A Pilot Study Examining the Initial Effectiveness of a Brief Acceptance-Based Behavior Therapy for Modifying Diet and Physical Activity Among Cardiac Patients
A Pilot Study Examining the Initial Effectiveness of a Brief Acceptance-Based Behavior Therapy for Modifying Diet and Physical Activity Among Cardiac Patients
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DOI：
10.1177/0145445511427770
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发表时间：
2012-03-01
影响因子：
2.3
通讯作者：
Ledley, Gary S.
中科院分区：
文献类型：
--
作者：
Goodwin, Christina L.;Forman, Evan M.;Ledley, Gary S.
大约90%的心脏事件可归因于少数可改变的行为危险因素，如果改变这些因素，可以极大地降低发病率和死亡率。然而，很少有高危个体做出推荐的行为改变，包括那些接受旨在促进健康行为的正式干预的人。有证据表明，基于接受的行为治疗中固有的特定心理因素(ABBT；即对不适、正念和价值观的清晰度的不耐受)可能会影响健康行为改变，作者评估了ABBT试点计划的可行性和初步有效性，该计划旨在提高心脏病患者对行为建议的依从性。参与者(N=16)参加了四个90分钟的小组会议，重点是发展正念和承受痛苦的技能，并加强对与健康相关的行为改变的承诺。参与者报告了很高的治疗满意度和理解力，并在饮食和体力活动方面做出了积极的改变。这是对ABBT计划的第一次评估，该计划旨在增加心脏病患者的心脏健康行为。
Approximately 90% of cardiac events are attributable to a small number of modifiable behavioral risk factors that, if changed, can greatly decrease morbidity and mortality. However, few at-risk individuals make recommended behavioral changes, including those who receive formal interventions designed to facilitate healthy behavior. Given evidence for the potential of specific psychological factors inherent in acceptance-based behavior therapy (ABBT; that is, intolerance of discomfort, mindfulness, and values clarity) to impact health behavior change, the authors evaluated the feasibility and initial effectiveness of an ABBT pilot program designed to increase adherence to behavioral recommendations among cardiac patients. Participants (N = 16) were enrolled in four, 90-min group sessions focused on developing mindfulness and distress tolerance skills, and strengthening commitment to health-related behavior change. Participants reported high treatment satisfaction and comprehension and made positive changes in diet and physical activity. This was the first evaluation of an ABBT program aimed at increasing heart-healthy behaviors among cardiac patients.