Annals of Behavioral Medicine最新文献

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Behavioral interventions-past, present, and future: Proceedings of the 5th International Behavioural Trials Network International Hybrid Meeting. 行为干预-过去,现在和未来:第五届国际行为试验网络国际混合会议论文集。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaae087
Simon L Bacon, Kim L Lavoie, David Buckeridge, William H Dietz, Kenneth E Freedland, Jeremy M Grimshaw, Beth K Jaworski, Celia Laur, Marta M Marques, Susan Michie, Lynda H Powell, Alexander J Rothman, Lorraine Whitmarsh
{"title":"Behavioral interventions-past, present, and future: Proceedings of the 5th International Behavioural Trials Network International Hybrid Meeting.","authors":"Simon L Bacon, Kim L Lavoie, David Buckeridge, William H Dietz, Kenneth E Freedland, Jeremy M Grimshaw, Beth K Jaworski, Celia Laur, Marta M Marques, Susan Michie, Lynda H Powell, Alexander J Rothman, Lorraine Whitmarsh","doi":"10.1093/abm/kaae087","DOIUrl":"https://doi.org/10.1093/abm/kaae087","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pilot study of device-assessed physical activity and ecological momentary assessment among adolescent and young adult survivors of childhood cancer. 儿童癌症的青少年和年轻成人幸存者中设备评估的身体活动和生态瞬间评估的试点研究。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf002
Sara King-Dowling, Sheereen Harris, Lauren C Daniel, Matthew Y W Kwan, Jill P Ginsberg, Elizabeth Goldmuntz, Dava Szalda, Lisa A Schwartz
{"title":"A pilot study of device-assessed physical activity and ecological momentary assessment among adolescent and young adult survivors of childhood cancer.","authors":"Sara King-Dowling, Sheereen Harris, Lauren C Daniel, Matthew Y W Kwan, Jill P Ginsberg, Elizabeth Goldmuntz, Dava Szalda, Lisa A Schwartz","doi":"10.1093/abm/kaaf002","DOIUrl":"10.1093/abm/kaaf002","url":null,"abstract":"<p><strong>Background: </strong>Adolescent and young adult survivors of childhood cancer (AYA) are at risk for treatment-related late effects (eg, heart and lung problems) which may be mitigated by physical activity (PA). To design effective, tailored PA interventions for this population, predictors and benefits of PA behavior need to be measured in real-time.</p><p><strong>Purpose: </strong>To examine the feasibility and acceptability of ecological momentary assessment (EMA) combined with accelerometry and explore the dynamic associations between PA and real-time physical and psychosocial factors among AYA.</p><p><strong>Methods: </strong>AYA (N = 20, mean age = 18.9 years) recently off cancer treatment participated in a 2-week intensive monitoring protocol in which they completed up to 4 EMA surveys/day assessing current mood, pain, fatigue, arousal, PA intentions and motivation, and social-environmental context, while PA levels were passively monitored using a wrist-worn ActiGraph GT9X accelerometer. Acceptability was measured via self-report.</p><p><strong>Results: </strong>EMA and accelerometry were feasible and acceptable (≥70% compliance and study endorsement) for AYA. Multilevel models showed that AYA engaged in more PA when they were away from home, with others, in a better mood, less fatigued, more energetic, and more motivated than their own average levels. Further, when AYA engaged in more PA than their usual levels in the hour before completing an EMA survey, they subsequently reported less fatigue, less pain, more energy, and a more positive mood.</p><p><strong>Conclusions: </strong>EMA and accelerometry are acceptable and feasible among AYA survivors of childhood cancer. This methodology can be utilized for understanding the real-time barriers, facilitators, and benefits of PA behaviors in this at-risk population to design effective, dynamic PA interventions.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceived Control and Blood Pressure: A Systematic Review. 感知控制与血压:一项系统综述。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaae068
Zachary E Magin, Mariel Emrich, Crystal L Park, Isabella Peña, Lynda Lyn
