Intervention Study on Weight Loss in Patients With Obesity
A Pragmatic Randomized Controlled Pilot Trial for Weight Loss in Patients With Obesity: Assessment of the Socratic Questioning Method
Sıdıka Ece Yokuş
36 participants
Aug 14, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to evaluate the feasibility of using Socratic questioning as an alternative method for weight loss in adult patients with obesity (aged 18 to 65) in a primary care setting. The main question it aims to answer is: -Is Socratic questioning an effective alternative approach for promoting weight loss in patients with obesity? Researchers will compare participants receiving Socratic questioning during follow-up visits with those receiving regular care to see if the intervention leads to greater weight loss. Participants will: * Complete a baseline questionnaire including 9 demographic questions and the 14-item Hospital Anxiety and Depression Scale (approx. 5 minutes). * Attend five in-person follow-up visits with their family physician over a 3-month period (every 15 or 30 days), where they will receive brief counseling (10-15 minutes per visit) and have their weight, height, and waist circumference measured. * Complete a 17-question final questionnaire at the end of 3 months (approx. 10-15 minutes). * Be referred to mental health services if necessary, based on initial screening results.
Eligibility
Inclusion Criteria3
- Age between 18 and 65 years
- Body Mass Index (BMI) ≥ 30 kg/m²
- Willingness to participate in the study
Exclusion Criteria10
- Pregnancy or breastfeeding
- Presence of active psychosis or manic episode
- Intellectual disability
- Severe depression or personality disorder
- Auto- or hetero-aggressive behavior
- Reported use of psychoactive substances
- Suicidal ideation
- Participation in another weight loss program within the last 6 months
- Use of medications that cause long-term weight gain or loss
- Detection of psychopathology based on the Hospital Anxiety and Depression Scale (HADS)
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Interventions
Socratic questioning is a method in which behaviour is examined through questions such as "what, where, which, who, when, how, and why". It consists of four stages: defining the problem, evaluating and identifying alternatives, redefining, and discussing feasible outcomes. Through this process, individuals develop their critical thinking skills and make self-evaluations.
Locations(1)
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NCT07124832