A Remote, Acceptance-based Intervention for Weight Regain After Bariatric Surgery PDF Download
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Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 226
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Book Description
Bariatric surgery is regarded as the most effective treatment for obesity; however, weight regain is common. The inability to maintain weight loss following bariatric surgery is largely attributed to poor compliance to dietary recommendations made during the preoperative psychoeducation process. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. However, a significant barrier to implementing behavioral interventions is the fact that patients are unwilling or unable to physically return to their bariatric surgery clinics for follow-up care. Internet-delivered treatments, in contrast, can be conveniently delivered in the home, and have been found efficacious for a number of health problems, including obesity. The current study aimed to develop and evaluate a 10-week, remotely-delivered, acceptance-based behavioral intervention for individuals who have experienced weight regain post-surgery via an open trial. Twenty-two participants at least 1.5 years out from surgery and who experienced weight regain were enrolled. The intervention was shown to be feasible and acceptable, with 70% retention in those who started the program and a high mean rating (4.7 out of 5.0) of program satisfaction among those who completed the study. On average, weight regain was stopped and even reversed, with a mean weight change of -5.1% ℗ł 5.5% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eating-related process variables. Overall, these pilot data provide initial support for the feasibility, acceptability, and preliminary effectiveness of a remotely-delivered acceptance-based intervention for individuals who have undergone bariatric surgery.
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 226
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Book Description
Bariatric surgery is regarded as the most effective treatment for obesity; however, weight regain is common. The inability to maintain weight loss following bariatric surgery is largely attributed to poor compliance to dietary recommendations made during the preoperative psychoeducation process. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. However, a significant barrier to implementing behavioral interventions is the fact that patients are unwilling or unable to physically return to their bariatric surgery clinics for follow-up care. Internet-delivered treatments, in contrast, can be conveniently delivered in the home, and have been found efficacious for a number of health problems, including obesity. The current study aimed to develop and evaluate a 10-week, remotely-delivered, acceptance-based behavioral intervention for individuals who have experienced weight regain post-surgery via an open trial. Twenty-two participants at least 1.5 years out from surgery and who experienced weight regain were enrolled. The intervention was shown to be feasible and acceptable, with 70% retention in those who started the program and a high mean rating (4.7 out of 5.0) of program satisfaction among those who completed the study. On average, weight regain was stopped and even reversed, with a mean weight change of -5.1% ℗ł 5.5% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eating-related process variables. Overall, these pilot data provide initial support for the feasibility, acceptability, and preliminary effectiveness of a remotely-delivered acceptance-based intervention for individuals who have undergone bariatric surgery.
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Clinical psychology
Languages : en
Pages : 310
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Book Description
Bariatric surgery is regarded as the most effective obesity treatment to date; however, tens of thousands of patients each year experience sub-optimal weight losses and/or significant regain. Poor outcomes have been associated with decreased compliance to the recommended postoperative diet, which is quite restrictive in nature. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger, and desire for food) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. The current study aimed to develop an acceptance-based intervention to stop weight regain in bariatric surgery patients and to establish its feasibility, acceptability, and preliminary effectiveness. A group of postoperative patients (n = 153) were surveyed to assess their current status as well as interest and preferences for postoperative programs to promote long term success. An open trial was then conducted of a newly-developed, 10-week, acceptance-based behavioral weight control intervention modified for bariatric surgery patients. The intervention emphasized skills thought to be integral to successful weight control postsurgery, i.e., a commitment to engaging in behaviors (e.g., healthy eating, physical activity) that are in accordance with one's values (e.g., living a healthy life) despite difficulty doing so (e.g., due to the return of food cravings, hunger). Eleven bariatric surgery patients who had regained at least 10% of their lost weight since their lowest postoperative weight were recruited and enrolled in groups to evaluate this program. The intervention was shown to be feasible and acceptable, with 72% retention (100% retention in those who attended more than 1 session) and high mean rating (4.25 out of 5.00) of program satisfaction among completers. In addition, weight regain was stopped, and even reversed, with a mean weight loss of 3.58 ± 3.02% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eatingrelated process variables. Overall, these pilot data provide initial support for the feasibility and acceptability of an acceptance-based intervention for the post-bariatric surgery population. In addition, preliminary effectiveness in stopping and reversing weight regain was demonstrated.
Author: Evan M. Forman
Publisher: Oxford University Press
ISBN: 0190232013
Category : Psychology
Languages : en
Pages : 184
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Book Description
The obesity epidemic is one of the most serious public health threats confronting the nation and the world. The majority of overweight individuals want to lose weight, but the overall success of self-administered diets and commercial weight loss programs is very poor. Scientific findings suggest that the problem boils down to adherence. The dietary and physical activity recommendations that weight loss programs promote are effective; however, people have difficulty initiating and maintaining changes. Effective Weight Loss presents 25 detailed sessions of an empirically supported, cognitive-behavioral treatment package called Acceptance-Based Behavioral Treatment (ABT). The foundation of this approach is comprised of the nutritional, physical activity, and behavioral components of the most successful, gold-standard behavioral weight loss programs. These components are synthesized with acceptance, willingness, behavioral commitment, motivation, and relapse prevention strategies drawn from a range of therapies. ABT is based on the idea that specialized self-control skills are necessary for weight control, given our innate desire to consume delicious foods and to conserve energy by avoiding physical activity. These self-control skills revolve around a willingness to choose behaviors that may be perceived as uncomfortable, for the sake of a more valuable objective. The Clinician Guide is geared towards helping administer treatment, and the companion Workbook provides summaries of session content, exercises, worksheets, handouts, and assignments for patients and clients receiving the treatment. The books will appeal to psychologists, primary care physicians, nutritionists, dieticians, and other clinicians who counsel the overweight.
Author: Robin F. Apple
Publisher: Oxford University Press
ISBN: 0190208082
Category : Psychology
Languages : en
Pages : 133
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Book Description
Obesity has quickly become an American epidemic. People suffering from significant overweight often have to contend with a lifetime of significant comorbidities, social stigma, and lower quality of life. Recently, more and more people are undergoing weight loss surgery as a way to resolve these issues. If you are working with pre- or post-operative bariatric surgery patients, your goal is to teach them the skills they need to ensure themselves a successful surgical outcome. After surgery, patients are required to adhere to a strict diet and the very specific recommendations of their surgical "team." Without a high level of commitment from the patient to follow these recommendations, the potential for maintained weight loss after surgery is very limited. Preparing for Your Weight Loss Surgery, Therapist Guide contains a series of scientifically tested cognitive-behavioral techniques to help you prepare your patient for the post-operative challenges of creating radically changed eating and lifestyle habits. It provides instructions for teaching your patient basic problem-solving and cognitive restructuring methods that will change their negative thoughts and attitudes about food. Interactive forms including food records and checklists, body image journals, and homework assignments found in the corresponding patient workbook round out this comprehensive treatment package. TreatmentsThatWork™ represents the gold standard of behavioral healthcare interventions! BL All programs have been rigorously tested in clinical trials and are backed by years of research BL A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date BL Our books are reliable and effective and make it easy for you to provide your clients with the best care available BL Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated BL A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources BL Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)
Author: Evan M. Forman
Publisher: Oxford University Press
ISBN: 019023203X
Category : Psychology
Languages : en
Pages : 256
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Book Description
The obesity epidemic is one of the most serious public health threats confronting the nation and the world. The majority of overweight individuals want to lose weight, but the overall success of self-administered diets and commercial weight loss programs is very poor. Scientific findings suggest that the problem boils down to adherence. The dietary and physical activity recommendations that weight loss programs promote are effective; however, people have difficulty initiating and maintaining changes. Effective Weight Loss presents 25 detailed sessions of an empirically supported, cognitive-behavioral treatment package called Acceptance-Based Behavioral Treatment (ABT). The foundation of this approach is comprised of the nutritional, physical activity, and behavioral components of the most successful, gold-standard behavioral weight loss programs. These components are synthesized with acceptance, willingness, behavioral commitment, motivation, and relapse prevention strategies drawn from a range of therapies. ABT is based on the idea that specialized self-control skills are necessary for weight control, given our innate desire to consume delicious foods and to conserve energy by avoiding physical activity. These self-control skills revolve around a willingness to choose behaviors that may be perceived as uncomfortable, for the sake of a more valuable objective. The Clinician Guide is geared towards helping administer treatment, and the companion Workbook provides summaries of session content, exercises, worksheets, handouts, and assignments for patients and clients receiving the treatment. The books will appeal to psychologists, primary care physicians, nutritionists, dieticians, and other clinicians who counsel the overweight.
