{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:15:28Z","timestamp":1769084128196,"version":"3.49.0"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Social media networks have been found to provide emotional, instrumental, and social support, which may contribute to improved adherence to postbariatric surgery care recommendations.<\/jats:p><jats:p>\n          Objectives\u2003This study aimed to evaluate the impact of an online social media-based, health care professional-led, educational and support program on patients' long-term engagement with and adherence to follow-up guidelines, self-care recommendations, and weight management after bariatric surgery.<\/jats:p><jats:p>\n          Methods\u2003An observational cohort study, employing mixed methods, accompanied a 12-week interactive, structured, social media psychoeducational intervention program delivered on Facebook. Program participants, who had undergone one bariatric surgery within the past 1 to 7 years and were at least 18 years old at the time of surgery, were invited to join the program via posts online. Interested individuals were provided information about the program and the accompanying evaluation study, and those who met requirements completed study questionnaires before and after the program. Questionnaires included demographic and anthropometric information; postoperative recommendations received and their clarity and implementation; attitudes toward recommendation adherence; and well-being. Daily system data on program engagement were collected from the Facebook website.<\/jats:p><jats:p>\n          Results\u2003Of the 214 participants enrolled in the program, 101 (80.2% female, mean age 43.8\u2009\u00b1\u20099.1 years and mean body mass index 30.2\u2009\u00b1\u20096.8\u2009kg\/m2, 1\u20137 years after bariatric surgery) completed both baseline and end-of-program questionnaires and were included in the analysis. Following the program, improvements were observed in most aspects of participants' adherence to postoperative recommendations and well-being. Close to half of the participants (44.6%) reported reaching their postoperative target weight at the end of the program or maintaining it throughout the program. Video posts drew higher participant engagement than other media, and content about proteins received the highest number of reactions. However, participants' active engagement gradually declined over time.<\/jats:p><jats:p>\n          Conclusion\u2003Interactive health support on social media can positively enhance patient engagement, adherence to treatment recommendations, health outcomes, and overall well-being.<\/jats:p>","DOI":"10.1055\/a-2395-3357","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T04:47:24Z","timestamp":1724302044000},"page":"952-964","source":"Crossref","is-referenced-by-count":1,"title":["A Structured Social Media Health Support Program after Bariatric Surgery"],"prefix":"10.1055","volume":"15","author":[{"given":"Orly","family":"Tamir","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"},{"name":"National Council on Diabetes, Ministry of Health, Jerusalem, Israel"}]},{"given":"Hassan","family":"Kais","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel"}]},{"given":"Moran","family":"Accos-Carmel","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"}]},{"given":"Tatyana","family":"Kolobov","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"}]},{"given":"Gideon","family":"Matthews","sequence":"additional","affiliation":[{"name":"Johnson & Johnson, Shefayim, Israel"}]},{"given":"Aviva","family":"Lipsits","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"}]},{"given":"Yuval","family":"Shalev","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"}]},{"given":"Sigal","family":"Sheffer-Benton","sequence":"additional","affiliation":[{"name":"The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat-Gan, Israel"}]},{"given":"Arriel","family":"Benis","sequence":"additional","affiliation":[{"name":"Department of Digital Medical Technologies, Holon Institute of Technology, Holon, Israel"}]}],"member":"194","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1007\/s11695-012-0691-3","article-title":"Predictors of attrition in bariatric aftercare: a systematic review of the literature","volume":"22","author":"I Moroshko","year":"2012","journal-title":"Obes Surg"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"2026","DOI":"10.1007\/s11695-013-1009-9","article-title":"Predictors of post-bariatric surgery appointment attendance: the role of relationship style","volume":"23","author":"S Sockalingam","year":"2013","journal-title":"Obes Surg"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"5494","DOI":"10.1007\/s11695-021-05717-y","article-title":"Adherence to post-operative appointments is associated with weight loss following bariatric surgery","volume":"31","author":"K Martens","year":"2021","journal-title":"Obes Surg"},{"issue":"707","key":"ref4","doi-asserted-by":"crossref","first-page":"e441","DOI":"10.3399\/bjgp20X714161","article-title":"Post-bariatric surgery nutritional follow-up in primary care: a population-based cohort study","volume":"71","author":"H M Parretti","year":"2021","journal-title":"Br J Gen Pract"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1007\/s11695-021-05857-1","article-title":"Is adherence to follow-up after bariatric surgery necessary? 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Wild","year":"2017","journal-title":"Surg Obes Relat Dis"},{"issue":"10","key":"ref19","doi-asserted-by":"crossref","first-page":"7652","DOI":"10.1007\/s00464-022-09067-3","article-title":"Social support provided to bariatric surgery patients through a Facebook group may improve weight loss outcomes","volume":"36","author":"D I Athanasiadis","year":"2022","journal-title":"Surg Endosc"},{"key":"ref20","first-page":"465","volume-title":"Social networks and social support","author":"T A Wills","year":"2012"},{"key":"ref21","doi-asserted-by":"crossref","DOI":"10.4324\/9780203804100","volume-title":"Handbook of Health Psychology. 