{"title":"Perceived Control and Blood Pressure: A Systematic Review.","authors":"Zachary E Magin, Mariel Emrich, Crystal L Park, Isabella Peña, Lynda Lyn","doi":"10.1093/abm/kaae068","DOIUrl":"10.1093/abm/kaae068","url":null,"abstract":"<p><strong>Background: </strong>Perceived control, defined as an individual's belief in their ability to influence life events and circumstances, has been implicated in reducing the risk of cardiovascular disease (CVD). Some research has demonstrated a link between perceived control and blood pressure, a major CVD risk factor. However, methodological differences across studies, including variability in definitions and measures of perceived control, preclude a clear understanding of this relationship.</p><p><strong>Purpose: </strong>This systematic review describes the evidence regarding the association between perceived control and blood pressure, with a specific focus on integrating the literatures across multiple control-related constructs to provide a comprehensive understanding of their relationship with blood pressure.</p><p><strong>Methods: </strong>A systematic search was conducted across five databases. Data were extracted from 24 studies that quantitatively examined the relationship between perceived control and blood pressure and met inclusion criteria. Results across studies were narratively synthesized.</p><p><strong>Results: </strong>Limited evidence emerged across studies showing a negative relationship between perceived control and both resting blood pressure and ambulatory blood pressure, but no studies reviewed found that perceived control was associated with lower blood pressure reactivity to a lab stressor.</p><p><strong>Conclusions: </strong>The findings here provide preliminary evidence that perceived control may serve as an important protective factor against high blood pressure. The findings highlight the need for additional quality research to examine this link more thoroughly. Recommendations for future research are provided.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving the design and analytic methods used in NIH-funded clinical trials involving behavioral interventions. 改进美国国立卫生研究院资助的涉及行为干预的临床试验的设计和分析方法。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf026
David M Murray, Jane M Simoni
{"title":"Improving the design and analytic methods used in NIH-funded clinical trials involving behavioral interventions.","authors":"David M Murray, Jane M Simoni","doi":"10.1093/abm/kaaf026","DOIUrl":"https://doi.org/10.1093/abm/kaaf026","url":null,"abstract":"<p><p>Behavioral interventions are widely used in clinical trials supported by the National Institutes of Health (NIH). When behavioral interventions involve group-formatted components and/or shared interventionists, they require special design and analytic methods not needed in trials that do not involve these features. The NIH Office of Disease Prevention (ODP) and the NIH Office of Behavioral and Social Sciences Research (OBSSR) offer resources to make it easier for investigators to use appropriate methods to evaluate these interventions. This commentary draws attention to these issues and highlights the ODP and OBSSR resources available to investigators. We urge investigators to take advantage of these resources to learn about and adopt appropriate sample size and analytic methods for trials to evaluate behavioral interventions so that their results will be reliable and reproducible. That is the best way to advance the science of behavioral interventions to improve health.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Negative lay perceptions of open-label placebo users may pose barriers to intervention adoption. 对开放标签安慰剂使用者的负面认知可能对干预措施的采用构成障碍。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf011
Tyrone J Sgambati, Luana Colloca, Andrew L Geers, Darwin A Guevarra
{"title":"Negative lay perceptions of open-label placebo users may pose barriers to intervention adoption.","authors":"Tyrone J Sgambati, Luana Colloca, Andrew L Geers, Darwin A Guevarra","doi":"10.1093/abm/kaaf011","DOIUrl":"https://doi.org/10.1093/abm/kaaf011","url":null,"abstract":"<p><strong>Background: </strong>Recent research has revealed that the use of specific medical interventions carries with it social stigma. This \"intervention stigma\" can pose an obstacle to the use and adoption of interventions that may otherwise be effective in managing medical conditions. Open-label placebos (OLPs) have been identified as a potential intervention for a variety of clinical and nonclinical conditions but are viewed with skepticism among lay populations.