Journal article
Acceptance-based versus standard behavioral treatment for obesity: Results from the mind your health randomized controlled trial
Obesity (Silver Spring, Md.), v 24(10), pp 2050-2056
Oct 2016
PMID: 27670400
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To evaluate the efficacy, as well as potential moderators and mediators, of a revised acceptance-based behavioral treatment (ABT) for obesity, relative to standard behavioral treatment (SBT).
Participants with overweight and obesity (n = 190) were randomized to 25 sessions of ABT or SBT over 1 year. Primary outcome (weight), mediator, and moderator measurements were taken at baseline, 6 months, and/or 12 months, and weight was also measured every session.
Participants assigned to ABT attained a significantly greater 12-month weight loss (13.3% ± 0.83%) than did those assigned to SBT (9.8% ± 0.87%; P = 0.005). A condition by quadratic time effect on session-by-session weights (P = 0.01) indicated that SBT had a shallower trajectory of weight loss followed by an upward deflection. ABT participants were also more likely to maintain a 10% weight loss at 12 months (64.0% vs. 48.9%; P = 0.04). No evidence of moderation was found. Results supported the mediating role of autonomous motivation and psychological acceptance of food-related urges.
Behavioral weight loss outcomes can be improved by integrating self-regulation skills that are reflected in acceptance-based treatment, i.e., tolerating discomfort and reduction in pleasure, enacting commitment to valued behavior, and being mindfully aware during moments of decision-making.
Metrics
Details
- Title
- Acceptance-based versus standard behavioral treatment for obesity: Results from the mind your health randomized controlled trial
- Creators
- Evan M Forman - Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA. evan.forman@drexel.eduMeghan L Butryn - Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USAStephanie M Manasse - Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USARoss D Crosby - Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USAStephanie P Goldstein - Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USAEmily P Wyckoff - Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USAJ Graham Thomas - Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
- Publication Details
- Obesity (Silver Spring, Md.), v 24(10), pp 2050-2056
- Publisher
- Wiley; United States
- Grant note
- R01 DK095069 / NIDDK NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000388276900012
- Scopus ID
- 2-s2.0-84988728404
- Other Identifier
- 991014877926004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics