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© The Author(s). 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background

Obesity and the state of being overweight are increasing steadily and becoming a global epidemic. Recent research reports 64% of the adult population as overweight in Europe and the USA. The social and economic impacts are increasing, and most of the rehabilitation programs, while effective in the short term, do not produce long-lasting results. An explanatory model from a behavioral perspective can describe the phenomena with the lack of sources of reinforcement related to healthful habits in a daily life context.

Methods/design

A randomized clinical trial combining single-subject studies and a four-arm group design will be conducted to compare the effect of the current standard in obesity treatment to Acceptance and Commitment Therapy (ACT) and wearable technology at different times, before starting intervention, at the end, and at follow-up visits of 3, 6, and 12 months measuring changes over time of physical activity and psychological well-being.

Discussion

The goal of this project, combining ACT and wearable technology, is to develop an effective intervention, efficient and sustainable, which even after discharge can provide adequate contingencies of reinforcement in the natural environment, integrating systematic measurements, continuous feedback, and individualized, values-based objectives. The intervention is aimed to provide a contingent reinforcement for healthful behaviors instead of reinforcing only the achievement of a significant weight loss.

The aim of the project, combining Acceptance and Commitment Therapy and Wearable Technology, is to develop an effective, efficient and sustainable intervention able to provide a contingent reinforcement for healthy behaviors. The intervention is aimed to promote adequate healthy behaviors in the natural environment, integrating systematic measurements, continuous feedback and individualized values-based objectives, instead of reinforcing only the achievement of a significant weight loss.

Trial registration

ClinicalTrials.gov, NCT03351712. Registered on 24 November 2017.

Details

Title
ACTonHEALTH study protocol: promoting psychological flexibility with activity tracker and mHealth tools to foster healthful lifestyle for obesity and other chronic health conditions
Author
Cattivelli, Roberto 1   VIAFID ORCID Logo  ; Castelnuovo, Gianluca 1 ; Musetti, Alessandro 2 ; Varallo, Giorgia 1 ; Spatola, Chiara A. M. 1 ; Riboni, Francesco Vailati 3 ; Usubini, Anna Guerrini 4 ; Tosolin, Fabio 5 ; Manzoni, Gian Mauro 6 ; Capodaglio, Paolo 7 ; Rossi, Alessandro 8 ; Pietrabissa, Giada 1 ; Molinari, Enrico 1 

 Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Verbania, Italy (GRID:grid.418224.9) (ISNI:0000 0004 1757 9530); Catholic University of Milan, Department of Psychology, Milan, Italy (GRID:grid.8142.f) (ISNI:0000 0001 0941 3192) 
 University of Parma, Department of Humanities, Social Sciences and Cultural Industries, Parma, Italy (GRID:grid.10383.39) (ISNI:0000 0004 1758 0937) 
 Catholic University of Milan, Department of Psychology, Milan, Italy (GRID:grid.8142.f) (ISNI:0000 0001 0941 3192) 
 Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Verbania, Italy (GRID:grid.418224.9) (ISNI:0000 0004 1757 9530) 
 AARBA, Association for the Advancement of Radical Behavior Analysis, Milan, Italy (GRID:grid.418224.9) 
 Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Verbania, Italy (GRID:grid.418224.9) (ISNI:0000 0004 1757 9530); eCampus University, Faculty of Psychology, Novedrate, Italy (GRID:grid.449889.0) 
 Istituto Auxologico Italiano IRCCS, Rehabilitation Unit and Research Laboratory of Biomechanics and Rehabilitation, S Giuseppe, Verbania, Italy (GRID:grid.418224.9) (ISNI:0000 0004 1757 9530) 
 Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Verbania, Italy (GRID:grid.418224.9) (ISNI:0000 0004 1757 9530); University of Padova, Interdepartmental Center for Family Research, Department of Philosophy, Sociology, Education, and Applied Psychology, Padova, Italy (GRID:grid.5608.b) (ISNI:0000 0004 1757 3470) 
Pages
659
Publication year
2018
Publication date
Dec 2018
Publisher
BioMed Central
e-ISSN
17456215
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2795310937
Copyright
© The Author(s). 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.