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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity
Obesity (Silver Spring, Md.), v 27(4), pp 565-571
Apr 2019
PMID: 30806492
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up.
Methods
Participants with overweight or obesity (n = 190) were randomized to 25 sessions of SBT or ABT over 1 year and assessed at months 12 (i.e., posttreatment), 24 (1 year posttreatment), and 36 (2 years posttreatment).
Results
Weight‐loss differences previously observed at 12 months attenuated by follow‐up, though a large difference was observed in the proportion of treatment completers who maintained 10% weight loss at 36 months (SBT = 17.1% vs. ABT = 31.6%; P = 0.04; intent‐to‐treat: SBT = 14.4% vs. ABT = 25.0%; P = 0.07). The amount of regain between posttreatment and follow‐up did not differ between groups. ABT produced higher quality of life at 24 and 36 months. Autonomous motivation and psychological acceptance of food‐related urges mediated the effect of condition on weight. No moderator effects were identified.
Conclusions
Overall, results suggest that infusing SBT for weight loss with acceptance‐based strategies enhances weight loss initially, but these effects fade in the years following the withdrawal of treatment. Even so, those receiving ABT were about twice as likely to maintain 10% weight loss at 36 months, and they reported considerably higher quality of life.
Metrics
Details
- Title
- Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity
- Creators
- Evan M. Forman - Drexel UniversityStephanie M. Manasse - Drexel UniversityMeghan L. Butryn - Drexel UniversityRoss D. Crosby - University of North DakotaDiane H. Dallal - Drexel UniversityRebecca J. Crochiere - Drexel University
- Publication Details
- Obesity (Silver Spring, Md.), v 27(4), pp 565-571
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK095069)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000462152000008
- Scopus ID
- 2-s2.0-85062325853
- Other Identifier
- 991019167810204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics