Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel

Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel

AbstractOverweight 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...

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Published in:Contemporary clinical trials communications Vol. 15; p. 100408
Main Authors: 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
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 01-09-2019
Elsevier
Subjects:
Acceptance and commitment therapy
Fitness
Military
Other
Weight-management
Acceptance and commitment therapy
Weight-management
Fitness
Military
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Abstract AbstractOverweight 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, only 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 support commitment to behavior change, improve psychological flexibility, and promote mindful awareness of weight-related behaviors and goals. 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.
AbstractList AbstractOverweight 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, only 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 support commitment to behavior change, improve psychological flexibility, and promote mindful awareness of weight-related behaviors and goals. 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.
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.
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. Keywords: Acceptance and commitment therapy, Weight-management, Fitness, Military
ArticleNumber 100408
Author Peters, Joshua
Materna, Karla
Miggantz, Erin
Godino, Job
Wisbach, Gordon
Afari, Niloofar
Herbert, Matthew
Golshan, Shahrokh
Miller, Isabel
Webb-Murphy, Jennifer
Cuneo, Jessica Gundy
Delaney, Eileen
AuthorAffiliation a VA San Diego Healthcare System, San Diego, CA, USA
c Center of Excellence for Stress and Mental Health, San Diego, CA, USA
e Naval Medical Center San Diego, San Diego, CA, USA
b University of California, San Diego, La Jolla, CA, USA
d The Naval Center for Combat & Operational Stress Control, San Diego, CA, USA
AuthorAffiliation_xml – name: c Center of Excellence for Stress and Mental Health, San Diego, CA, USA
– name: e Naval Medical Center San Diego, San Diego, CA, USA
– name: b University of California, San Diego, La Jolla, CA, USA
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  fullname: Afari, Niloofar
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31338482$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1080_2331205X_2020_1807083
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Keywords Acceptance and commitment therapy
Weight-management
Fitness
Military
Language English
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Snippet AbstractOverweight and inadequate fitness in active duty personnel impact the wellbeing of service members and have significant costs for military readiness...
Overweight/obesity and inadequate fitness in active duty personnel impact the wellbeing of service members and have significant costs for military readiness...
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SubjectTerms Acceptance and commitment therapy
Fitness
Military
Other
Weight-management
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Title Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel
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https://dx.doi.org/10.1016/j.conctc.2019.100408
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