Noom Coach for Bariatric Surgery
Status: | Recruiting |
---|---|
Conditions: | Obesity Weight Loss |
Therapuetic Areas: | Endocrinology |
Healthy: | No |
Age Range: | 18 - 60 |
Updated: | 9/2/2018 |
Start Date: | December 5, 2017 |
End Date: | September 13, 2018 |
Contact: | Andreas Michaelides, PhD |
Email: | andreas@noom.com |
Phone: | 347-687-8522 |
Randomized Trial of an Innovative Smartphone Application for Bariatric Surgery
The prevalence of overweight in America is a national public health crisis. As more people
consider bariatric surgery for the treatment of severe obesity, it is imperative to identify
factors influencing surgical outcomes. Technology, particularly the Noom Coach platform,
offers a unique opportunity to improve standard interventions utilized in bariatric surgery
programs. This study plans to test the efficacy of the Noom Coach platform on patients'
adherence behaviors and psychosocial factors compared to standard care.
consider bariatric surgery for the treatment of severe obesity, it is imperative to identify
factors influencing surgical outcomes. Technology, particularly the Noom Coach platform,
offers a unique opportunity to improve standard interventions utilized in bariatric surgery
programs. This study plans to test the efficacy of the Noom Coach platform on patients'
adherence behaviors and psychosocial factors compared to standard care.
Overweight and obesity have reached epidemic proportions in the United States. Few behavioral
treatments are effective for overweight, and bariatric surgery is consequently an
increasingly important option. Although these procedures produce significantly more weight
change than psychosocial treatments, post-operative weight losses vary widely, about 20% of
patients clearly experience suboptimal weight loss, and a notable subset of these patients
demonstrate substantial weight regain. Further, 20-30% report persistence of disturbed
eating, depression or anxiety, or impaired health related quality of life. Adherence, or "the
extent to which a person's behavior coincides with medical or health advice," contributes to
variable weight and psychosocial outcomes, as well as failure to follow dietary guidelines,
each of which negatively impacts weight loss.
The present study, utilizing "Noom Coach for Bariatric Health", offers a unique opportunity
to overcome obstacles to providing empirically supported treatments and to improve standard
interventions utilized in bariatric surgery programs; however, rigorous research on apps is
limited, and high-quality, adequately powered, randomized controlled trials with large
samples are required. The project will therefore test a combined smartphone app and health
coaching system to improve adherence and behavioral outcomes for patients receiving bariatric
surgery.
treatments are effective for overweight, and bariatric surgery is consequently an
increasingly important option. Although these procedures produce significantly more weight
change than psychosocial treatments, post-operative weight losses vary widely, about 20% of
patients clearly experience suboptimal weight loss, and a notable subset of these patients
demonstrate substantial weight regain. Further, 20-30% report persistence of disturbed
eating, depression or anxiety, or impaired health related quality of life. Adherence, or "the
extent to which a person's behavior coincides with medical or health advice," contributes to
variable weight and psychosocial outcomes, as well as failure to follow dietary guidelines,
each of which negatively impacts weight loss.
The present study, utilizing "Noom Coach for Bariatric Health", offers a unique opportunity
to overcome obstacles to providing empirically supported treatments and to improve standard
interventions utilized in bariatric surgery programs; however, rigorous research on apps is
limited, and high-quality, adequately powered, randomized controlled trials with large
samples are required. The project will therefore test a combined smartphone app and health
coaching system to improve adherence and behavioral outcomes for patients receiving bariatric
surgery.
Inclusion Criteria:
- Enrolled in: the Mount Sinai Bariatric Surgery Program and planning to receive a
bariatric procedure.
- Between the ages of 18 and 60 at entry to the study.
- Speak English.
Exclusion Criteria:
- Clinically significant cognitive limitations or history of developmental disability.
- History of neurological disorder or injury.
- Current/lifetime Diagnostic and Statistical Manual of Mental Disorders (DSM-5) serious
psychiatric disorder, such as bipolar disorder, schizophrenia, or psychotic disorder.
- Acute suicide risk.
- Current DSM-5 alcohol or substance use disorder.
- Pregnancy.
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