Evidence map›Paper›PMID 37098049›Full record

Trial reportPloS one2023

Addressing a critical need: A randomised controlled feasibility trial of acceptance and commitment therapy for bariatric surgery patients at 15-18 months post-surgery.

Elizabeth A Barley, Marie Bovell, Kate Bennett-Eastley, John Tayu Lee, Dayna Lee-Baggley, Simon S Skene, Michael Z Tai, Sue Brooks, Samantha Scholtz

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Elizabeth A BarleySchool of Health Sciences, University of Surrey, Guildford, United Kingdom.
Marie BovellSchool of Health Sciences, University of Surrey, Guildford, United Kingdom.
Kate Bennett-EastleySchool of Biosciences and Medicine, University of Surrey, Guildford, United Kingdom.
John Tayu LeeSchool of Population and Global Health, University of Melbourne, Parkville, VIC, Australia.
Dayna Lee-BaggleyFaculty of Medicine, Dalhousie University, Halifax, Canada.
Simon S SkeneSchool of Biosciences and Medicine, University of Surrey, Guildford, United Kingdom.
Michael Z TaiDepartment of Psychiatry, St Charles Hospital, London, United Kingdom.ORCID 0000-0003-4939-2722
Sue BrooksSchool of Health Sciences, University of Surrey, Guildford, United Kingdom.
Samantha ScholtzDivision of Diabetes, Endocrinology and Metabolism, Imperial College, London, United Kingdom.
University of Surrey · GBDalhousie University · CAImperial College London · GBSt Charles Hospital · GBThe University of Melbourne · AU

Funding

Department of Health PB-PG-0816-20012
6 · The paper itself

Abstract

Bariatric surgery is an effective treatment for obesity. However, around one in five people experience significant weight regain. Acceptance and Commitment Therapy (ACT) teaches acceptance of and defusion from thoughts and feelings which influence behaviour, and commitment to act in line with personal values. To test the feasibility and acceptability of ACT following bariatric surgery a randomised controlled trial of 10 sessions of group ACT or Usual Care Support Group control (SGC) was delivered 15-18 months post bariatric surgery (ISRCTN registry ID: ISRCTN52074801). Participants were compared at baseline, 3, 6 and 12 months using validated questionnaires to assess weight, wellbeing, and healthcare use. A nested, semi-structured interview study was conducted to understand acceptability of the trial and group processes. 80 participants were consented and randomised. Attendance was low for both groups. Only 9 (29%) ACT participants completed > = half of the sessions, this was the case for 13 (35%) SGC participants. Forty-six (57.5%) did not attend the first session. At 12 months, outcome data were available from 19 of the 38 receiving SGC, and from 13 of the 42 receiving ACT. Full datasets were collected for those who remained in the trial. Nine participants from each arm were interviewed. The main barriers to group attendance were travel difficulties and scheduling. Poor initial attendance led to reduced motivation to return. Participants reported a motivation to help others as a reason to join the trial; lack of attendance by peers removed this opportunity and led to further drop out. Participants who attended the ACT groups reported a range of benefits including behaviour change. We conclude that the trial processes were feasible, but that the ACT intervention was not acceptable as delivered. Our data suggest changes to recruitment and intervention delivery that would address this.

Indexed as

Acceptance and Commitment TherapyBariatric SurgeryFeasibility StudiesHumansObesitySurveys and Questionnaires

Identifiers

PMID37098049
PMCPMC10128967
OpenAlexW4366996850

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.