEPWISE): mixed methods process evaluation of a group-based lifestyle education programme to support weight loss in people with schizophrenia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecca Gossage-Worrall ◽  
◽  
Daniel Hind ◽  
Katharine D. Barnard-Kelly ◽  
David Shiers ◽  
...  
Keyword(s):  
Weight Loss ◽  
Process Evaluation ◽  
Healthcare Professionals ◽  
Education Programme ◽  
Integrated Treatment ◽  
Logic Model ◽  
Service Users ◽  
Support Weight ◽  
Intermediate Outcomes ◽  
Lifestyle Education

Abstract Background STEPWISE is a theory-informed self-management education programme that was co-produced with service users, healthcare professionals and interventionists to support weight loss for people with schizophrenia. We report the process evaluation to inform understanding about the intervention and its effectiveness in a randomised controlled trial (RCT) that evaluated its efficacy. Methods Following the UK Medical Research Council (MRC) Guidelines for developing and evaluating complex interventions, we explored implementation quality. We considered causal mechanisms, unanticipated consequences and contextual factors associated with variation in actual and intended outcomes, and integrated treatment fidelity, using the programme theory and a pipeline logic model. We followed a modified version of Linnan and Steckler’s framework and single case design. Qualitative data from semi-structured telephone interviews with service-users (n = 24), healthcare professionals delivering the intervention (n = 20) and interventionists (n = 7) were triangulated with quantitative process and RCT outcome data and with observations by interventionists, to examine convergence within logic model components. Results Training and course materials were available although lacked co-ordination in some trusts. Healthcare professionals gained knowledge and some contemplated changing their practice to reflect the (facilitative) ‘style’ of delivery. They were often responsible for administrative activities increasing the burden of delivery. Healthcare professionals recognised the need to address antipsychotic-induced weight gain and reported potential value from the intervention (subject to the RCT results). However, some doubted senior management commitment and sustainability post-trial. Service-users found the intervention highly acceptable, especially being in a group of people with similar experiences. Service-users perceived weight loss and lifestyle benefits; however, session attendance varied with 23% (n = 47) attending all group-sessions and 17% (n = 36) attending none. Service-users who lost weight wanted closer monitoring and many healthcare professionals wanted to monitor outcomes (e.g. weight) but it was outside the intervention design. No clinical or cost benefit was demonstrated from the intermediate outcomes (RCT) and any changes in RCT outcomes were not due to the intervention. Conclusions This process evaluation provides a greater understanding of why STEPWISE was unsuccessful in promoting weight loss during the clinical trial. Further research is required to evaluate whether different levels of contact and objective monitoring can support people with schizophrenia to lose weight. Trial registration ISRCTN, ISRCTN19447796. Registered 20 March 2014.

scholarly journals Transforming with partner patients a program of preparation for bariatric surgery

2019 ◽  
Vol 11 (2) ◽  
pp. 20402 ◽  
Author(s):  
Florence Somers ◽  
Jorge Correia ◽  
Valérie Blyweert ◽  
Minoa Jung ◽  
Zoltan Pataky ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Focus Groups ◽  
Obesity Surgery ◽  
Evaluation Process ◽  
Interdisciplinary Team ◽  
Preparation Program ◽  
Support Weight ◽  
Creation Process ◽  
The Creation

Introduction: The current collective preparation program for obesity surgery is performed by an interdisciplinary team over four non-consecutive days. In order to optimize the delays of the program and to improve the educational offer a temporal condensation of this service in the proximity of the intervention was decided. The objective of this study is to describe the creation process of the new obesity surgery preparation program based on the needs of partner patients. Materials and methods: We conducted semi-structured focus groups with 50 patients over 3 successive stages of the surgical journey: at the beginning and end of the collective preparation and then 2 to 14 months after the surgery. The analysis crosses by theme the needs identified. Results and discussion: Our study allowed to authenticate a central need of sharing with witnesses, a need for information (medical, dietary, behavioral), and a need for longer-term projection (transformations, investment axes to support weight loss). Conclusion: The preparatory needs identified by the partner patients served as a guide for the transformation of the existing program. This experiment paves the way for a partnership with patients established and recognized by the institution of care in the evaluation process of this program.

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