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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Aug 27, 2026; 18(8): 119830
Published online Aug 27, 2026. doi: 10.4240/wjgs.119830
Motivational interviews and digital health guidance improve postoperative weight management in obese children
Xiao-Qian Dun, Si Chen
Xiao-Qian Dun, Si Chen, Department of Pediatric Rehabilitation, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang 050000, Hebei Province, China
Author contributions: Dun XQ contributed to conceptualization, methodology, validation, formal analysis, investigation, writing original draft, writing review and editing, visualization, project administration; Chen S contributed to conceptualization, methodology, software, investigation, data curation, writing original draft, writing review and editing, supervision, funding acquisition.
AI contribution statement: AI tools (specifically ChatGPT) were used solely for linguistic refinement and formatting assistance. No AI tool was involved in the generation of research data, interpretation of results, or formulation of conclusions. All AI-generated outputs were critically reviewed and revised by the authors.
Institutional review board statement: This study was approved by the Institutional Review Board of Shijiazhuang Maternal and Child Health Hospital (No. 202132).
Clinical trial registration statement: This study was not registered as a clinical trial.
Informed consent statement: Informed consent was obtained from the legal guardians of all participating children, and assent was obtained from the children themselves.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Si Chen, MD, Doctor, Department of Pediatric Rehabilitation, Shijiazhuang Maternal and Child Health Hospital, No. 396 Youyi South Street, Qiaoxi District, Shijiazhuang 050000, Hebei Province, China. chensi_ab123@163.com
Received: April 8, 2026
Revised: May 13, 2026
Accepted: June 2, 2026
Published online: August 27, 2026
Processing time: 130 Days and 11.1 Hours
Core Tip

Core Tip: This study introduces a combined intervention of motivational interviewing (MI) and digital health guidance for pediatric obesity management. Our findings reveal that integrating MI with digital support significantly enhances lifestyle compliance, dietary and exercise behaviors, weight control, lipid profiles, and quality of life in children after metabolic and bariatric surgery. The MI approach, which focuses on eliciting patient motivation, synergizes with digital monitoring to sustain long-term behavior change, offering a novel and effective model for postoperative care in this vulnerable population.

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