ACTonHEALTH study protocol: promoting psychological flexibility with activity tracker and mHealth tools to foster healthful lifestyle for obesity and other chronic health conditions
Open accessAbstract
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.
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Even if such programs have been recognized as effective in promoting healthy lifestyle adoption, the maintenance of behavioral change remains challenging.
“Even if such programs have been recognized as effective in promoting healthy lifestyle adoption, the maintenance of behavioral change remains challenging.”
They regain about one-third of the weight lost over the following year after treatment.
“As a consequence, they regain about one-third of the weight lost over the following year after treatment [7, 8].”
Most obese or overweight people who attend a weight loss rehabilitation program fail to maintain a healthy lifestyle over time.
“Most obese or overweight people who attend a weight loss rehabilitation program fail to maintain a healthy lifestyle over time.”
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Psychological difficulties of LVAD patients and caregivers: A follow up over one year from discharge
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- Authors
- Cattivelli, R., Castelnuovo, G., Musetti, A., Varallo, G., Spatola, C. A. M., Riboni, F. V., Usubini, A. G., Tosolin, F., Manzoni, G. M., Capodaglio, P., Rossi, A., Pietrabissa, G., & Molinari, E.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- University of Parma (IT)
- IRCCS Istituto Auxologico Italiano (IT)
- Università degli Studi eCampus (IT)
- University of Padua (IT)
- Corresponding author
- Cattivelli, Roberto
- ORCID
- Venue
- Trials
- Published
- 2018-11-29
- Volume
- 19
- Issue
- 1
- Pages
- 659-659
- ISSN
- 1745-6215 (ISSN-L)
- PMC
- PMC6262958
- OpenAlex
- W2903040465
- Cited by
- 41
- References
- 93
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 8 · 2021: 10 · 2020: 7 · 2019: 1
- FWCI
- 6.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Trials (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- obesity, acceptance and commitment therapy, wearable devices, wearable activity trackers, mobile health, psychological flexibility, physical activity, health behavior change, contingent reinforcement, psychological well-being, weight loss, chronic disease
- MeSH terms
- Healthy Lifestyle, Diet, Healthy, Fitness Trackers, Adolescent, Adult, Aged, Chronic Disease, Habits, Health Status, Humans, Italy, Health Knowledge, Attitudes, Practice, Male, Mental Health, Middle Aged, Obesity, Time Factors, Weight Loss, Health Behavior, Exercise, Randomized Controlled Trials as Topic, Treatment Outcome, Telemedicine, Feedback, Psychological, Caloric Restriction, Risk Reduction Behavior, Young Adult, Actigraphy
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