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

描述(由申请者提供)：强化的行为减肥计划在帮助人们达到临床推荐的5%-10%的体重减轻方面是有效的，尽管传播成本较低、耗时较长的计划的努力发现有效性降低。压力似乎是影响减肥和维护的关键因素，但尽管在减肥计划中可能会提到压力，具体的压力管理技能和减肥策略通常并不被强调。本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，目标是改善结果。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与压力相关的高水平饮食的参与者的有效性。干预的内容包括 精神/身体治疗的理论基础以及直接和经验性的正念和正念饮食指导，目的是减少感知到的压力和伴随而来的暴饮暴食。在两年的项目资助期内，研究人员将制定干预措施，并通过进行初步随机试验来评估干预措施的可行性和有效性。这项试验将对183名超重和肥胖者进行综合压力和减肥治疗与常规减肥治疗的比较。主要结果将包括内部抑制(根据情绪或想法进食)、进食自我效能感、感觉到的压力和6个月后体重下降。

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.