Miller-Matero Lisa R, Pappas Celeste, Christopher Brittany, Grossi Roman, Vanderziel Alyssa, Barnett Nancy P, Moore Roland S, Hamann Aaron, Carlin Arthur M, Varban Oliver A, Braciszewski Jordan M
Henry Ford Health, Behavioral Health, Detroit, Michigan; Henry Ford Health, Center for Health Policy and Health Services Research, Detroit, Michigan.
Henry Ford Health, Center for Health Policy and Health Services Research, Detroit, Michigan.
Surg Obes Relat Dis. 2025 Aug 18. doi: 10.1016/j.soard.2025.08.014.
Patients who undergo metabolic and bariatric surgery (MBS) are at increased risk for an alcohol use disorder. A technology-based intervention, rooted in motivational interviewing, could broadly reach patients after MBS and has the potential to reduce alcohol use.
Examine the feasibility, acceptability, and preliminary outcomes of a technology-based intervention to reduce alcohol use delivered after MBS.
Health system.
Participants (N = 60) who were 3-18 months post-MBS were randomized to the intervention or treatment-as-usual control group. The tailored intervention consisted of 2 (15-minute) sessions of interactive web-based content followed by 3-months of daily text messaging. Participants completed baseline and a postintervention assessment (91.7% retention).
Participants were primarily female (90%), White (55.0%) or Black (43.3%), with a mean age of 44.6 years (SD = 10.4). Of those randomized to the intervention (n = 24), 83.3% (n = 20) began the intervention and 95% (n = 19) completed it. The majority of participants rated all intervention components positively and 100% agreed that other patients would use the intervention. The intervention group reported a significant increase in level of motivation to avoid alcohol use from baseline to postintervention (P = .02), whereas the control group did not show a significant change (P = .73). At the postintervention, the intervention group had significantly fewer participants endorsing alcohol use than the control group (43.5% versus 75%; X = 5.63, P = .02).
A technology-based intervention delivered after MBS was feasible, acceptable, and showed promising preliminary outcomes for increasing motivation to avoid alcohol use as well as reducing alcohol use.
接受代谢和减重手术（MBS）的患者患酒精使用障碍的风险增加。一种基于技术的干预措施，源于动机性访谈，可广泛覆盖MBS术后患者，并有可能减少酒精使用。
研究一种基于技术的干预措施在MBS术后减少酒精使用的可行性、可接受性和初步效果。
卫生系统。
将MBS术后3至18个月的参与者（N = 60）随机分为干预组或常规治疗对照组。量身定制的干预措施包括2节（每节15分钟）基于网络的互动内容课程，随后是为期3个月的每日短信提醒。参与者完成了基线评估和干预后评估（保留率为91.7%）。
参与者主要为女性（90%），白人（55.0%）或黑人（43.3%），平均年龄44.6岁（标准差 = 10.4）。在随机分配到干预组的患者中（n = 24），83.3%（n = 20）开始了干预，95%（n = 19）完成了干预。大多数参与者对所有干预组件给予了积极评价，100%的参与者同意其他患者会使用该干预措施。干预组报告从基线到干预后避免饮酒的动机水平显著增加（P = .02），而对照组未显示出显著变化（P = .73）。在干预后，干预组认可饮酒的参与者明显少于对照组（43.5%对75%；X = 5.63，P = .02）。
MBS术后实施的基于技术的干预措施是可行的、可接受的，并且在增加避免饮酒的动机以及减少酒精使用方面显示出有希望的初步效果。
