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Efficacy of telehealth acceptance and commitment therapy for weight loss: a pilot randomized clinical trial
Journal article   Open access   Peer reviewed

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

Jonathan B Bricker, Kristin E Mull, Brianna M Sullivan and Evan M Forman
Translational behavioral medicine, v 11(8), pp 1527-1536
13 Aug 2021
DOI: https://doi.org/10.1093/tbm/ibab012
PMID: 33787926
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/tbm/ibab012View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Acceptance and Commitment Therapy Adult Ethnicity Female Humans Male Minority Groups Pilot Projects Telemedicine Telephone Weight Loss
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.

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15 Record Views
9 citations in Web of Science
10 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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