Background

Pre-operative education is a part of many metabolic and bariatric programs. This education typically revolves around dietary changes, medication adjustments, physical activity and mitigation of common post-operative issues. There is a noticeable absence of similar psychologically based education and follow-up post-operatively. An 8-week pilot program was developed for patients who had bariatric surgery. Course content was drawn partially from Mindfulness-Based Stress Reduction, an evidence-based program developed at UMass Medical School. Additional content on mindful eating and healthy lifestyle was included. Given our culturally diverse population, content was created with consideration for diversity, relevancy, and sensitivity. Participants were self-referred following announcements at monthly support groups or were referred by a bariatric provider. Out of 32 interested people, 12 women (75% African American, mean BMI=39.64 (6.12), age <= 49 (n = 8)) participated in the first group. The majority had undergone sleeve gastrectomy (66.67%) within the last 2 years (83%). Half of the group participated in 4 or more sessions. Prior experience with mindfulness was minimal and comparable with past samples of non-meditators. Participants were led in a variety of mindful coping practices for chronic pain and emotion regulation. Audio recordings and handouts supplemented class attendance. At 8 weeks, participants' reported satisfaction was high (80%). Most helpful practice reported was progressive muscle relaxation. Overall, the program was well-received by staff and patients and supports a holistic approach to long-term weight management. We anticipate a doubling of the sample size by the end of 2023 with the conclusion of a second cohort.