Cattivelli Roberto, Castelnuovo Gianluca, Musetti Alessandro, Varallo Giorgia, Spatola Chiara A M, Riboni Francesco Vailati, Usubini Anna Guerrini, Tosolin Fabio, Manzoni Gian Mauro, Capodaglio Paolo, Rossi Alessandro, Pietrabissa Giada, Molinari Enrico
Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Verbania, Italy.
Department of Psychology, Catholic University of Milan, Milan, Italy.
Trials. 2018 Nov 29;19(1):659. doi: 10.1186/s13063-018-2968-x.
Obesity and the state of being overweight are increasing steadily and becoming a global epidemic. Recent research reports 64% of the adult population as overweight in Europe and the USA. The social and economic impacts are increasing, and most of the rehabilitation programs, while effective in the short term, do not produce long-lasting results. An explanatory model from a behavioral perspective can describe the phenomena with the lack of sources of reinforcement related to healthful habits in a daily life context.
METHODS/DESIGN: A randomized clinical trial combining single-subject studies and a four-arm group design will be conducted to compare the effect of the current standard in obesity treatment to Acceptance and Commitment Therapy (ACT) and wearable technology at different times, before starting intervention, at the end, and at follow-up visits of 3, 6, and 12 months measuring changes over time of physical activity and psychological well-being.
The goal of this project, combining ACT and wearable technology, is to develop an effective intervention, efficient and sustainable, which even after discharge can provide adequate contingencies of reinforcement in the natural environment, integrating systematic measurements, continuous feedback, and individualized, values-based objectives. The intervention is aimed to provide a contingent reinforcement for healthful behaviors instead of reinforcing only the achievement of a significant weight loss. The aim of the project, combining Acceptance and Commitment Therapy and Wearable Technology, is to develop an effective, efficient and sustainable intervention able to provide a contingent reinforcement for healthy behaviors. The intervention is aimed to promote adequate healthy behaviors in the natural environment, integrating systematic measurements, continuous feedback and individualized values-based objectives, instead of reinforcing only the achievement of a significant weight loss.
ClinicalTrials.gov, NCT03351712 . Registered on 24 November 2017.
肥胖和超重现象正在稳步增加，并成为一种全球流行病。最近的研究报告称，在欧洲和美国，64%的成年人口超重。其社会和经济影响日益增大，并且大多数康复项目虽然在短期内有效，但并未产生持久效果。从行为角度出发的一种解释模型可以描述在日常生活情境中与健康习惯相关的强化源缺失的现象。
方法/设计：将开展一项结合单受试者研究和四臂组设计的随机临床试验，以比较肥胖治疗的现行标准与接纳与承诺疗法（ACT）以及可穿戴技术在不同时间（干预开始前、结束时以及3个月、6个月和12个月的随访时）的效果，测量身体活动和心理健康随时间的变化。
本项目结合ACT和可穿戴技术的目标是开发一种有效、高效且可持续的干预措施，即使在出院后也能在自然环境中提供适当的强化条件，整合系统测量、持续反馈以及基于价值观的个性化目标。该干预旨在为健康行为提供偶然强化，而非仅强化显著减重的成果。结合接纳与承诺疗法和可穿戴技术的项目目标是开发一种有效、高效且可持续的干预措施，能够为健康行为提供偶然强化。该干预旨在促进自然环境中的适当健康行为，整合系统测量、持续反馈以及基于价值观的个性化目标，而非仅强化显著减重的成果。
ClinicalTrials.gov，NCT03351712。于2017年11月24日注册。
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