Obesity Surgery

, Volume 28, Issue 8, pp 2178–2186 | Cite as

A Randomised Trial of Text Message Support for Reducing Weight Regain Following Sleeve Gastrectomy

  • Melanie LautiEmail author
  • Malsha Kularatna
  • Avinesh Pillai
  • Andrew G Hill
  • Andrew D MacCormick
Original Contributions



Sleeve gastrectomy (SG) is a common bariatric procedure with high rates of weight regain (WR). Clinicians and patients have identified a lack of follow-up support and maladaptive lifestyle behaviours as potential causes for WR. While text message support has been shown to be effective for weight loss in non-surgical patients, it has not been investigated for reducing WR in bariatric patients.


To determine the effectiveness of text message support in reducing weight regain following sleeve gastrectomy.


A text message intervention was designed. The effectiveness of the intervention was investigated by a randomised trial powered to detect a 15% difference in the primary outcome of percent excess weight loss (84 participants required). Secondary outcomes were the Bariatric Analysis and Reporting System (BAROS) score and patient satisfaction. Outcomes were assessed at 6 and 12 months.


Ninety-five participants were randomised to either standard care or text message support (daily text message for 1 year). While there was no significant difference in the primary outcome at 6 or 12 months, patients who received the intervention tended to have less WR and a significantly better BAROS score at 12 months. Participants who received text message support found it beneficial, would have liked the messages to continue, and felt WR was reduced by having the text message support.


Text message support following SG is feasible, may reduce weight regain, improves the BAROS score and is valued by patients.

Trial Registration



Sleeve gastrectomy Weight regain mHealth Text message SMS Behaviour change Quality of life 


Funding Information

This study was funded by the Health Research Council of New Zealand by way of a Clinical Research Training Fellowship (15/008) awarded to the first author.

Compliance with Ethical Standards

It was approved by the Northern B Health and Disability Ethics Committee in December 2014 (reference 14/NTB/206).

Conflict of Interest

The authors declare that they have no conflict of interest.

Supplementary material

11695_2018_3176_MOESM1_ESM.docx (16 kb)
ESM 1 (DOCX 15 kb)
11695_2018_3176_MOESM2_ESM.docx (17 kb)
ESM 2 (DOCX 17 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, South Auckland Clinical Campus, Middlemore HospitalUniversity of AucklandAucklandNew Zealand
  2. 2.Department of StatisticsUniversity of AucklandAucklandNew Zealand

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