PDF(Pubmed)
Abstract：
Physical activity promotes health and longevity after metabolic/bariatric surgery (MBS), but most patients do not meet recommended levels. The Gaining Optimism After weight Loss Surgery (GOALS) Project was a positive psychological intervention designed to address common emotional barriers to physical activity in patients who have recently undergone MBS (e.g., low confidence around exercise, internalized weight bias, fear of injury) and use motivational interviewing and standard behavior change techniques (e.g., self-monitoring) to increase physical activity. This single-arm proof-of-concept trial was designed to refine the intervention, test feasibility and acceptability, and explore pre-post changes in behavioral and psychological outcomes. Participants were 12 adults 6-12 months post-MBS (M age of 46, 58% female, 67% non-Hispanic white). GOALS was a 10-week telephone counseling program that introduced new positive psychological skills and physical activity topics each week. Participants tracked physical activity with a Fitbit and set weekly goals. Results showed that the intervention was feasible (85% of sessions completed) and acceptable (average participant ratings of session ease and utility above 8.0 on a 0-10 scale). There were medium-to-large effect size improvements in physical activity and psychological well-being (e.g., depressive symptoms). The GOALS intervention will next be tested in a pilot randomized controlled trial with longer-term follow-up to assess its effect more robustly.
摘要：
身体活动促进代谢/减肥手术（MBS）后的健康和长寿，但大多数患者不符合推荐水平。减肥手术后获得乐观（GOALS）项目是一项积极的心理干预措施，旨在解决最近接受MBS的患者对体育锻炼的常见情绪障碍（例如，对锻炼的信心不足，内化权重偏差，害怕受伤)，并使用动机性访谈和标准行为改变技术(例如，自我监测)以增加身体活动。这项单臂概念验证试验旨在完善干预措施，测试可行性和可接受性，并探索行为和心理结果的事后变化。参与者是MBS后6-12个月的12名成年人（M年龄46岁，58％为女性，67%非西班牙裔白人）。GOALS是一项为期10周的电话咨询计划，每周引入新的积极心理技能和体育锻炼主题。参与者使用Fitbit跟踪身体活动并设定每周目标。结果表明，干预措施是可行的（完成了85％的课程）和可接受的（在0-10量表上，参与者对课程缓解和实用性的平均评分高于8.0）。在身体活动和心理健康方面有中等到较大的效果大小的改善(例如，抑郁症状)。下一步，GOALS干预将在一项试点随机对照试验中进行测试，并进行长期随访，以更有力地评估其效果。
