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Third-wave cognitive behaviour therapies for weight management: systematic review and network meta-analysis protocol
Emma R Lawlor1, Nazrul Islam1, Simon J Griffin1,2
1MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
BMJ Open
|August 3, 2018
Summary
Third-wave cognitive behavioural therapies (CBTs) show promise for improving long-term weight management. This systematic review assesses their effectiveness on weight, psychological, and physical health outcomes in adults with overweight or obesity.
Area of Science:
- Behavioral Science
- Clinical Psychology
- Public Health
Background:
- Traditional behavioral and cognitive behavioral programs (CBTs) are common for weight management but have limited long-term effectiveness.
- Third-wave CBTs offer potential improvements and are increasingly utilized in clinical practice.
Purpose of the Study:
- To systematically review the effects of third-wave CBTs on weight management in adults with overweight or obesity.
- To evaluate impacts on body weight/body mass index (BMI), psychological health, and physical health outcomes.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Inclusion of randomized controlled trials, non-randomized trials, prospective cohorts, and case series of third-wave CBTs for weight management (BMI ≥25kg/m²).
- Comprehensive database searches (MEDLINE, Embase, PsycINFO, etc.) up to January 16, 2018, followed by data extraction, risk of bias assessment, and quality appraisal.
Main Results:
- A network meta-analysis or narrative synthesis will be conducted based on data availability.
- Sub-group analyses and meta-regression will explore factors influencing treatment effectiveness.
- Outcomes include changes in body weight/BMI, psychological well-being, physical health indicators, and treatment adherence.
Conclusions:
- The review will provide evidence on the efficacy of third-wave CBTs for weight management.
- Findings will inform the development of enhanced weight management interventions.
- Dissemination includes peer-reviewed publication and conference presentations.
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