Mind/Body Stress management to improve outcomes in a workplace weight loss progra

精神/身体压力管理可改善工作场所减肥计划的结果

• 批准号: 8741931
• 负责人: KELLY M CARPENTER
• 金额: $ 12.81万
• 依托单位: CONSUMER WELLNESS SOLUTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8741931
• 关键词: Address; Behavioral; Binge Eating; Body Weight decreased; Cardiovascular Diseases; Clinical; Compassion; Control Groups; Counseling; Disinhibition; Eating; Education; Educational Curriculum; Effectiveness; Emotional; Emotions; Enrollment; Evaluation; Failure; Feeling; Funding; Goals; Health; Health Care Costs; Hyperphagia; Individual; Instruction; Internet; Intervention; Life; Malignant Neoplasms; Measures; Mediating; Mind-Body Intervention; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Online Systems; Outcome; Overweight; Participant; Physical activity; Pilot Projects; Program Effectiveness; Psychological Stress; Quality of life; Randomized; Recommendation; Relative (related person); Relaxation; Reporting; Research; Research Personnel; Sample Size; Sampling; Self Efficacy; Stress; Telephone; Thinking; Time; Treatment Efficacy; Weight; Weight Gain; Workplace; base; body-mind; clinically significant; diabetes prevention program; evidence base; follow-up; improved; increased appetite; interest; mindfulness; mindfulness meditation; novel; nutrition; prevent; primary outcome; programs; psychological outcomes; public health relevance; randomized trial; response; skills; skills training; stress management; stressor; success; treatment as usual; usability; weight loss intervention; weight maintenance

DESCRIPTION (provided by applicant): Intensive behavioral weight loss programs are effective in helping people achieve the clinical recommendation of 5-10% weight loss, although efforts to disseminate less expensive and time consuming programs have found reduced effectiveness. Stress appears to be a critical factor impacting weight loss and maintenance, but although stress may be mentioned in weight loss programs, specific stress management skills and strategies for weight loss are not typically emphasized. The present project proposes to integrate mindfulness-based stress management into an existing employer-sponsored telephone counseling and internet-based weight loss program with the goal of improving outcomes. Project hypotheses are that the integration of mindfulness-based stress management with a behavioral weight loss program will increase the effectiveness of the program for those participants reporting high levels of stress-related eating. Content of the intervention includes a mind/body treatment rationale and direct and experiential mindfulness and mindful eating instruction with the goal of decreasing perceived stress and the associated overeating that accompanies it. During the two year project funding period, the investigators will develop the intervention and evaluate the feasibility and efficacy of the intervention by conducting a preliminary randomized trial. This trial will compare the integrated stress and weight loss treatment to weight loss treatment as usual in 183 overweight and obese individuals. Primary outcomes will include internal disinhibiting (eating in response to emotion or thoughts), eating self-efficacy, perceived stress and weight lost at 6 months.

描述（由申请人提供）：强化行为减肥计划在帮助人们达到5-10%的临床减肥建议方面是有效的，尽管努力传播更便宜和耗时的计划已经发现效果降低。压力似乎是影响减肥和维持体重的一个关键因素，但是尽管在减肥计划中可能会提到压力，但减肥的具体压力管理技巧和策略通常没有得到强调。目前的项目建议将基于正念的压力管理整合到现有的雇主赞助的电话咨询和基于互联网的减肥计划中，以改善结果。项目假设是，将基于正念的压力管理与行为减肥计划相结合，将提高该计划对那些报告高水平压力相关饮食的参与者的有效性。干预的内容包括