Perkins Amanda, Woodside Kristen, Strode Rachel, Robinson Tonette, Morrison Casie
Wellstar Medical Group, Marietta, USA.
Obes Surg. 2024 Dec;34(12):4509-4516. doi: 10.1007/s11695-024-07579-6. Epub 2024 Nov 7.
The CCBRS is a multidimensional assessment tool developed to aid in the psychosocial evaluation of patients seeking bariatric surgery. To date, three studies support the interrater reliability, internal consistency, and predictive validity of the CCBRS for a number of postoperative outcomes. However, research has predominantly been with White females. This study examines the reliability of the CCBRS with diverse individuals from three surgery clinics. The relative contribution of demographic and psychosocial variables to overall CCBRS ratings and differences in overall CCBRS ratings based on these factors are also explored.
Patients seeking bariatric surgery (n = 407; 86.2% female; 49.6% Black; mean BMI 48.3 kg/m, SD = 8.5) were evaluated with a standardized multimodal assessment. CCBRS domain and overall ratings were made based on the integration of assessment data. Patient weight, BMI, and weight loss surgery procedure were obtained from the initial bariatric surgery consult.
Internal consistency of the CCBRS was good (Cronbach's alpha = .80) for this sample though lower than previously found. Most patients (75.6%) were cleared for surgery. Statistically significant differences in overall CCBRS ratings were found only based on employment status and referring clinic. Hierarchical regression analysis demonstrated a small effect for demographic and psychosocial factors, with only past alcohol abuse, current substance abuse, and referring clinic explaining statistically significant variance in overall CCBRS ratings.
Results support the reliability of the CCBRS; however, additional research is needed with diverse populations.
CCBRS是一种多维度评估工具，旨在辅助对寻求减肥手术的患者进行心理社会评估。迄今为止，三项研究支持了CCBRS在一些术后结果方面的评分者间信度、内部一致性和预测效度。然而，此前的研究主要针对白人女性。本研究考察了CCBRS在来自三家手术诊所的不同个体中的信度。同时还探讨了人口统计学和心理社会变量对CCBRS总体评分的相对贡献，以及基于这些因素的CCBRS总体评分差异。
对寻求减肥手术的患者（n = 407；86.2%为女性；49.6%为黑人；平均BMI为48.3kg/m²，标准差 = 8.5）进行标准化多模式评估。CCBRS领域评分和总体评分基于评估数据的整合得出。患者体重、BMI和减肥手术程序信息来自初次减肥手术咨询。
本样本中CCBRS的内部一致性良好（Cronbach's α = 0.80），但低于此前研究结果。大多数患者（75.6%）被批准进行手术。仅在就业状况和转诊诊所方面发现CCBRS总体评分存在统计学显著差异。分层回归分析表明，人口统计学和心理社会因素的影响较小，只有过去的酒精滥用、当前的药物滥用和转诊诊所在CCBRS总体评分中解释了具有统计学显著意义的方差。
结果支持CCBRS的信度；然而，需要对更多样化的人群进行进一步研究。
