Evidence map›Paper›PMID 40887513›Full record

Trial reportObesity surgery2025

A Randomized-Controlled Trial Examining Telephone-Based Cognitive Behavioral Therapy for Patients After Metabolic and Bariatric Surgery: 18 Month Follow-up Results.

Stephanie E Cassin, Katey E Park, Samantha E Leung, Clement Ma, George Tomlinson, Raed Hawa, Susan Wnuk, Timothy Jackson, David Urbach, Allan Okrainec and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03315247 (Telephone-Based Cognitive Behavioural Therapy for Post-Operative Bariatric Surgery Patients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03315247 nacompletednot on this map

Telephone-Based Cognitive Behavioural Therapy for Post-Operative Bariatric Surgery Patients: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity Health Network, TorontoRan2018 to 2024Enrolled306ConditionsObesityArmsTelephone-Based CBT
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Stephanie E CassinToronto Metropolitan University, Toronto, Canada. stephanie.cassin@torontomu.ca.
Katey E ParkToronto Metropolitan University, Toronto, Canada. katey.park@torontomu.ca.
Samantha E LeungUniversity Health Network, Toronto, Canada.
Clement MaUniversity of Toronto, Toronto, Canada.
George TomlinsonUniversity of Toronto, Toronto, Canada.
Raed HawaUniversity Health Network, Toronto, Canada.
Susan WnukUniversity Health Network, Toronto, Canada.
Timothy JacksonUniversity Health Network, Toronto, Canada.
David UrbachWomen's College Hospital, Toronto, Canada.
Allan OkrainecUniversity Health Network, Toronto, Canada.
Jennifer BrownOttawa Hospital, Ottawa, Canada.
Daniella SandreOttawa Hospital, Ottawa, Canada.
Sanjeev SockalingamUniversity Health Network, Toronto, Canada. Sanjeev.Sockalingam@camh.ca.

Funding

CIHR 317877
6 · The paper itself

Abstract

backgroundTelephone-based Cognitive Behavioral Therapy (Tele-CBT) has shown to reduce disordered eating and psychological distress after metabolic and bariatric surgery (MBS). However, it is currently unknown how Tele-CBT impacts outcomes long term, and if differences in weight loss trajectories following Tele-CBT emerge with a long-term follow-up. This study aimed to identify whether Tele-CBT remains effective at 18 months post-intervention for improving psychological distress and maladaptive eating, and mitigating recurrent weight gain.

methodsThis large, multisite randomized control trial was conducted at three hospital-based MBS programs in Ontario, Canada. Participants (n = 306) were randomized 1:1 to receive either Tele-CBT or standard MBS care. The primary outcome was percentage of total weight loss (%TWL). Secondary outcomes included disordered eating (Binge Eating Scale, Emotional Eating Scale) and psychological distress (Patient Health Questionnaire-9, Generalized Anxiety Disorder-7). Linear mixed models assessed group-by-time interactions across five time points: baseline (1-year post-MBS), post-intervention, and 3-, 12-, and 18-month follow-ups.

resultsTele-CBT resulted in significant post-intervention improvements in binge eating (MD = - 0.46, p < .001), emotional eating (MD = - 0.14, p = 0.01), anxiety (MD = - 0.40, p < .001), and depressive symptoms (MD = - 0.47, p < .001). These improvements were all sustained at 3 months post-intervention (p < .05) whereas only improvements for emotional eating were sustained at 12 months post-intervention (MD = - 0.15, p = 0.01). There were no significant differences in %TWL trajectories between the Tele-CBT and control groups.

conclusionsTele-CBT provides psychological benefits, particularly in reducing emotional eating. Findings highlight the need for continued psychosocial support to sustain other psychological benefits and mitigate recurrent weight gain post-MBS and further research on optimizing intervention timing and duration.

trial registrationClinicalTrials.gov Identifier: NCT03315247.

Indexed as

Bariatric SurgeryCognitive Behavioral TherapyFeeding and Eating DisordersObesity, MorbidTelephoneAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedOntarioPsychological DistressTelemedicineTreatment OutcomeWeight LossCognitive-behavioral therapy (CBT)Mental healthMetabolic and bariatric surgery (MBS)Pathological eatingPsychosocial support

Identifiers

PMID40887513
PMCPMC12540552

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.