Efficacy of telehealth acceptance and commitment therapy for weight loss: a pilot randomized clinical trial

被引:7
作者
Bricker, Jonathan B. [1 ,2 ]
Mull, Kristin E. [1 ]
Sullivan, Brianna M. [1 ]
Forman, Evan M. [3 ]
机构
[1] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98109 USA
[2] Univ Washington, Dept Psychol, Seattle, WA 98195 USA
[3] Drexel Univ, Ctr Weight Eating & Lifestyle Sci, Dept Psychol, Philadelphia, PA 19104 USA
关键词
Weight loss; Obesity; Acceptance and commitment therapy; Telephone; Telehealth; STANDARD BEHAVIORAL TREATMENT; LIFE-STYLE INTERVENTION; HEALTH PROJECT; OBESITY; DESIGN; ADULTS; MIND; METAANALYSIS; VALIDATION; OVERWEIGHT;
D O I
10.1093/tbm/ibab012
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Telehealth coaching for weight loss has high population-level reach but limited efficacy. To potentially improve on this limitation, the purpose of this study was to determine the preliminary efficacy of the first known telephone coaching acceptance and commitment therapy (ACT) intervention for weight loss. A two-arm, stratified, individually randomized pilot trial comparing ACT (n = 53) with standard behavioral therapy (SBT; n = 52) was used for this study. Both interventions were delivered in 25 telephone coaching calls (15-20 min each) over a 12 month period. Weight was measured at baseline and 3, 6, and 12 month postrandomization follow-ups. Recruited from 32 U.S. states, participants were of mean age 40.7, 42% male, 34% racial/ ethnic minority, and mean baseline body mass index of 34.3. Fractions of 10% or more scale-reported weight loss: 15% for ACT versus 4% for SBT at 3 month follow-up (N = 86; odds ratio [OR] = 4.61; 95% confidence interval [CI]: 0.79, 26.83), 24% for ACT versus 13% for SBT at 6 month follow-up (N= 72; OR = 2.45; 95% CI: 0.65, 9.23), 30% for ACT versus 30% for SBT at 12 month follow-up (N = 57; OR = 0.93; 95% CI: 0.28, 3.09). Fractions of 10% or more self-reported weight loss at 12 month follow-up: 25% for ACT versus 15% for SBT (N = 75; OR = 2.38; 95% CI: 0.68, 8.34). The conclusion of the study was the preliminary evidence that telephone coaching ACT may be efficacious for weight loss.
引用
收藏
页码:1527 / 1536
页数:10
相关论文
共 58 条
[11]   Post-randomisation exclusions:: the intention to treat principle and excluding patients from analysis [J].
Fergusson, D ;
Aaron, SD ;
Guyatt, G ;
Hébert, P .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7365) :652-654
[12]   A One-Year Randomized Trial of Lorcaserin for Weight Loss in Obese and Overweight Adults: The BLOSSOM Trial [J].
Fidler, Meredith C. ;
Sanchez, Matilde ;
Raether, Brian ;
Weissman, Neil J. ;
Smith, Steven R. ;
Shanahan, William R. ;
Anderson, Christen M. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (10) :3067-3077
[13]   The Mind Your Health Project: A Randomized Controlled Trial of an Innovative Behavioral Treatment for Obesity [J].
Forman, E. M. ;
Butryn, M. L. ;
Juarascio, A. S. ;
Bradley, L. E. ;
Lowe, M. R. ;
Herbert, J. D. ;
Shaw, J. A. .
OBESITY, 2013, 21 (06) :1119-1126
[14]   Long-Term Follow-up of the Mind Your Health Project: Acceptance-Based versus Standard Behavioral Treatment for Obesity [J].
Forman, Evan M. ;
Manasse, Stephanie M. ;
Butryn, Meghan L. ;
Crosby, Ross D. ;
Dallal, Diane H. ;
Crochiere, Rebecca J. .
OBESITY, 2019, 27 (04) :565-571
[15]   Acceptance-Based Versus Standard Behavioral Treatment for Obesity: Results from the Mind Your Health Randomized Controlled Trial [J].
Forman, Evan M. ;
Butryn, Meghan L. ;
Manasse, Stephanie M. ;
Crosby, Ross D. ;
Goldstein, Stephanie P. ;
Wyckoff, Emily P. ;
Thomas, J. Graham .
OBESITY, 2016, 24 (10) :2050-2056
[16]   Development and Validation of the Mindful Eating Questionnaire [J].
Framson, Celia ;
Kristal, Alan R. ;
Schenk, Jeannette M. ;
Littman, Alyson J. ;
Zeliadt, Steve ;
Benitez, Denise .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2009, 109 (08) :1439-1444
[17]   Complexity of attrition in the treatment of obesity: clues from a structured telephone interview [J].
Grossi, E. ;
Dalle Grave, R. ;
Mannucci, E. ;
Molinari, E. ;
Compare, A. ;
Cuzzolaro, M. ;
Marchesini, G. .
INTERNATIONAL JOURNAL OF OBESITY, 2006, 30 (07) :1132-1137
[18]   How many interviews are enough? An experiment with data saturation and variability [J].
Guest, Greg ;
Bunce, Arwen ;
Johnson, Laura .
FIELD METHODS, 2006, 18 (01) :59-82
[19]   Acceptance and commitment therapy: Model, processes and outcomes [J].
Hayes, SC ;
Luoma, JB ;
Bond, FW ;
Masuda, A ;
Lillis, J .
BEHAVIOUR RESEARCH AND THERAPY, 2006, 44 (01) :1-25
[20]   Baseline Habitual Physical Activity Predicts Weight Loss, Weight Compensation, and Energy Intake During Aerobic Exercise [J].
Hochsmann, Christoph ;
Dorling, James L. ;
Apolzan, John W. ;
Johannsen, Neil M. ;
Hsia, Daniel S. ;
Martin, Corby K. .
OBESITY, 2020, 28 (05) :882-892