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Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel
Overweight/obesity and inadequate fitness in active duty personnel impact the wellbeing of service members and have significant costs for military readiness and budget. ShipShape (SS), the Navy's weight management program, was designed to promote nutritional, behavioral, and exercise education...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627580/ https://www.ncbi.nlm.nih.gov/pubmed/31338482 http://dx.doi.org/10.1016/j.conctc.2019.100408 |
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author | Afari, Niloofar Cuneo, Jessica Gundy Herbert, Matthew Miller, Isabel Webb-Murphy, Jennifer Delaney, Eileen Peters, Joshua Materna, Karla Miggantz, Erin Godino, Job Golshan, Shahrokh Wisbach, Gordon |
author_facet | Afari, Niloofar Cuneo, Jessica Gundy Herbert, Matthew Miller, Isabel Webb-Murphy, Jennifer Delaney, Eileen Peters, Joshua Materna, Karla Miggantz, Erin Godino, Job Golshan, Shahrokh Wisbach, Gordon |
author_sort | Afari, Niloofar |
collection | PubMed |
description | Overweight/obesity and inadequate fitness in active duty personnel impact the wellbeing of service members and have significant costs for military readiness and budget. ShipShape (SS), the Navy's weight management program, was designed to promote nutritional, behavioral, and exercise education to service members. Although SS is an evidence-based program, about half of those who complete the program pass the Body Composition Assessment (BCA), one part of the Navy's comprehensive Physical Fitness Assessment (PFA). SS may not fully address underlying behavioral, psychological, and emotional barriers that influence poor eating and exercise habits. A novel solution to improve outcomes is to incorporate acceptance and commitment therapy (ACT) to promote mindful awareness of present moment experiences, improve psychological flexibility, and support commitment to behavior change. This paper describes a cohort-randomized controlled trial of ACT-enhanced SS (ACT + SS) compared to the standard SS-only program. Active duty service members referred to the SS program are randomized to receive 8-weekly ACT + SS or SS-only group interventions. Our aims are to: 1) determine the effectiveness of ACT + SS compared to SS-only; 2) examine psychological flexibility as a mechanism underlying intervention response; and 3) explore potential moderators of intervention response. The primary outcome is weight, one of the key components of the BCA; secondary outcomes include Body Mass Index (BMI), body fat %, self-reported BCA results, physical activity, problematic eating, and quality of life. We have designed a cohort-randomized trial with interventions that are pragmatically implemented in a real-life military setting, and outcomes that are immediately relevant to service members and leadership. |
format | Online Article Text |
id | pubmed-6627580 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-66275802019-07-23 Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel Afari, Niloofar Cuneo, Jessica Gundy Herbert, Matthew Miller, Isabel Webb-Murphy, Jennifer Delaney, Eileen Peters, Joshua Materna, Karla Miggantz, Erin Godino, Job Golshan, Shahrokh Wisbach, Gordon Contemp Clin Trials Commun Article Overweight/obesity and inadequate fitness in active duty personnel impact the wellbeing of service members and have significant costs for military readiness and budget. ShipShape (SS), the Navy's weight management program, was designed to promote nutritional, behavioral, and exercise education to service members. Although SS is an evidence-based program, about half of those who complete the program pass the Body Composition Assessment (BCA), one part of the Navy's comprehensive Physical Fitness Assessment (PFA). SS may not fully address underlying behavioral, psychological, and emotional barriers that influence poor eating and exercise habits. A novel solution to improve outcomes is to incorporate acceptance and commitment therapy (ACT) to promote mindful awareness of present moment experiences, improve psychological flexibility, and support commitment to behavior change. This paper describes a cohort-randomized controlled trial of ACT-enhanced SS (ACT + SS) compared to the standard SS-only program. Active duty service members referred to the SS program are randomized to receive 8-weekly ACT + SS or SS-only group interventions. Our aims are to: 1) determine the effectiveness of ACT + SS compared to SS-only; 2) examine psychological flexibility as a mechanism underlying intervention response; and 3) explore potential moderators of intervention response. The primary outcome is weight, one of the key components of the BCA; secondary outcomes include Body Mass Index (BMI), body fat %, self-reported BCA results, physical activity, problematic eating, and quality of life. We have designed a cohort-randomized trial with interventions that are pragmatically implemented in a real-life military setting, and outcomes that are immediately relevant to service members and leadership. Elsevier 2019-07-10 /pmc/articles/PMC6627580/ /pubmed/31338482 http://dx.doi.org/10.1016/j.conctc.2019.100408 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Afari, Niloofar Cuneo, Jessica Gundy Herbert, Matthew Miller, Isabel Webb-Murphy, Jennifer Delaney, Eileen Peters, Joshua Materna, Karla Miggantz, Erin Godino, Job Golshan, Shahrokh Wisbach, Gordon Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title_full | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title_fullStr | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title_full_unstemmed | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title_short | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
title_sort | design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for navy personnel |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627580/ https://www.ncbi.nlm.nih.gov/pubmed/31338482 http://dx.doi.org/10.1016/j.conctc.2019.100408 |
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