Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial.
Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial.
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DOI：
10.1186/s40359-015-0075-2
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发表时间：
2015-01-01
期刊：
影响因子：
3.6
通讯作者：
Wing, Rena R
中科院分区：
文献类型：
--
作者：
Lillis, Jason;Niemeier, Heather M;Wing, Rena R
背景：肥胖是一个公共卫生问题，与重大的健康风险和医疗保健费用相关。行为体重控制计划产生临床上有意义的体重减轻，然而结果具有高度可变性，并且维持仍然是一个问题。目前的研究是一项由NIH资助的随机临床试验，测试了一种新的方法，基于接受的行为干预（ABBI），该方法结合了标准行为治疗（SBT）和接受与承诺疗法（ACT）的技术。我们测试这种方法的个人报告高内部去抑制谁通常响应差的标准干预措施，似乎受益于ACT components.METHODS/DESIGN：ABBI研究的目标是招募160超重或肥胖的成年人（体重指数为25 - 50）谁报告说，他们暴饮暴食的负面情绪状态。这些人被随机分配到（1）ABBI或（2）SBT。两种干预措施都包括每周一次的22次会议，每两周一次的6次会议，然后每月一次的3次会议，都接受相同的卡路里摄入目标（1200 - 1800，取决于起始体重），运动目标（每周工作250分钟）和自我监测技能培训。SBT结合了当前解决问题思想和情绪的最佳实践干预措施，有时称为“改变”或“控制”策略。ABBI使用基于ACT的验收技术。在基线、6、12和18个月时进行全面评估。从基线到18个月的体重减轻是主要outcome.Discussion：ABBI研究是独特的，它专注于将基于接受的技术整合到SBT干预中，并针对一组患有情绪暴饮暴食问题的个体，这些个体可能会从这种新方法中受益。
BACKGROUND: Obesity is public health problem associated with significant health risks and healthcare costs. Behavioral weight control programs produce clinically meaningful weight losses, however outcomes have high variability and maintenance continues to be a problem. The current study is an NIH-funded randomized clinical trial testing a novel approach, Acceptance-Based Behavioral Intervention (ABBI), that combines techniques from standard behavioral treatment (SBT) and Acceptance and Commitment Therapy (ACT). We test this approach among individuals reporting high internal disinhibition who typically respond poorly to standard interventions and appear to benefit from ACT components.METHODS/DESIGN: The ABBI study targets recruitment of 160 overweight or obese adults (BMI of 25-50) who report that they overeat in response to negative emotional states. These individuals are randomly assigned to either (1) ABBI or (2) SBT. Both interventions involve weekly meetings for 22 sessions, bi-weekly for 6 sessions, and then monthly for 3 sessions and both receive the same calorie intake target (1200-1800, depending on starting weight), exercise goal (work up to 250min per week), and self-monitoring skills training. SBT incorporates current best practice interventions for addressing problematic thoughts and emotions, sometimes called "change" or "control" strategies. ABBI uses acceptance-based techniques based on ACT. Full assessments occur at baseline, 6, 12, and 18months. Weight loss from baseline to 18months is the primary outcome.DISCUSSION: The ABBI study is unique in its focus on integrating acceptance-based techniques into a SBT intervention and targeting a group of individuals with problems with emotional overeating who might experience particular benefit from this novel approach.TRIAL REGISTRATION: ClinicalTrials.gov, NCT01461421 (registered October 25, 2011).