Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity
Objective In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up. Methods Participants with overweight or obesity (n = 190) were randomized to 25 s...
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| Veröffentlicht in: | Obesity (Silver Spring, Md.) Md.), 2019-04, Vol.27 (4), p.565-571 |
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| container_title | Obesity (Silver Spring, Md.) |
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| creator | Forman, Evan M. Manasse, Stephanie M. Butryn, Meghan L. Crosby, Ross D. Dallal, Diane H. Crochiere, Rebecca J. |
| description | Objective
In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up.
Methods
Participants with overweight or obesity (n = 190) were randomized to 25 sessions of SBT or ABT over 1 year and assessed at months 12 (i.e., posttreatment), 24 (1 year posttreatment), and 36 (2 years posttreatment).
Results
Weight‐loss differences previously observed at 12 months attenuated by follow‐up, though a large difference was observed in the proportion of treatment completers who maintained 10% weight loss at 36 months (SBT = 17.1% vs. ABT = 31.6%; P = 0.04; intent‐to‐treat: SBT = 14.4% vs. ABT = 25.0%; P = 0.07). The amount of regain between posttreatment and follow‐up did not differ between groups. ABT produced higher quality of life at 24 and 36 months. Autonomous motivation and psychological acceptance of food‐related urges mediated the effect of condition on weight. No moderator effects were identified.
Conclusions
Overall, results suggest that infusing SBT for weight loss with acceptance‐based strategies enhances weight loss initially, but these effects fade in the years following the withdrawal of treatment. Even so, those receiving ABT were about twice as likely to maintain 10% weight loss at 36 months, and they reported considerably higher quality of life. |
| doi_str_mv | 10.1002/oby.22412 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10225051</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2201677433</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4442-60cfd03b51de1574874c4af2c806afbda505888bf0b35c19289ef991a28efc543</originalsourceid><addsrcrecordid>eNp1kc1u1DAUha0K1D9Y9AWQJTawmPbacRKHDepULa001SAxSO3KcpzrTkZJPNjJVCN10UfgGXkSXKaMAImVr30_H5_rQ8gRg2MGwE9cuT7mXDC-Q_ZZkcAoT4qbF9tasj1yEMICQGSQsl2yl4CETBR8nzxMXHf34_H7DH1LL1zTuPu4G5bUWdrPkV7XXUVv3eDpJeqmn9PP3i3Q9B_oqTG47HVnMF4Y64AVXaEPQ6Bf4mmlfUXHONer2nnd0JlH3bfY9dQ6T6clhrpfvyIvrW4Cvn5eD8nXi_PZ2eVoMv10dXY6GRkhBB9lYGwFSZmyClmaC5kLI7TlJg6hbVnpFFIpZWmhTFLDCi4LtEXBNJdoTSqSQ_Jxo7scyhYrE21ET2rp61b7tXK6Vn93unqu7txKMeA8irOo8O5ZwbtvA4ZetXUw2DS6QzcExZnMmAApnh57-w-6iN_XxfkU58CyPBdJEqn3G8p4F4JHu3XDQD2FqmKo6leokX3zp_0t-TvFCJxsgPu6wfX_ldR0fLuR_Ansba_K</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2201677433</pqid></control><display><type>article</type><title>Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity</title><source>Access via Wiley Online Library</source><source>MEDLINE</source><source>Wiley Online Library (Open Access Collection)</source><creator>Forman, Evan M. ; Manasse, Stephanie M. ; Butryn, Meghan L. ; Crosby, Ross D. ; Dallal, Diane H. ; Crochiere, Rebecca J.</creator><creatorcontrib>Forman, Evan M. ; Manasse, Stephanie M. ; Butryn, Meghan L. ; Crosby, Ross D. ; Dallal, Diane H. ; Crochiere, Rebecca J.</creatorcontrib><description>Objective
In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up.
Methods
Participants with overweight or obesity (n = 190) were randomized to 25 sessions of SBT or ABT over 1 year and assessed at months 12 (i.e., posttreatment), 24 (1 year posttreatment), and 36 (2 years posttreatment).
Results
Weight‐loss differences previously observed at 12 months attenuated by follow‐up, though a large difference was observed in the proportion of treatment completers who maintained 10% weight loss at 36 months (SBT = 17.1% vs. ABT = 31.6%; P = 0.04; intent‐to‐treat: SBT = 14.4% vs. ABT = 25.0%; P = 0.07). The amount of regain between posttreatment and follow‐up did not differ between groups. ABT produced higher quality of life at 24 and 36 months. Autonomous motivation and psychological acceptance of food‐related urges mediated the effect of condition on weight. No moderator effects were identified.
