Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: A Randomized Controlled Trial of Lifestyle Interventions to Control Weight After Bariatric Surgery
Brief Summary: This randomized controlled trial is designed to test the feasibility and efficacy of a novel 10-week mindfulness-based intervention (MBI) on weight maintenance as well as behavioral and psychosocial outcomes in patients who have undergone bariatric surgery.

Primary hypothesis:

Bariatric patients who have stopped losing weight (\< 5 lbs weight loss in past month) 1-5 years post-surgery will be willing to participate in this 10-week intervention. The investigators expect a high adherence rate (\>70%) and no issues with meeting recruitment goals.

Secondary hypotheses:

Patients assigned to the MBI will show greater improvement in a) weight control (defined by differences in body weight between baseline and follow-up); b) eating behaviors (binge eating, emotional eating); and c) psychosocial measures (quality of life, depression, perceived stress, eating self-efficacy, coping ability) than a standard lifestyle intervention (1 hr lifestyle counseling).

Patients assigned to the MBI intervention will show greater improvement in biomarkers of stress and inflammation \[salivary cortisol, high sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-alpha)\] as compared with a standard lifestyle intervention.

Food-related attentional bias as measured by the food-related Stroop task will be differentially affected among patients assigned to the MBI as compared with the intensive lifestyle intervention and standard lifestyle intervention.


Options:
A: Arm Label: Mindfulness; Type: EXPERIMENTAL; Interventions: Behavioral: Mindfulness-based intervention | Arm Label: Sham meditation; Type: SHAM_COMPARATOR; Interventions: Behavioral: Sham meditation | Arm Label: Treatment as usual; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Mindfulness-based intervention; Assigned to Arm(s): Mindfulness | Intervention Type: BEHAVIORAL; Name: Sham meditation; Assigned to Arm(s): Sham meditation
B: Arm Label: Kg-Free; Type: EXPERIMENTAL; Interventions: Behavioral: Kg-Free, Other: Treatment as Usual | Arm Label: Treatment as Usual (TAU); Type: OTHER; Interventions: Other: Treatment as Usual | Intervention Type: BEHAVIORAL; Name: Kg-Free; Assigned to Arm(s): Kg-Free | Intervention Type: OTHER; Name: Treatment as Usual; Assigned to Arm(s): Kg-Free, Treatment as Usual (TAU)
C: Arm Label: SHINE A; Type: EXPERIMENTAL; Interventions: Behavioral: SHINE | Arm Label: SHINE B; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: SHINE | Intervention Type: BEHAVIORAL; Name: SHINE; Assigned to Arm(s): SHINE A, SHINE B
D: Arm Label: Standard lifestyle intervention; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard lifestyle intervention | Arm Label: Mind-body lifestyle intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Mind-body lifestyle intervention | Intervention Type: BEHAVIORAL; Name: Mind-body lifestyle intervention; Assigned to Arm(s): Mind-body lifestyle intervention | Intervention Type: BEHAVIORAL; Name: Standard lifestyle intervention; Assigned to Arm(s): Standard lifestyle intervention

Answer: D