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接纳与承诺疗法和正念团体干预对增强寻求治疗的超重或肥胖成年人身心健康的有效性:Mind&Life 随机对照试验研究方案。

The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatment: The Mind&Life Randomized Control Trial Study Protocol.

机构信息

Department of Clinical and Health Psychology and Research Methodology, Faculty of Psychology, University of the Basque Country (UPV/EHU), 70 Tolosa Avenue, 20018 Donostia-San Sebastián, Spain.

出版信息

Int J Environ Res Public Health. 2021 Apr 21;18(9):4396. doi: 10.3390/ijerph18094396.

Abstract

Although several interventions that target obesity have been examined, the success of these interventions in generating and maintaining positive results has yet to be confirmed. This study protocol therefore presents a trial aimed at analyzing the effectiveness of a well-being-centered acceptance and commitment therapy (ACT)- and mindfulness-based group intervention following the valued-based healthy living (VHL) approach (Mind&Life intervention) for individuals experiencing overweight-related distress. A randomized controlled trial with two parallel groups will be conducted in 110 adults attending primary care units with overweight or obesity. Participants will be randomly allocated to one of the two study conditions. Interventions will either be the treatment as usual (TAU) or the Mind&Life intervention-an ACT- and mindfulness-based intervention-plus the TAU intervention. Quality of life, weight self-stigma, general health status, eating habits, physical activity, eating behavior, anthropometric, body composition, cardiovascular, and physiological variables, as well as process variables, will be examined at baseline, posttreatment, 6-month follow-up, and 1-year follow-up. This trial aims to offer a novel psychological approach for addressing the psychological and physical impairments suffered by people with overweight or obesity in the current environment. ClinicalTrials.gov identifier: NCT03718728.

摘要

虽然已经研究了几种针对肥胖的干预措施,但这些干预措施在产生和维持积极效果方面的成功仍有待证实。因此,本研究方案提出了一项旨在分析基于幸福感的接纳与承诺疗法(ACT)和正念为基础的团体干预(基于价值的健康生活方法,Mind&Life 干预)对超重相关困扰的个体的有效性的试验。一项采用随机对照试验设计、有两个平行组的试验将在 110 名超重或肥胖的初级保健单位就诊者中开展。参与者将被随机分配到两个研究条件之一。干预措施将是常规治疗(TAU)或 Mind&Life 干预(ACT 和正念为基础的干预措施+TAU 干预)。在基线、治疗后、6 个月随访和 1 年随访时,将检查生活质量、体重自我污名、一般健康状况、饮食习惯、身体活动、饮食行为、人体测量、身体成分、心血管和生理变量以及过程变量。该试验旨在为当前环境中超重或肥胖人群的心理和身体损伤提供一种新的心理方法。临床试验标识符:NCT03718728。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4de/8122354/238910efeed3/ijerph-18-04396-g001.jpg

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