# Testing the feasibility and preliminary efficacy of a psychological and behavioral intervention to promote physical activity after weight loss surgery

> **NIH NIH K23** · MASSACHUSETTS GENERAL HOSPITAL · 2020 · $177,565

## Abstract

PROJECT SUMMARY/ABSTRACT
Candidate. This K23 proposal will position Dr. Feig to become an independent investigator with expertise in
developing and testing evidence-based interventions to improve health and well-being in patients with obesity.
Her achievements thus far demonstrate her promise as a clinical researcher (20 publications, 20
presentations), and with additional training and mentorship she will significantly contribute to efforts to reduce
the burden of obesity and improve quality of life for those with obesity.
Mentorship. Mentors include experts in clinical trials and health behavior change (Drs. Huffman and
Thorndike); qualitative research (Dr. Psaros), and medical and biological factors in obesity and weight-loss
surgery (WLS; Drs. Kaplan and Thorndike). Collaborator Dr. Healy will provide biostatistical expertise and
training, and consultant Dr. Lee will share her expertise in objective measurement of physical activity.
Training Plan. Dr. Feig will achieve short-term goals through a research and training plan in (1) qualitative
research; (2) designing and implementing trials for health behavior change interventions; and (3) physiological
measures of health related to physical activity. Along with regular mentorship meetings and experiential
training through the research plan, she will complete coursework, attend and present at seminars and national
conferences, and publish findings in peer-reviewed journals. The training plan also includes courses and
support programs specifically targeted at advancing her career as an independent investigator.
Background. WLS is the most effective treatment available for severe obesity, yet about 25% of patients do
not achieve sustained meaningful weight loss after surgery. Both adherence to health behaviors and
psychological well-being are associated with weight loss maintenance after surgery. Access to ongoing support
and intervention after surgery is often limited due to logistical barriers to regular clinic attendance. Accessible
interventions are needed to improve adherence in post-WLS patients who are struggling.
Research Strategy. To address this gap, the proposed study employs a mixed methods design to adapt and
test a telehealth positive psychology-motivational interviewing (PP-MI) health behavior intervention to improve
physical activity and psychological well-being in post-WLS patients from the Massachusetts General Hospital
Weight Center. Phase 1 includes (1) qualitative interviews with post-WLS patients (n=20) to explore needs and
intervention preferences. Phase 2 is a small single-arm pilot trial (n=10) of the newly adapted PP-MI
intervention plus exit interviews, to further test and refine intervention content and study procedures. Phase 3
will entail a randomized controlled trial (n=50) to assess the feasibility and acceptability of the PP-MI
intervention compared to an enhanced usual care control on physical activity and psychological well-being over
24 weeks. This K23 lays the g...

## Key facts

- **NIH application ID:** 9976898
- **Project number:** 1K23HL148017-01A1
- **Recipient organization:** MASSACHUSETTS GENERAL HOSPITAL
- **Principal Investigator:** Emily Feig
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $177,565
- **Award type:** 1
- **Project period:** 2020-07-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9976898

## Citation

> US National Institutes of Health, RePORTER application 9976898, Testing the feasibility and preliminary efficacy of a psychological and behavioral intervention to promote physical activity after weight loss surgery (1K23HL148017-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9976898. Licensed CC0.

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