</p><p><strong>Purpose: </strong>This online experimental study aimed to quantify intervention stigma associated with the use of OLP interventions for a medical condition within a warmth-competence framework of social perception.</p><p><strong>Methods: </strong>In an online experiment fielded in the USA (N = 541), we randomly assigned participants to read 1 of 4 vignettes about a patient who is administered an OLP intervention by a physician for chronic back pain. In each vignette, the patient's belief in and response to the treatment varied. After reading the vignette, participants rated the patient on several characteristics that captured perceptions of warmth and competence.</p><p><strong>Results: </strong>We found that patients who believed in the OLP intervention or reported improvement after taking it were perceived as less competent and warmer.</p><p><strong>Conclusions: </strong>Our results suggest that the use of OLP interventions for medical conditions carries intervention stigma. We contend that this stigma poses an obstacle to the adoption of OLP interventions.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bidirectional associations between daily subjective stress and sexual desire, arousal, and activity in healthy men and women. 健康男性和女性日常主观压力与性欲、性唤起和性活动之间的双向关联。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf007
Hanna M Mües, Charlotte Markert, Anja C Feneberg, Urs M Nater
{"title":"Bidirectional associations between daily subjective stress and sexual desire, arousal, and activity in healthy men and women.","authors":"Hanna M Mües, Charlotte Markert, Anja C Feneberg, Urs M Nater","doi":"10.1093/abm/kaaf007","DOIUrl":"10.1093/abm/kaaf007","url":null,"abstract":"<p><strong>Background: </strong>The association between stress and sexuality, both of which are linked to health, is unclear. We examined the feasibility of an ecological momentary assessment study including time-based and event-based measurements in this context (aim 1) and investigated concurrent and time-lagged bidirectional associations between subjective stress and sexual desire/arousal/activity in the daily lives of healthy individuals over 14 days (aim 2).</p><p><strong>Purpose: </strong>The aim of this study was to gain insight into the interplay between stress and sexual experience and behavior while considering potential gender differences.</p><p><strong>Methods: </strong>Between May 2015 and January 2016, 59 heterosexual, healthy men and women in relationships (M = 23.66 years old, SD = 2.86, range: 18-30 years) rated subjective stress, sexual desire, and sexual arousal at 6 fixed timepoints daily as well as after sexual activity. Feasibility was investigated considering dropout rates, missing data, and representativeness of data. Data were analyzed using mixed-effects models.</p><p><strong>Results: </strong>Higher subjective stress was associated with a lower likelihood of concurrent sexual desire and arousal, and occurrences of sexual desire and arousal were associated with lower concurrent subjective stress. Sexual desire and activity were associated with lower subsequent subjective stress, and the latter association was stronger in women than in men. Rates of dropout, missing data, and nonrepresentative data were low.</p><p><strong>Conclusions: </strong>There appear to be bidirectional associations between higher subjective stress and a lower likelihood of concurrent sexual desire and arousal. Sexual desire and sexual activity seem to be associated with lower subsequent subjective stress. The study design appears to be feasible, although the generalizability of the findings is limited. Future studies might explore stress reduction interventions to promote sexual health.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroception of safety is associated with elevated heart rate variability in the laboratory and more frequent heart rate variability increases in everyday life. 安全神经感觉与实验室中心率变异性升高和日常生活中心率变异性增加有关。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf014
Andreas R Schwerdtfeger, Magdalena Wekenborg, Josef M Tatschl, Christian Rominger
