Early Adherence Targeted Therapy (EATT) for Postbariatric Maladaptive Eating Behaviors
| Autor: | Athena Robinson, Alison M. Darcy, Sarah Adler, Debra L. Safer, Lilya Osipov |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry Gastric bypass surgery medicine.medical_treatment Psychological intervention 030209 endocrinology & metabolism Patient retention medicine.disease_cause Targeted therapy law.invention 03 medical and health sciences Clinical Psychology 0302 clinical medicine Randomized controlled trial Weight loss law Intervention (counseling) Psychiatric diagnosis Physical therapy Medicine 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Cognitive and Behavioral Practice. 23:548-560 |
| ISSN: | 1077-7229 |
| DOI: | 10.1016/j.cbpra.2015.12.003 |
| Popis: | Current bariatric literature on postoperative interventions that prevent or remediate suboptimal weight loss outcomes is limited. In response, Early Adherence Targeted Therapy (EATT), an efficient early postoperative intervention to target patients at high risk for suboptimal postoperative weight loss outcomes was developed. The rationale for and a detailed description of EATT is provided, including sample session transcripts. Preliminary findings from a pilot designed to explore EATT’s feasibility and acceptability are reported. EATT is a principle driven, skills-based intervention that addresses psychological skill deficits that underlie poor dietary adherence and maladaptive eating behaviors associated with suboptimal weight loss outcomes. Of 22 postoperative patients who consented to participate, 13 screened positive for poor dietary adherence and thus received EATT (77% female, 69% White, 23% Hispanic; mean age = 42.9 years; mean BMI = 45.4 ± 12.8 kg/m2). The majority had undergone gastric bypass surgery (54%) and 76.9% had a psychiatric diagnosis, with 61% on psychotropic medications. Patient retention was high, with 11/13 (85%) completing treatment. Treatment was delivered efficiently, with an average of only 4.5 sessions (out of a possible 12) required to significantly increase dietary adherence (p |
| Databáze: | OpenAIRE |
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