{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:18:30Z","timestamp":1781857110764,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Bariatric surgery is presently considered the optimal treatment option for reducing mortality and morbidity among individuals with obesity and educating and empowering patients and their families leads to better patient outcomes and increased participation in healthcare programs Thus, aim of this study was to evaluate the effects of two educational methods on adherence and perceived social support in bariatric surgery patients: the family\u2010centered empowerment model versus the traditional model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This randomized controlled trial study was conducted on 30 bariatric surgery patients referred to one of the hospitals of Shiraz University of Medical Sciences, and were randomly divided into two groups. A family\u2010centered intervention was performed for the intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), and traditional model was provided to the control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915). A demographic questionnaire, the Bariatric Surgery Self\u2010Management Behaviors Questionnaire (BSSQ), the General Adherence Scale (GAS), and the Specific Adherence Scale (SAS), as well as the Multidimensional Scale of Perceived Social Support Questionnaire (MSPSS), were used to collect the data. Data were analyzed using SPSS software, version 21, with a significance level of 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results of our study showed that there was no statistically significant difference in Self\u2010management behavior (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.255), and General Adherence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.170), between the two groups after the intervention, but there was a significant difference in total Perceived Social Support (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) and tow subscales; family (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), and friends' support (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) between the two groups after the intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Family\u2010centered models provide an opportunity to empower family members to become active participants in the patient's health. The model could provide an opportunity for the patients to develop health their habits, such as physical activity, which would help to maintain their weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>IRCT, IRCT20180523039802N3. Registered December 13, 2020.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71407","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:15:15Z","timestamp":1761290115000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Family\u2010Centered Empowerment Model vs. Traditional Model on Adherence and Perceived Social Support in Bariatric Surgery Patients: \u200eA Randomized Clinical Controlled Trial"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3381-4559","authenticated-orcid":false,"given":"Mahboobeh","family":"Hosseinimoghadam","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Ghanbarzadeh","sequence":"additional","affiliation":[{"name":"Student Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3696-4242","authenticated-orcid":false,"given":"Zahra","family":"Sobhani","sequence":"additional","affiliation":[{"name":"Colorectal Research Center Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9725-7026","authenticated-orcid":false,"given":"Masood","family":"Amini","sequence":"additional","affiliation":[{"name":"Laparoscopy Research Center Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0885-9853","authenticated-orcid":false,"given":"Amirali","family":"Alizadeh","sequence":"additional","affiliation":[{"name":"Student Committee of Medica, Education Development Center Maragheh University of Sciences Maragheh Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2995-0264","authenticated-orcid":false,"given":"Zinat","family":"Mohebbi","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2018.09.005"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2008.102"},{"key":"e_1_2_14_4_1","unstructured":"WHO. 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