{"title":"Neuroception of safety is associated with elevated heart rate variability in the laboratory and more frequent heart rate variability increases in everyday life.","authors":"Andreas R Schwerdtfeger, Magdalena Wekenborg, Josef M Tatschl, Christian Rominger","doi":"10.1093/abm/kaaf014","DOIUrl":"10.1093/abm/kaaf014","url":null,"abstract":"<p><strong>Objective: </strong>Feeling comfortable and safe has been discussed to foster health and well-being. However, the pathways to better health are complex, involving both behavioral and physiological routes.</p><p><strong>Methods: </strong>In this study, we examined the role of safety perception for cardiac health by (1) examining associations with baseline heart rate variability (HRV; Study 1) and (2) evaluating a novel measure of autonomic cardiac flexibility in daily life, namely increases in HRV independent of metabolic demands (ImdHRVi; Study 2).</p><p><strong>Results: </strong>Study 1 (N = 76) found evidence for a positive association between vagally mediated HRV and the Neuroception of Psychological Safety scale (Morton L, Cogan N, Kolacz J, et al. \"A new measure of feeling safe: developing psychometric properties of the Neuroception of Psychological Safety Scale (NPSS)\": Correction. Psychol Trauma. 2022; https://doi.org/10.1037/tra0001374), thus suggesting a link between safety and cardiac vagal regulation. In Study 2, a sample of N = 245 adult volunteers participated in a four-day-ambulatory assessment measuring HRV and bodily movement. A regression was calculated between HRV and bodily movement for 12 h of the first recording day, which was then used to calculate minute-by-minute ImdHRVi (beyond those predicted by bodily movement) in the following days. It turned out that safety perception predicted more episodes of ImdHRVi in everyday life, even after controlling for several confounds.</p><p><strong>Conclusions: </strong>Findings suggest that feeling safe and everyday life cardiac autonomic regulation are interrelated, thus possibly contributing to adaptive adjustment and health.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Caregiver Experiences With an Internet-Delivered Insomnia Intervention: SHUTi-CARE Trial Primary Qualitative Analysis. 更正:护理人员对互联网失眠干预的体验:SHUTi-CARE试验主要定性分析。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaae071
{"title":"Correction to: Caregiver Experiences With an Internet-Delivered Insomnia Intervention: SHUTi-CARE Trial Primary Qualitative Analysis.","authors":"","doi":"10.1093/abm/kaae071","DOIUrl":"10.1093/abm/kaae071","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of recreational sport and physical activity participation on well-being during early parenthood: a randomized controlled trial. 娱乐运动和体育活动参与对早期为人父母的幸福感的影响:一项随机对照试验。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaae081
Ryan E Rhodes, Mark R Beauchamp, Valerie Carson, Sandy Courtnall, Colin M Wierts, Chris M Blanchard
{"title":"Effect of recreational sport and physical activity participation on well-being during early parenthood: a randomized controlled trial.","authors":"Ryan E Rhodes, Mark R Beauchamp, Valerie Carson, Sandy Courtnall, Colin M Wierts, Chris M Blanchard","doi":"10.1093/abm/kaae081","DOIUrl":"10.1093/abm/kaae081","url":null,"abstract":"<p><strong>Background: </strong>Parents with children in the home may benefit considerably from sport participation, given the high levels of physical inactivity and psychosocial distress among this group. The purpose of this study was to evaluate the effectiveness of team sport participation on mental health (primary outcome) as well as other secondary psychosocial outcomes compared to an individual physical activity condition and a \"date night\" control condition among parents with young children (under the age of 13).</p><p><strong>Methods: </strong>A three-arm parallel design single blinded randomized controlled trial compared the team sport (n = 58), individual physical activity (n = 60), and control condition (n = 66) over three months. Well-being variables (short-form-12, satisfaction with life scale, parental stress scale, relationship assessment scale, family inventory version II) were assessed at baseline and post-randomization at 6 weeks and 3 months. Rolling recruitment began in winter 2016 until spring 2023. Analyses were conducted using generalized linear mixed models.