Developing phase 1 of the RESET programme: rebuilding energy and strength together after bariatric surgery
Lane, Athene
Lane, Athene
Date
2024-10-08
Journal Title
Subject
Type
Conference Abstract
Collections
Abstract
Background:
A number of studies have investigated physical activity after bariatric surgery in an attempt to establish the optimum regime. Physical activity can provide a strategy for patients who experience suboptimal clinical response and recurrent weight gain. Resistance training programmes can preserve muscle mass and bone mineral density. Fat-free mass is a key determinant of resting metabolic rate and is a powerful tool in weight maintenance. The RESET programme aims to deliver a resource for patients after bariatric surgery, and here we present phase 1 of designing that intervention.
Objectives:
The intervention aims to educate, demonstrate, and support patients by designing a bespoke physical activity intervention aimed at resetting physical activity and strength after bariatric surgery.
Methods:
The development of the RESET programme is being undertaken in phases based on an already published intervention development framework. The phases include: (1) evidence base and stakeholder consultation, (2) co-production, and (3) prototyping of the intervention. Phases 1 and 2 include an overview of reviews in this area, and semi-structured interviews and focus groups to engage stakeholders in co-production.
Results:
The search criteria for the overview revealed 20 eligible systematic reviews or meta-analyses for inclusion. These reviews include data from 83 primary studies. The studies include interventions designed to measurably increase physical activity levels in the bariatric population. The topic guide for the interviews and focus groups was designed by the Patient and Public Involvement group and includes several considerations: (1) exercise advice received after bariatric surgery, (2) knowledge of resistance-based training in general, (3) baseline awareness of home-based exercise and personal exercise monitoring, (4) opinions of future exercise resource needs, (5) the reality of exercise within the home setup, and (6) vocabulary preferences in this context. The results of the semi-structured interviews will be taken forward to the prototyping stage of the intervention design.
Conclusion:
Developing a programme to help patients reset their physical activity after bariatric surgery is complex. It should be an iterative process undertaken in stages to ensure a fit-for-purpose intervention applicable to a public healthcare setting.
Citation
Huppler, L., Old, O., Coulman, K., Lane, A., & Bissas, A. (2024, October). Developing phase 1 of the RESET programme: rebuilding energy and strength together after bariatric surgery. XXVII IFSO World Congress 2024. Obesity Surgery. 34 (Suppl 2), 47–648 (2024). https://doi.org/10.1007/s11695-024-07508-7