Conclusions
Overall, results suggest that infusing SBT for weight loss with acceptance‐based strategies enhances weight loss initially, but these effects fade in the years following the withdrawal of treatment. Even so, those receiving ABT were about twice as likely to maintain 10% weight loss at 36 months, and they reported considerably higher quality of life.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.22412</identifier><identifier>PMID: 30806492</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Acceptance and Commitment Therapy - methods ; Adolescent ; Adult ; Aged ; Behavior modification ; Behavior Therapy - methods ; Body Weight ; Clinical trials ; Exercise ; Female ; Follow-Up Studies ; Food ; Humans ; Impulsivity ; Male ; Middle Aged ; Obesity ; Obesity - psychology ; Obesity - therapy ; Overweight - therapy ; Physical fitness ; Quality of Life ; Questionnaires ; Treatment Outcome ; Weight control ; Weight Loss ; Young Adult</subject><ispartof>Obesity (Silver Spring, Md.), 2019-04, Vol.27 (4), p.565-571</ispartof><rights>2019 The Obesity Society</rights><rights>2019 The Obesity Society.</rights><rights>Copyright Blackwell Publishing Ltd. Apr 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4442-60cfd03b51de1574874c4af2c806afbda505888bf0b35c19289ef991a28efc543</citedby><cites>FETCH-LOGICAL-c4442-60cfd03b51de1574874c4af2c806afbda505888bf0b35c19289ef991a28efc543</cites><orcidid>0000-0002-2749-048X ; 0000-0002-4666-588X ; 0000-0001-5573-5707 ; 0000-0001-7233-1384</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Foby.22412$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Foby.22412$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,315,782,786,887,1419,1435,27933,27934,45583,45584,46418,46842</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30806492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Forman, Evan M.</creatorcontrib><creatorcontrib>Manasse, Stephanie M.</creatorcontrib><creatorcontrib>Butryn, Meghan L.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><creatorcontrib>Dallal, Diane H.</creatorcontrib><creatorcontrib>Crochiere, Rebecca J.</creatorcontrib><title>Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>Objective
In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up.
Methods
Participants with overweight or obesity (n = 190) were randomized to 25 sessions of SBT or ABT over 1 year and assessed at months 12 (i.e., posttreatment), 24 (1 year posttreatment), and 36 (2 years posttreatment).
Results
Weight‐loss differences previously observed at 12 months attenuated by follow‐up, though a large difference was observed in the proportion of treatment completers who maintained 10% weight loss at 36 months (SBT = 17.1% vs. ABT = 31.6%; P = 0.04; intent‐to‐treat: SBT = 14.4% vs. ABT = 25.0%; P = 0.07). The amount of regain between posttreatment and follow‐up did not differ between groups. ABT produced higher quality of life at 24 and 36 months. Autonomous motivation and psychological acceptance of food‐related urges mediated the effect of condition on weight. No moderator effects were identified.
Conclusions
Overall, results suggest that infusing SBT for weight loss with acceptance‐based strategies enhances weight loss initially, but these effects fade in the years following the withdrawal of treatment. Even so, those receiving ABT were about twice as likely to maintain 10% weight loss at 36 months, and they reported considerably higher quality of life.</description><subject>Acceptance and Commitment Therapy - methods</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Behavior modification</subject><subject>Behavior Therapy - methods</subject><subject>Body Weight</subject><subject>Clinical trials</subject><subject>Exercise</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food</subject><subject>Humans</subject><subject>Impulsivity</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>Overweight - therapy</subject><subject>Physical fitness</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><subject>Young Adult</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUha0K1D9Y9AWQJTawmPbacRKHDepULa001SAxSO3KcpzrTkZJPNjJVCN10UfgGXkSXKaMAImVr30_H5_rQ8gRg2MGwE9cuT7mXDC-Q_ZZkcAoT4qbF9tasj1yEMICQGSQsl2yl4CETBR8nzxMXHf34_H7DH1LL1zTuPu4G5bUWdrPkV7XXUVv3eDpJeqmn9PP3i3Q9B_oqTG47HVnMF4Y64AVXaEPQ6Bf4mmlfUXHONer2nnd0JlH3bfY9dQ6T6clhrpfvyIvrW4Cvn5eD8nXi_PZ2eVoMv10dXY6GRkhBB9lYGwFSZmyClmaC5kLI7TlJg6hbVnpFFIpZWmhTFLDCi4LtEXBNJdoTSqSQ_Jxo7scyhYrE21ET2rp61b7tXK6Vn93unqu7txKMeA8irOo8O5ZwbtvA4ZetXUw2DS6QzcExZnMmAApnh57-w-6iN_XxfkU58CyPBdJEqn3G8p4F4JHu3XDQD2FqmKo6leokX3zp_0t-TvFCJxsgPu6wfX_ldR0fLuR_Ansba_K</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Forman, Evan M.