{"title":"A randomized controlled trial of an acceptance and commitment therapy-informed diabetes prevention program reduces body shame and distress.","authors":"Megan Lipsett, Elliot Berkman","doi":"10.1037/hea0001434","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Body shame drives psychological and behavioral precursors of Type 2 diabetes (T2D) prevention and management and may be present in conventional prevention programs. We tested the efficacy of a brief acceptance and commitment therapy (ACT)-informed T2D prevention intervention targeting those outcomes.</p><p><strong>Method: </strong>Participants (N = 298) were at high risk for developing T2D, had not previously attended a diabetes prevention program, and were randomized to a virtual intervention grounded in ACT and diabetes education or diabetes education alone. Intervention-related body shame was the primary outcome, and several secondary outcomes were also examined.</p><p><strong>Results: </strong>Participants in the ACT + diabetes prevention education group (vs. diabetes prevention education only) had significantly lower body shame, which was significantly related to perceptions of diabetes-related threat, diabetes distress, and perceived self-efficacy for diabetes prevention self-management, among others, and also mediated the effect of treatment on threat and anxiety.</p><p><strong>Conclusions: </strong>This randomized controlled trial provides one of the first experimental tests of an ACT-informed diabetes prevention program that can reduce intervention-related body shame and related health and well-being outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 5","pages":"549-559"},"PeriodicalIF":3.2000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178311/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/hea0001434","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Body shame drives psychological and behavioral precursors of Type 2 diabetes (T2D) prevention and management and may be present in conventional prevention programs. We tested the efficacy of a brief acceptance and commitment therapy (ACT)-informed T2D prevention intervention targeting those outcomes.
Method: Participants (N = 298) were at high risk for developing T2D, had not previously attended a diabetes prevention program, and were randomized to a virtual intervention grounded in ACT and diabetes education or diabetes education alone. Intervention-related body shame was the primary outcome, and several secondary outcomes were also examined.
Results: Participants in the ACT + diabetes prevention education group (vs. diabetes prevention education only) had significantly lower body shame, which was significantly related to perceptions of diabetes-related threat, diabetes distress, and perceived self-efficacy for diabetes prevention self-management, among others, and also mediated the effect of treatment on threat and anxiety.
Conclusions: This randomized controlled trial provides one of the first experimental tests of an ACT-informed diabetes prevention program that can reduce intervention-related body shame and related health and well-being outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.
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