2. ed","author":"A Baum","year":"2012"},{"issue":"05","key":"ref22","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1001\/jama.2019.21084","article-title":"Evaluating the potential role of social media in preventive health care","volume":"323","author":"R M Merchant","year":"2020","journal-title":"JAMA"},{"key":"ref23","first-page":"105","article-title":"Social media and the internet of things for emergency and disaster medicine management","volume":"291","author":"A Benis","year":"2022","journal-title":"Stud Health Technol Inform"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jneb.2017.09.025","article-title":"Feasibility and acceptability of delivering a postpartum weight loss intervention via Facebook: a pilot study","volume":"50","author":"M E Waring","year":"2018","journal-title":"J Nutr Educ Behav"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"854","DOI":"10.4338\/ACI-2017-04-RA-0055","article-title":"Comment topic evolution on a cancer institution's Facebook page","volume":"8","author":"C Tang","year":"2017","journal-title":"Appl Clin Inform"},{"issue":"10","key":"ref26","first-page":"638","article-title":"Infodemiology of diabetes during the COVID-19 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Czernichow","year":"2023","journal-title":"Front Digit Health"},{"issue":"12","key":"ref33","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1016\/j.amjmed.2015.06.015","article-title":"Social media use in chronic disease: a systematic review and novel taxonomy","volume":"128","author":"R Patel","year":"2015","journal-title":"Am J Med"},{"issue":"03","key":"ref34","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1007\/s11695-016-2337-3","article-title":"Project HELP: a remotely delivered behavioral intervention for weight regain after bariatric surgery","volume":"27","author":"L E Bradley","year":"2017","journal-title":"Obes Surg"},{"issue":"12","key":"ref35","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1177\/0193945918756870","article-title":"Using Facebook in a healthy lifestyle intervention: feasibility and preliminary efficacy","volume":"40","author":"J Ling","year":"2018","journal-title":"West J Nurs Res"},{"issue":"02","key":"ref36","doi-asserted-by":"crossref","first-page":"e67","DOI":"10.2196\/jmir.7862","article-title":"A web-based, social networking beginners' running intervention for adults aged 18 to 50 years delivered via a Facebook group: randomized controlled trial","volume":"20","author":"J Looyestyn","year":"2018","journal-title":"J Med Internet Res"},{"issue":"06","key":"ref38","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s11165-016-9602-2","article-title":"The use of Cronbach's alpha when developing and reporting research instruments in science education","volume":"48","author":"K S Taber","year":"2018","journal-title":"Res Sci Educ"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/10810730490271449","article-title":"A prospective and retrospective look at the diffusion model","volume":"9","author":"E M Rogers","year":"2004","journal-title":"J Health Commun"},{"key":"ref40","first-page":"261","volume-title":"Rogers' innovation diffusion theory (1962, 1995)","author":"R L Miller","year":"2015"},{"issue":"03","key":"ref41","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000376585","article-title":"The WHO-5 Well-Being Index: a systematic review of the literature","volume":"84","author":"C W Topp","year":"2015","journal-title":"Psychother Psychosom"},{"issue":"01","key":"ref43","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1002\/oby.20232","article-title":"Using Facebook and text messaging to deliver a weight loss program to college students","volume":"21","author":"M A Napolitano","year":"2013","journal-title":"Obesity (Silver Spring)"},{"issue":"08","key":"ref44","doi-asserted-by":"crossref","first-page":"4595","DOI":"10.1007\/s00464-020-07884-y","article-title":"Facebook groups provide effective social support to patients after bariatric surgery","volume":"35","author":"D I Athanasiadis","year":"2021","journal-title":"Surg Endosc"},{"issue":"06","key":"ref45","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.2196\/mhealth.9801","article-title":"Using the habit app for weight loss problem solving: development and feasibility study","volume":"6","author":"S Pagoto","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"issue":"S 01","key":"ref47","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1590\/S0102-6720201500S100014","article-title":"The use of the Internet by the patient after bariatric surgery: contributions and obstacles for the follow-up of multidisciplinary monitoring","volume":"28","author":"M P Martins","year":"2015","journal-title":"Arq Bras Cir Dig"},{"issue":"02","key":"ref48","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1007\/s11695-023-07013-3","article-title":"Positive program evaluation and health maintenance among post-metabolic and bariatric surgery patients following a 6-week pilot program","volume":"34","author":"S McIntosh","year":"2024","journal-title":"Obes Surg"},{"issue":"13","key":"ref49","doi-asserted-by":"crossref","first-page":"10449","DOI":"10.3390\/ijms241310449","article-title":"Emerging role of GLP-1 agonists in obesity: a comprehensive review of randomized controlled Trials","volume":"24","author":"M S Popoviciu","year":"2023","journal-title":"Int J Mol Sci"},{"issue":"10","key":"ref50","first-page":"664","article-title":"Subcutaneous semaglutide use for weight management: practice and attitudes of physicians in Israel","volume":"25","author":"D Dicker","year":"2023","journal-title":"Isr Med Assoc J"},{"key":"ref51","volume-title":"Health at a Glance 2023: OECD Indicators","year":"2023"}],"container-title":["Applied Clinical 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