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NCT Number: NCT07137117

The Effect of Tele-Counseling Service on Nutrition, Exercise Attitude, and Medication Adherence After Bariatric Surgery

The aim of this study was to evaluate the effects of teleconsultation service on nutrition, exercise attitudes and medication adherence after bariatric surgery.

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Key information

Conditions

Bariatric Surgery (Sleeve Gastrectomy ) Behavior Health Behavior Medication Adherence Patient Acceptance of Health Care Patient Compliance Treatment Adherence and Compliance

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Adana City Training and Research Hospital

Adana, Yüreğir, 01220, Turkey (Türkiye)

Location status: Recruiting

Location contact

Cansel Bozer Uludağ, Expert

CONTACT

[email protected]

(0322) 455 90 00 ext. 4242

About this study

Laparoscopic bariatric surgery is a popular procedure that offers proven long-term results in improving obesity-related comorbidities. However, after surgery, patients often experience behavioral adjustments, such as diet, physical activity, and medication use. These adjustments can lead to complications.In particular, poor adherence to vitamin supplements can lead to nutritional deficiencies and related health problems. Lack of adherence to physical activity is also frequently observed. Making lifestyle changes after bariatric surgery is important, and telecounseling stands out as an effective tool in this process. Telecounseling can help patients develop healthy lifestyle habits and increase access to healthcare.Studies show that telephone follow-up and counseling provided via mobile apps after bariatric surgery improves patient health management and treatment adherence. Furthermore, due to the limitations of written educational materials, telephone counseling fosters stronger patient motivation. This method can be customized to individual health needs and facilitates access to healthcare by eliminating geographic limitations. In conclusion, one-on-one telephone counseling can help patients maintain healthy lifestyles after bariatric surgery, improving treatment outcomes and positively impacting long-term health outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients who have undergone laparoscopic bariatric surgery (sleeve gastrectomy only) for the first time,
  • Are between the ages of 18 and 65,
  • Are conscious and oriented to person, time, and place,
  • Can speak Turkish,
  • Have no auditory or visual impairments,
  • Can use a telephone will be included in the study.

Exclusion criteria

  • Patients who developed early postoperative complications (bleeding, anastomotic leakage, etc.), were hospitalized for revision surgery, and did not consent to the study will not be included in the study.

Treatment and study plan

Behavioral Treatment

Other

Patients in the experimental group will be administered a "Patient Information Form" on the morning of surgery. Standard discharge education will be provided within 72 hours after surgery. After discharge, patients will be contacted at 1, 2, 3 weeks, and 2, 4, and 5 months for informational purposes only; no assessment will be administered. During this period, regular follow-up and support will be provided to enhance patient compliance with post-surgical care. The "Interview Information Collection Form" will be used during telephone interviews with patients to collect and evaluate current health data. This practice will ensure systematic and accurate recording of patients' current conditions. Patients will be contacted at 1, 3, and 6 months to complete the "Medication Adherence Scale" and the "Nutrition and Exercise Attitude Scale," collecting data on medication adherence and behavioral attitudes. These assessments will be used as a systematic approach to monitoring patient adherence t

Primary outcomes

  1. Medication Adherence Reporting Scale

    Time frame: 6 months

    The Medication Adherence Reporting Scale (IAS) is a scale developed to assess medication adherence. The scale asks participants to evaluate five statements based on their own circumstances. This structure allows for the systematic examination of individual attitudes and behaviors toward medication use. The Medication Adherence Reporting Scale (IAS) is assessed using a 5-point Likert-type rating system, with response options of 5=never, 4=rarely, 3=sometimes, 2=often, and 1=very often. The test score is calculated by summing the scores obtained from the scale items.

  2. The Nutrition and Exercise Attitude Scale (NUAS)

    Time frame: 6 months

    The Nutrition and Exercise Attitude Scale (NUAS) was developed in Turkey to measure individuals' attitudes toward nutrition and exercise. Its validity and reliability study was conducted by Yurt (2008). It is structured as a Likert-type scale. This allows individuals to evaluate their own attitudes and behaviors based on various statements. The statements in the scale are rated on a scale according to individuals' level of agreement. Each item in the scale is scored, and a total score is calculated for the subdimensions. Higher scores indicate a more positive attitude in the relevant subdimension. Lower scores indicate that the individual is experiencing difficulties in a particular area. The internal consistency of the scale was assessed using Cronbach's Alpha coefficient and was found to be 0.70. This value indicates that the scale has an acceptable level of internal consistency (Yurt, 2008; Ekici and Yıldız 2018).

Study contacts

Contact information is provided by the study sponsor or research team.

Cansel Bozer Uludağ, expert

CONTACT

[email protected]

+905434332624

Sponsors and collaborators

Lead sponsor

Cukurova University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Aug 22, 2025
Registry last updated
Sep 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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