</creator><creator>Manasse, Stephanie M.</creator><creator>Butryn, Meghan L.</creator><creator>Crosby, Ross D.</creator><creator>Dallal, Diane H.</creator><creator>Crochiere, Rebecca J.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2749-048X</orcidid><orcidid>https://orcid.org/0000-0002-4666-588X</orcidid><orcidid>https://orcid.org/0000-0001-5573-5707</orcidid><orcidid>https://orcid.org/0000-0001-7233-1384</orcidid></search><sort><creationdate>201904</creationdate><title>Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity</title><author>Forman, Evan M. ; Manasse, Stephanie M. ; Butryn, Meghan L. ; Crosby, Ross D. ; Dallal, Diane H. ; Crochiere, Rebecca J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4442-60cfd03b51de1574874c4af2c806afbda505888bf0b35c19289ef991a28efc543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acceptance and Commitment Therapy - methods</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Behavior modification</topic><topic>Behavior Therapy - methods</topic><topic>Body Weight</topic><topic>Clinical trials</topic><topic>Exercise</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Food</topic><topic>Humans</topic><topic>Impulsivity</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - psychology</topic><topic>Obesity - therapy</topic><topic>Overweight - therapy</topic><topic>Physical fitness</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Forman, Evan M.</creatorcontrib><creatorcontrib>Manasse, Stephanie M.</creatorcontrib><creatorcontrib>Butryn, Meghan L.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><creatorcontrib>Dallal, Diane H.</creatorcontrib><creatorcontrib>Crochiere, Rebecca J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Forman, Evan M.</au><au>Manasse, Stephanie M.</au><au>Butryn, Meghan L.</au><au>Crosby, Ross D.</au><au>Dallal, Diane H.</au><au>Crochiere, Rebecca J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2019-04</date><risdate>2019</risdate><volume>27</volume><issue>4</issue><spage>565</spage><epage>571</epage><pages>565-571</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective
In the Mind Your Health Trial, acceptance‐based behavioral treatment (ABT) for obesity outperformed standard behavioral treatment (SBT) at posttreatment. This trial compared effects over 2 years of follow‐up.
Methods
Participants with overweight or obesity (n = 190) were randomized to 25 sessions of SBT or ABT over 1 year and assessed at months 12 (i.e., posttreatment), 24 (1 year posttreatment), and 36 (2 years posttreatment).
Results
Weight‐loss differences previously observed at 12 months attenuated by follow‐up, though a large difference was observed in the proportion of treatment completers who maintained 10% weight loss at 36 months (SBT = 17.1% vs. ABT = 31.6%; P = 0.04; intent‐to‐treat: SBT = 14.4% vs. ABT = 25.0%; P = 0.07). The amount of regain between posttreatment and follow‐up did not differ between groups. ABT produced higher quality of life at 24 and 36 months. Autonomous motivation and psychological acceptance of food‐related urges mediated the effect of condition on weight. No moderator effects were identified.
Conclusions
Overall, results suggest that infusing SBT for weight loss with acceptance‐based strategies enhances weight loss initially, but these effects fade in the years following the withdrawal of treatment. Even so, those receiving ABT were about twice as likely to maintain 10% weight loss at 36 months, and they reported considerably higher quality of life.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>30806492</pmid><doi>10.1002/oby.22412</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2749-048X</orcidid><orcidid>https://orcid.org/0000-0002-4666-588X</orcidid><orcidid>https://orcid.org/0000-0001-5573-5707</orcidid><orcidid>https://orcid.org/0000-0001-7233-1384</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Obesity (Silver Spring, Md.), 2019-04, Vol.27 (4), p.565-571 |
| issn | 1930-7381 1930-739X |
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| source | Access via Wiley Online Library; MEDLINE; Wiley Online Library (Open Access Collection) |
| subjects | Acceptance and Commitment Therapy - methods Adolescent Adult Aged Behavior modification Behavior Therapy - methods Body Weight Clinical trials Exercise Female Follow-Up Studies Food Humans Impulsivity Male Middle Aged Obesity Obesity - psychology Obesity - therapy Overweight - therapy Physical fitness Quality of Life Questionnaires Treatment Outcome Weight control Weight Loss Young Adult |
| title | Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity |
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