Author: Ann F. Haynos
Publisher: New Harbinger Publications
ISBN: 1626252718
Category : Psychology
Languages : en
Pages : 331
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Book Description
Disordered eating, negative body image, and problems with weight have become an epidemic—and research shows that traditional treatments are not always effective. This professional resource offers proven-effective interventions using mindfulness and acceptance for treating clients with disordered eating, body image, or weight issues—and for whom other treatments have failed. Millions of people in the United States suffer from eating disorders, and dissatisfaction with weight and body type—even in individuals whose weight is considered normal—is similarly widespread. In addition, more than half of Americans could benefit from healthy weight loss. Unfortunately, not all people with eating disorders or weight concerns respond to traditional therapeutic interventions; many continue to suffer significant symptoms even after treatment. What these clients need is an integrated therapeutic approach that will prove effective in the long run—like the scientifically backed methods in this much-needed clinical guide. Edited by Ann F. Haynos, Jason Lillis, Evan M. Forman, and Meghan L. Butryn; and with contributors including Kay Segal, Debra Safer, and Hugo Alberts; Mindfulness and Acceptance for Treating Eating Disorders and Weight Concerns is the first professional resource to incorporate a variety of proven-effective acceptance- and mindfulness-based approaches—such as acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mindfulness-based cognitive therapy (MBCT)—into the treatment of persistent disordered eating, body image issues, and weight problems. With these evidence-based interventions, you’ll be ready to help your clients move beyond their problems with disordered eating, body dissatisfaction, and weight management once and for all.
Author: Emma Gallagher
Publisher:
ISBN:
Category :
Languages : en
Pages : 938
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Book Description
Weight loss maintenance has emerged as a significant challenge in efforts tackling overweight and obesity, and their associated risks of morbidity and mortality (Colagiuri et al., 2010; NHMRC, 2013; Stubbs & Lavin, 2013). The antidote to the health risks associated with overweight and obesity is weight loss; however, only successful weight loss maintenance results in sustained health benefits (NHMRC, 2013). The statistics show that, while most people can lose weight using traditional behavioural based weight loss strategies, most people regain this lost weight (Wing & Phelan, 2005). Limited, yet cumulative, evidence suggests that the hitherto under explored variable of emotional eating, along with its theoretical underlying mechanism of action, avoidance, may explain significant unaccounted for variance within the weight loss maintenance puzzle (Bryne, 2002; Kayman, Bruvold & Stern, 1990; van Strien, Herman, & Verheijden, 2012).Within the literature addressing overweight and obesity there has been a limited, yet collective, call for researchers to explore novel psychological treatment interventions targeting emotional eating in the context of weight loss maintenance (Koenders & van Strien, 2011; Neve, Morgan & Collins, 2011; Teixeria et al., 2010). An aim of this thesis is to answer this call. In reviewing the problem of emotional eating and weight loss maintenance, as well as the theoretical understanding that avoidance develops and maintains this behaviour, it was reasoned that the psychological treatment intervention Acceptance and Commitment Therapy (ACT) would be best suited to tackling this challenge (Hayes, Strosahl, & Wilson, 2012). This was reasoned because ACT explicitly targets avoidance and related psychological processes within its therapeutic treatment interventions. Consequently, this thesis constitutes the first treatment intervention study to quantitatively bring together ACT and its two core processes of experiential avoidance and cognitive fusion with emotional eating in the context of weight loss maintenance. The global aim of the study was to evaluate the efficacy of a 1-day ACT group workshop treatment intervention for people who had recently lost weight targeting emotional eating to facilitate weight loss maintenance, using a randomised controlled trial design comparing a treatment group to a wait-list control group.Participants (N = 111) volunteered after responding to research advertisements inviting people who struggle with emotional eating and weight loss maintenance to participate. Participants were randomly assigned to the 1-day ACTing on Weight group workshop which was the treatment group, or to the wait-list condition (i.e., the control group). Pre and post-treatment data was collected. The number of people who completed the pre-measures was n = 43 for the treatment group and n = 56 for the control group, and for the post-measures at three months the number of participants was n = 28 and n = 32 respectively. The following variables were psychometrically measured and analysed using multivariate statistics including mediation analyses: emotional eating, weight, weight loss maintenance, body mass index (BMI), waistline, experiential avoidance, weight related experiential avoidance, cognitive fusion, satisfaction with life, positive and negative affect, general health and obesity related well-being. The results show that the participants who attended the 1-day ACTing on Weight group workshop were significantly more likely than the control group to maintain their weight and report decreases in emotional eating, as well as report more weight loss. They were also more likely to report significant improvements in weight related experiential avoidance, cognitive fusion, negative affect, general health and obesity related well-being while satisfaction with life, positive affect, and general experiential avoidance showed non-significant improvements. Further to these main effects, mediational analyses revealed that weight related experiential avoidance was found to serve as a mediator of the effect of the 1-day ACTing on Weight group workshop on 10 of the 13 outcome variables including weight, BMI, five emotional eating scales, satisfaction with life, positive affect and obesity related well-being. In addition, cognitive fusion was found to serve as a mediator of the effect of the 