Pilot Test of an Acceptance-Based Behavioral Intervention to Promote Physical Activity During Weight Loss Maintenance

Behav Med. 2018 Jan-Mar;44(1):77-87. doi: 10.1080/08964289.2016.1170663. Epub 2016 Jun 23.

Abstract

Behavioral interventions for obesity reliably facilitate short-term weight loss, but weight regain is normative. A high level of aerobic exercise may promote weight loss maintenance. However, adopting and maintaining a high level of exercise is challenging, and experiential acceptance may be important. The aim of this study was to pilot test the feasibility and efficacy of an acceptance-based behavioral treatment to promote moderate-to-vigorous physical activity (MVPA) among individuals who had recently lost weight. Adults (n = 16) who had recently lost ≥ 5% of weight were provided with a 12-week, group-based treatment. At 12 weeks, complete analyses indicated that participants had increased activity 69% (completing an average of 198.27 minutes/week of bouted MVPA, i.e., episodes of at least 10 minutes in duration). Medium-to-large effect sizes were observed for changes in process measures, including experiential acceptance. Future research to test this approach using an experimental design, a larger sample, and a longer period of observation is warranted.

Keywords: behavioral intervention; experiential acceptance; physical activity; weight loss maintenance.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Behavior Therapy*
  • Body Weight Maintenance*
  • Exercise / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Obesity / prevention & control*
  • Patient Acceptance of Health Care / psychology*
  • Pilot Projects
  • Psychotherapy, Group
  • Treatment Outcome
  • Weight Loss*
  • Young Adult