The Effects of E-Mobile Education and Counselling Services on Bariatric Surgery Patients

Study Overview
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Brief Summary
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This study was conducted as a randomized controlled trial to determine the effects of e-mobile education and counselling service on self-care agency, body image, and quality of life in patients undergoing bariatric surgery. The sample of the study was determined using power analysis after making preliminary tests with the patients who met the sample selection criteria in Isparta City Hospital Obesity Center, and consisted of 51 (26 experiment, 25 control) patients. The patients in the experimental group received e-mobile training and consultancy services with the mobile application developed specifically for bariatric surgery that started before the operation and lasted for 3 months. The data of the study were collected using the Personal Information Form, Self-Care Agency, Body Image, and Moorehead Ardelt Quality of Life II (MA-II) Scales prepared in accordance with the literature. In addition to descriptive statistics, Chi-Square, Independent Samples t-test, Repeated Measures, Mann-Whitney U and Friedman tests were used to evaluate the data. A statistically significant difference was found in the mean scores of Self-Care Strength, Body Image, MA-II and BMI of the patients in the experimental and control groups according to the processes (p>0.05). There was no statistically significant difference between the groups in terms of preoperative, 1st, 2nd, and 3rd month Self-Care Power, Body Image and MA-II scale mean scores (p>0.05). There was a statistically significant difference between the groups in favour of the experimental group in terms of the 1st, 2nd, and 3rd month BMI averages (p<0.05).

Detailed Description
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This research was carried out as a randomized controlled interventional study to determine the effect of e-mobile education and counseling service on self-care power, body image and quality of life in patients undergoing bariatric surgery. The population of the study consisted of patients who underwent bariatric surgery in Isparta City Hospital, Obesity Center between July 2020 and July 2021. The sample consisted of patients who met the sample selection criteria in Isparta City Hospital Obesity Center and agreed to participate in the research verbally and in writing. Considering that the education and counseling services provided to the patients who met the inclusion criteria of the study and accepted to participate, might affect the effectiveness of the education level, the education level was determined as a criterion, and the patients were divided into the application and control groups using a simple random and stratified randomization method. The first patient included in the study in randomization was determined by the simple randomization method (coin-toss), and when a patient with the same education level came, he was necessarily included in the other group. Thus, the sampled individuals in the research group were divided into strata according to their education level. Five patients were excluded from follow-up due to the fact that one patient (n=1) wanted to withdraw from the study, three patients (n=3) could not be contacted, and one patient (n=1) developed complications. It was completed with 51 patients.The data of the study were collected using the Personal Information Form, Self-Care Strength Scale, Body Image Scale, Moorehead Ardelt Quality of Life Scale II (MA-II) prepared in line with the literature. In addition, the Quality Criteria Questionnaire for Health Information User (DISCERN) was used to evaluate the reliability and quality of the written educational material that will form the content of the mobile application, and the System Usability Scale was used to evaluate the functionality and usability of the mobile application. The data of the study were carried out with 2 groups as control (standard care) and application (mobile application). Randomization was carried out after meeting the patients who were planned to undergo bariatric surgery, treated in the obesity clinic, who met the sampling criteria and agreed to participate in the study, and were informed about the purpose of the study. The study was conducted in 4 stages with patients undergoing bariatric surgery.

Official Title
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The Effects of E-Mobile Education and Counselling Services on Self-Care, Body Image and Quality of Life of Bariatric Surgery Patients

Conditions
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Bariatric Surgery, Counselling, Patient Education, Mobile Application

Intervention / Treatment
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* Other: E-Mobile Education and Counselling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being literate, Being able to understand and speak Turkish First time bariatric surgery, Having undergone sleeve gastrectomy or gastric bypass operation with laparoscopic method, Ability to use a smart phone, Agreeing to participate in the research. exclusion criteria: Having any psychiatric disorder that will reduce the ability to comprehend and understand, Any complications during the surgical intervention, Having a speech and hearing disability.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: application group<br>The mobile health application (https://play.google.com/store/apps/details?id=com.sanberk.bariatriksurgery) prepared for patients undergoing bariatric surgery was completed in 6 stages. After the mobile application has been developed, a short (20-minute) brief contains information about the mobile application in the pre-operative polyclinic for the patients who are planned for bariatric surgery. The patient was followed for three months. Data were collected from the patient every month (4 times). | Other: E-Mobile Education and Counselling<br>* The patients in the experimental group received e-mobile training and consultancy services with the mobile application developed specifically for bariatric surgery that started before the operation and lasted for 3 months.<br>|
| No Intervention: control group<br>Standard care and follow-up protocols were applied to the patients.The patient was followed for three months. Data were collected from the patient every month (4 times). | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self Care Agency and E-Mobile Training and Consultancy | One of the main aims of this researchis to evaluate self-care agency satisfaction of the individuals by providing mobile-based training and consultancy services that enable them to easily access the right information at any time and place. In this context, the self-care agency scale was used. For this, individuals were evaluated before the operation, at the 1st, 2nd, and 3rd months after the operation. | Three months | 
| Body Image and E-Mobile Training and Consultancy | One of the main aims of this researchis to evaluate body image satisfaction of the individuals by providing mobile-based training and consultancy services that enable them to easily access the right information at any time and place. In this context, the body image scale was used. For this, individuals were evaluated before the operation, at the 1st, 2nd, and 3rd months after the operation. | Three months | 
| Quality of Life and E-Mobile Training and Consultancy | One of the main aims of this researchis to evaluate quality of life satisfaction of the individuals by providing mobile-based training and consultancy services that enable them to easily access the right information at any time and place. In this context, the Moorehead-Ardelt Quality of Life Questionnaire II was used. For this, individuals were evaluated before the operation, at the 1st, 2nd, and 3rd months after the operation. | Three months |