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Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial
N Afari1,2,3, M S Herbert1,2,3, K M Godfrey4
1VA San Diego Healthcare System San Diego CA USA.
Obesity Science & Practice
|November 6, 2019
Summary
Behavioral weight-loss intervention was more effective than acceptance and commitment therapy for reducing binge eating in veterans. Both interventions improved other disinhibited eating outcomes, with decreases in avoidance linked to better results.
Area of Science:
- Behavioral Psychology
- Clinical Psychology
- Obesity Research
Background:
- Disinhibited eating is a common issue in weight management programs.
- Acceptance and Commitment Therapy (ACT) is a potential intervention for behavioral change.
Purpose of the Study:
- To evaluate ACT as an adjunct to the Veterans Affairs MOVE! weight management program for disinhibited eating.
- To compare ACT with continued behavioral weight-loss (BWL) intervention.
Main Methods:
- 88 overweight/obese veterans were randomized to ACT or continued BWL.
- Interventions included four weekly ACT sessions or ongoing BWL.
- Assessments measured disinhibited eating, quality of life, avoidance, and weight at multiple time points.
Main Results:
- The BWL group showed greater reductions in binge eating post-treatment compared to the ACT group.
- Both groups improved other outcomes with minimal differences.
- Reduced weight-related experiential avoidance correlated with improved binge eating in both groups.
Conclusions:
- Continued BWL intervention led to greater improvements in binge eating than ACT.
- Similar improvements in other disinhibited eating outcomes were observed.
- Further research on integrated or longer ACT interventions for MOVE! participants is recommended.
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