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- Title
A randomized trial of an acceptance-based behavioral intervention for weight loss in people with high internal disinhibition.
- Authors
Lillis, Jason; Niemeier, Heather M.; Thomas, J. Graham; Unick, Jessica; Ross, Kathryn M.; Leahey, Tricia M.; Kendra, Kathleen E.; Dorfman, Leah; Wing, Rena R.
- Abstract
<bold>Objective: </bold>To determine whether an acceptance-based behavioral intervention (ABBI) produces better weight losses than standard behavioral treatment (SBT) among individuals reporting high internal disinhibition.<bold>Methods: </bold>Participants were 162 adults with overweight or obesity (mean BMI 37.6 kg/m2 ) randomly assigned to ABBI or SBT. Both interventions provided the same calorie intake target, exercise goal, and self-monitoring skills training. SBT incorporated current best practice interventions for addressing problematic thoughts and emotions. ABBI utilized acceptance-based techniques based on Acceptance and Commitment Therapy. ABBI and SBT were compared on weight change and internal disinhibition change over 24 months.<bold>Results: </bold>Mixed models analysis showed mean weight loss at 24 months was -4.1% (SE = 0.88) for ABBI and -2.4% (SE = 0.87) for SBT (P = 0.204). Secondary analyses showed that the ABBI group regained less weight from the end of treatment to the final follow-up (4.6 vs. 7.1 kg; P = 0.005), and that a significantly higher proportion of ABBI participants achieved a 5% weight loss (38% vs. 25%; P = 0.038) at 24 months.<bold>Conclusions: </bold>Results suggest that ABBI could be helpful for improving the maintenance of weight loss for individuals who report high internal disinhibition.
- Subjects
BEHAVIOR therapy; WEIGHT loss; OBESITY treatment; OVERWEIGHT persons; HEALTH care intervention (Social services); OBESITY &; psychology; BEHAVIOR; COMPARATIVE studies; EXERCISE; INGESTION; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH funding; EVALUATION research; RANDOMIZED controlled trials; TREATMENT effectiveness
- Publication
Obesity (19307381), 2016, Vol 24, Issue 12, p2509
- ISSN
1930-7381
- Publication type
journal article
- DOI
10.1002/oby.21680