</p><p><strong>Results: </strong>Team sport participation resulted in improvements in mental health and increased relationship satisfaction compared to the other conditions. Team sport participation also showed improvements in lowering parental stress and increasing family emotional expressiveness compared to the control condition. All conditions improved satisfaction with life, lowered stress, increased relationship satisfaction, benefited family health/competence and lowered family conflict over time.</p><p><strong>Discussion: </strong>The findings extend prior observational research by demonstrating team sport participation may be a viable activity to recommend for parents of young children, who are typically challenged by lower well-being, stress, and social isolation from other adults.</p><p><strong>Registered trial: </strong>The clinical trial is registered with the National Library of Medicine at the National Institutes of Health registration ID is NCT02898285.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An individual participant data meta-analysis investigating the mediating role of eating behavior traits in Acceptance and Commitment Therapy-based weight management interventions. 个体参与者数据荟萃分析调查了饮食行为特征在基于接受和承诺治疗的体重管理干预中的中介作用。
IF 3.6 2区 心理学
Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI: 10.1093/abm/kaaf039
Laura Kudlek, Julia Mueller, Patricia Eustachio Colombo, Stephen J Sharp, Clare E Boothby, Simon J Griffin, Meghan Butryn, Christina Chwyl, Evan Forman, Charlotte Hagerman, Misty Hawkins, Adrienne Juarascio, Bärbel Knäuper, Marjukka Kolehmainen, Michael E Levin, Jason Lillis, Edurne Maiz, Stephanie Manasse, Lara Palmeira, Kirsi H Pietiläinen, Nancy E Sherwood, Amy Ahern
{"title":"An individual participant data meta-analysis investigating the mediating role of eating behavior traits in Acceptance and Commitment Therapy-based weight management interventions.","authors":"Laura Kudlek, Julia Mueller, Patricia Eustachio Colombo, Stephen J Sharp, Clare E Boothby, Simon J Griffin, Meghan Butryn, Christina Chwyl, Evan Forman, Charlotte Hagerman, Misty Hawkins, Adrienne Juarascio, Bärbel Knäuper, Marjukka Kolehmainen, Michael E Levin, Jason Lillis, Edurne Maiz, Stephanie Manasse, Lara Palmeira, Kirsi H Pietiläinen, Nancy E Sherwood, Amy Ahern","doi":"10.1093/abm/kaaf039","DOIUrl":"https://doi.org/10.1093/abm/kaaf039","url":null,"abstract":"<p><strong>Background: </strong>Identifying mechanisms of action can aid the refinement of weight management interventions. Acceptance and Commitment Therapy (ACT)-based interventions may support long-term weight management by improving self-regulation of eating behavior traits (EBTs). However, it remains unclear if changing EBTs like emotional eating, external eating, internal disinhibition, and restraint during ACT causes improved weight management.</p><p><strong>Methods: </strong>For this 1-stage Individual Participant Data (IPD) meta-analysis, we requested IPD from 9 trials identified through a systematic search of ACT-based interventions for adults with a body mass index >25 kg/m2 across 8 databases until June 20, 2022. We obtained, checked, and harmonized data from 8 of those trials (N = 1391) and conducted separate structural equation models with complex survey analysis to estimate short- and long-term mediating effects of changes in each EBT on percent weight change.</p><p><strong>Results: </strong>In the short-term (ie, follow-up closest to intervention end), we found indirect effects of the intervention on percent weight change through changes in emotional eating, external eating, internal disinhibition, and restraint. Each 1-unit change in these EBTs led to a 0.02% (95% CI, 0.05-0.001), 0.03% (95% CI, 0.06-0.001), 0.05% (95% CI, 0.11-0.02), and 0.09% (95% CI, 0.14-0.04) decrease in weight, respectively. In the long term (ie, 12 months after intervention end), we found both indirect and total effects for emotional eating, internal disinhibition, and restraint, with EBT changes explaining 23.78%, 23.12%, and 25.64% of total effects.</p><p><strong>Conclusion: </strong>Findings suggest small partial mediating effects of ACT on weight through EBTs. Targeting EBTs may support improved weight management outcomes, particularly in the long term.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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