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CORRELATES OF SERVICE UTILIZATION AND ADHERENCE TO DIETARY AND EXERCISE MODIFICATIONS IN A SAMPLE OF WOMEN BEFORE AND AFTER BARIATRIC SURGERY

Santhouse, Robin (2008) CORRELATES OF SERVICE UTILIZATION AND ADHERENCE TO DIETARY AND EXERCISE MODIFICATIONS IN A SAMPLE OF WOMEN BEFORE AND AFTER BARIATRIC SURGERY. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

This cross-sectional study of 163 women with a mean age of 48 examined service utilization before and after gastric bypass surgery. Time since surgery ranged from 12 months to over 6 years. Service use prior to surgery, specifically extended dietary counseling and attendance at bariatric support groups, was associated with a higher sense of coherence and better postsurgical dietary adherence. Attendance at groups after surgery was mildly associated with better exercise adherence. Postsurgical depression was significantly related to postsurgical weight gain and worse quality of life outcomes. A 9-item eating assessment designed for the study was used to examine pre and postsurgical dietary adherence. The measure detected a significant improvement in eating behaviors for the majority of participants. A path analysis indicated that postsurgical dietary adherence, sense of coherence, and BMI accounted for 59% of the variance in postsurgical quality of life.

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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Santhouse, RobinRobinSanthouse@comcast.net
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairNewhill, Christinanewhill@pitt.eduNEWHILL
Committee MemberKoeske, Garygkoeske@pitt.eduGKOESKE
Committee MemberGrote, Nancyngrote@u.washington.edu
Committee MemberPetrone, Thomastpetrone@pitt.eduTPETRONE
Date: 15 May 2008
Date Type: Completion
Defense Date: 12 May 2008
Approval Date: 15 May 2008
Submission Date: 14 May 2008
Access Restriction: 5 year -- Restrict access to University of Pittsburgh for a period of 5 years.
Institution: University of Pittsburgh
Schools and Programs: School of Social Work > Social Work
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: bariatric surgery; behavioral health; dietary and exercise adherence; obesity; quality of life; sense of coherence; women's health
Other ID: http://etd.library.pitt.edu/ETD/available/etd-05142008-155141/, etd-05142008-155141
Date Deposited: 10 Nov 2011 19:44
Last Modified: 15 Nov 2016 13:43
URI: http://d-scholarship.pitt.edu/id/eprint/7870

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