1-day ACTing on Weight group workshop on 9 of the 13 outcome variables including four emotional eating scales, satisfaction with life, general health, positive affect, negative affect and obesity related well-being.The practical implications of the findings are simple. They show that a 1-day ACT group based workshop can decrease emotional eating and improve weight loss maintenance, and related outcomes. The relative brevity of the treatment intervention compared to the previous intervention research also suggests that this approach could be a time and cost effective way to augment weight loss maintenance (Forman, Butryn, Hoffman, & Herbert, 2009; Forman & Butryn et al., 2012; Niemeier, Leahey, Palm Reed, Brown, & Wing, 2012). The theoretical implications are more remarkable for both the relatively distinct domains of the literature of weight loss maintenance and ACT which have been amalgamated through this research. In terms of the weight loss maintenance literature, this study shows that when avoidance, as the theorised common mechanism of action underlying emotional eating is explicitly targeted in a psychological intervention, it can be significantly decreased, which in turn significantly decreases emotional eating. This finding was not surprising given the extent to which all the emotional eating theories purport this to be the case, the finding is however empirically novel (Evers, Stok, & de Ridder, 2010; Kaplan & Kaplan, 1957; Kayman et al., 1990). Also novel is that this study revealed a yet to be published finding showing that cognitive fusion is also a mechanism of action underlying emotional eating. This shows that weight related experiential avoidance and cognitive fusion both increase emotional eating. The practical implication is that future treatment refinement should consider both of these variables in order to optimise successful weight loss maintenance treatment.Through the paradigm of ACT theory and research, these findings support ACT's therapeutic and unified model of behaviour change. Specifically the findings confirm the theory that experiential avoidance and cognitive fusion serve as mediators of change in ACT treatment interventions. In addition, the results add to the growing list of treatment intervention studies showing that ACT is likely to be helpful for the spectrum of unhelpful eating behaviours as found in recent research (Barnes & Tantleff-Dunn, 2010; Juarascio, Forman, & Herbert, 2010; Lillis & Kendra, in press). Further, this research contributes evidence that supports the proposition that ACT is a transdiagnostic treatment intervention that can be applied to a wide range of health concerns because it targets common underlying mechanisms of action responsible for the development and maintenance of problems as opposed to targeting symptom specific content (Smout, Hayes, Atkins, Klausen, & Duguid, 2012). The primary rationale for this study stems from the continuing rise in the prevalence of overweight and obesity both within Australia and the developed world. As prevalence rises, so to do the adverse health and financial consequences of morbidity and mortality related to overweight and obesity. Finding ways to facilitate improvements in the rates of successful weight loss maintenance to in turn improve morbidity and mortality is presently an unsolved problem. The findings of this research provide some novel answers and direction for future treatment refinement for the problem of emotional eating and unsuccessful weight loss maintenance.
Author: Ann F. Haynos
Publisher: Context Press
ISBN: 9781626252691
Category : Acceptance and commitment therapy
Languages : en
Pages : 0
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Book Description
Disordered eating, obesity, and body image issues have reached epidemic proportions. While traditional treatments may be effective for some people with eating disorders, research shows that many continue to suffer significant symptoms even after treatment. This evidence-based professional resource offers treatments using acceptance and mindfulness--empowering clinicians with proven-effective interventions for better treatment outcomes for clients with eating disorders and weight issues.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309089964
Category : Medical
Languages : en
Pages : 277
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Book Description
The primary purpose of fitness and body composition standards in the U.S. Armed Forces has always been to select individuals best suited to the physical demands of military service, based on the assumption that proper body weight and composition supports good health, physical fitness, and appropriate military appearance. The current epidemic of overweight and obesity in the United States affects the military services. The pool of available recruits is reduced because of failure to meet body composition standards for entry into the services and a high percentage of individuals exceeding military weight-for-height standards at the time of entry into the service leave the military before completing their term of enlistment. To aid in developing strategies for prevention and remediation of overweight in military personnel, the U.S. Army Medical Research and Materiel Command requested the Committee on Military Nutrition Research to review the scientific evidence for: factors that influence body weight, optimal components of a weight loss and weight maintenance program, and the role of gender, age, and ethnicity in weight management.
Author: Joel J. Heidelbaugh
Publisher: Elsevier Health Sciences
ISBN: 0323848656
Category : Medical
Languages : en
Pages : 281
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Book Description
Clinics Collections: Depression draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including psychiatrists, general practitioners, and pediatricians, with practical clinical advice and insights on how telehealth can be implemented in individual specialties. Clinics Collections: Telehealth guides readers on how to apply current best practices in the implementation of telehealth to everyday practice to help overcome patient challenges and complications, keep up with new and advanced treatment methods, and improve patient outcomes. Areas of focus include implementation of telehealth in pediatric care, sleep medicine, gynecology and women’s health, and telepsychiatry. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format.
