Changes in self-rated health, quality of life, and psychological flexibility among adults with overweight over a 24-month acceptance and commitment therapy-based lifestyle intervention.

IF 1.7 Q3 PSYCHOLOGY, CLINICAL

Health Psychology Open Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI:10.1177/20551029241302977

Mari Petäjä, Raimo Lappalainen, Tarja Kettunen, Päivi Lappalainen, Kirsikka Kaipainen, Joona Muotka, Kirsti Kasila

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Abstract

This study investigated the impact of online psychological flexibility training and support provided by peers on self-rated health (SRH) and health-related quality of life (HRQoL) among adults with overweight. It was a secondary analysis of a single-arm multi-center intervention study that was conducted in a real-life context. In a 2-years acceptance and commitment therapy (ACT) lifestyle intervention, participants (N = 177) engaged in online ACT activities while receiving support from trained peers. Participants completed surveys at baseline, 6, 12, and 24 months. The research data were analyzed with structural equation modelling. At baseline, the participants with high SRH (n = 83) had higher psychological flexibility and HRQoL than did participants with low SRH (n = 94). At 24 months, the participants with low SRH at baseline reported increases in SRH, vitality and depression dimensions of HRQoL, and psychological flexibility. Increased psychological flexibility was associated with improved SRH.

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在为期 24 个月的以接受和承诺疗法为基础的生活方式干预中，超重成年人在自我健康评价、生活质量和心理灵活性方面的变化。

本研究调查了在线心理灵活性训练和同伴支持对超重成年人的自评健康（SRH）和健康相关生活质量（HRQoL）的影响。这是一项在现实生活中进行的单臂多中心干预研究的二次分析。在为期两年的接受与承诺疗法（ACT）生活方式干预中，参与者（177 人）参与了在线 ACT 活动，并得到了受过培训的同伴的支持。参与者分别在基线期、6 个月、12 个月和 24 个月完成了问卷调查。研究数据采用结构方程模型进行分析。基线时，高 SRH 参与者（n = 83）的心理灵活性和 HRQoL 均高于低 SRH 参与者（n = 94）。在 24 个月时，基线 SRH 低的参与者在 SRH、HRQoL 的活力和抑郁维度以及心理灵活性方面均有所提高。心理灵活性的提高与 SRH 的改善有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology Open Psychology-Clinical Psychology

CiteScore

5.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Health Psychology Open (HPO) is an international, peer-reviewed, open access, online-only journal providing rapid publication. HPO is dedicated to publishing cutting-edge research in health psychology from around the world. HPO seeks to provide a platform for both traditional empirical analyses and more qualitative and/or critically oriented approaches to health psychology. All areas of health psychology are covered, but these topics are of particular interest: Clinical health psychology Critical health psychology Community health psychology Health psychology practice Health psychology through a social, cultural or regional lens The journal particularly favours papers that focus on health psychology in practice, including submissions concerning community and/or clinical applications and interventions. Review articles are also welcomed. There is no fixed limit to the length of manuscripts, which is normally strictly limited in other journals, for example HPO’s sister journal, Journal of Health Psychology (JHP). Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.