弥合差距:评估代谢减肥手术后饮食相关行为建议依从性的工具-范围审查。

IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Reviews Pub Date : 2025-08-10 DOI:10.1111/obr.70012
Shiri Sherf-Dagan, Charlene Wright, Laura Heusschen, Daniela Alceste, Lior Mor-Sasson, Dale S Bond, Tair Ben-Porat
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引用次数: 0

摘要

背景和目的:在代谢减肥手术(MBS)后坚持饮食相关的行为建议对于获得最佳手术结果很重要,但缺乏标准化的定义和工具。本综述旨在绘制用于评估MBS后饮食相关行为建议依从性的现有工具,评估其内容和心理测量特性,并确定差距以指导未来的研究和工具开发。方法:该综述在开放科学框架上注册,遵循PRISMA-ScR指南。从开始到2024年4月,在PubMed和Embase中进行了搜索,并辅以人工搜索所包含报告的参考文献列表。该综述包括对接受MBS的成年人的研究,使用至少有两项评估饮食相关建议依从性的工具,详细的工具描述,以及可用的有效性和可靠性信息。筛选和数据提取由两名审稿人独立完成,差异由第三名审稿人解决。结果:从3223篇出版物中,纳入了来自10个国家的16篇报告。评估mbs后饮食依从性的工具在内容和行为目标上差异很大,缺乏最可靠的心理测量特性。信度通过Cronbach's alpha和重测法进行评估,效度通过面孔、内容、结构和标准测量进行评估。标准化的召回期和综合评分系统明显缺失。结论:现有的评估MBS后饮食相关行为建议依从性的工具显示出显著的可变性,大多数缺乏标准化的心理测量特性和回忆期,限制了它们的效用。未来的研究应侧重于标准化饮食相关的“核心原则”,促进研究和临床环境中新工具的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery-A Scoping Review.

Background and aims: Adherence to dietary-related behavioral recommendations following metabolic bariatric surgery (MBS) is important for achieving optimal surgical outcomes, but standardized definitions and tools are lacking. This scoping review aimed to map existing tools for assessing adherence to dietary-related behavioral recommendations after MBS, evaluate their content and psychometric properties, and identify gaps to guide future research and tool development.

Methods: The review was registered on the Open Science Framework and followed PRISMA-ScR guidelines. Searches were conducted in PubMed and Embase from inception through April 2024, supplemented by hand-searching the reference lists of included reports. The review included studies of adults who underwent MBS, using tools with at least two items assessing adherence to dietary-related recommendations, with detailed tool descriptions, and, when available, information on validity and reliability. Screening and data extraction were performed independently by two reviewers, with discrepancies resolved by a third reviewer.

Results: From 3223 publications, 16 reports from 10 countries were included. Tools assessing dietary adherence post-MBS varied widely in content and behavioral targets, with most robust psychometric properties lacking. Reliability was assessed via Cronbach's alpha and test-retest methods and validity via face, content, construct, and criterion measures. Standardized recall periods and comprehensive scoring systems were notably absent.

Conclusions: Existing tools for assessing adherence to dietary-related behavioral recommendations after MBS show significant variability, with most lacking standardized psychometric properties and recall periods, limiting their utility. Future research should focus on standardizing dietary-related "core principles," facilitating the development of new instruments in research and clinical settings.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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