Acceptance- and mindfulness-based interventions for health behavior change: Systematic reviews and meta-analyses

Roche, Anne I.; Kroska, Emily B.; Denburg, Natalie L.

doi:10.1016/j.jcbs.2019.06.002

Cited by 35 publications

(24 citation statements)

References 101 publications

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“…The finding that 3wCBT is potentially more effective than SBT contrasts with the report by Roche et al that acceptance‐ and mindfulness‐based interventions were only more effective than waitlist control arms. Conversely, estimates for the difference in weight loss between CBT and no/minimal intervention in our analysis are slightly smaller.…”

Section: Discussioncontrasting

confidence: 66%

“…While the analytic methods used in Carrière et al is unclear, Rogers et al used only the post‐intervention estimates for the RCTs (which ignores baseline differences between groups that may be influential in smaller studies), and effect estimates were weighted by sample size, not SD. Consequently, the reported study‐specific estimates are different between Rogers et al and Roche et al even though both label the effect as Hedges' g …”

Section: Discussionmentioning

confidence: 87%

“…Conversely, estimates for the difference in weight loss between CBT and no/minimal intervention in our analysis are slightly smaller. This may be because Roche et al merged short‐ and long‐term follow‐up data and included participants with a BMI less than 25kg/m 2 , either of which may be associated with larger effects. Comparisons with other reviews that purport to have compared 3wCBT with other approaches are more challenging because of less appropriate statistical approaches.…”

Section: Discussionmentioning

confidence: 99%

“…However, the evidence of their superior effectiveness is less clear. Previous systematic reviews and meta‐analyses primarily focused on mindfulness‐ and/or acceptance‐based interventions . Three reviews have reported a quantitative synthesis of pre‐intervention to post‐intervention change without comparing the effect against a comparator.…”

Section: Introductionmentioning

confidence: 99%

“…Two of these three reviews reported a “small” pre‐intervention to post‐intervention change in weight or body mass index (BMI) while the other study reported a null effect on BMI. Critically, only one review reported a meta‐analytic synthesis that compared the effectiveness of mindfulness‐ and acceptance‐based interventions with those in other active interventions and control arms using appropriate statistical methods. A small but significant difference in weight or BMI was reported at post‐intervention, favouring mindfulness and acceptance‐based interventions over comparator arms.…”

Section: Introductionmentioning

confidence: 99%

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Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

et al. 2020

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This systematic review and network meta-analysis synthesized evidence on the effects of third-wave cognitive behaviour therapies (3wCBT) on body weight, and psychological and physical health outcomes in adults with overweight or obesity.Studies that included a 3wCBT for the purposes of weight management and measured weight or body mass index (BMI) pre-intervention and ≥ 3 months postbaseline were identified through database searches (MEDLINE, CINAHL, Embase, Cochrane database [CENTRAL], PsycINFO, AMED, ASSIA, and Web of Science).Thirty-seven studies were eligible; 21 were randomized controlled trials (RCT) and included in the network meta-analyses. Risk of bias was assessed using RoB2, and evidence quality was assessed using GRADE. Random-effects pairwise meta-analysis found moderate-to high-quality evidence suggesting that 3wCBT had greater weight loss than standard behavioural treatment (SBT) at post-intervention (standardized mean difference [SMD]: −0.09, 95% confidence interval [CI]: −0.22, 0.04; N = 19; I 2 = 32%), 12 months (SMD: −0.17, 95% CI: −0.36, 0.02; N = 5; I 2 = 33%), and 24 months (SMD: −0.21, 95% CI: −0.42, 0.00; N = 2; I 2 = 0%). Network meta-analysis compared the relative effectiveness of different types of 3wCBT that were not tested in head-to-head trials up to 18 months. Acceptance and commitment therapy (ACT)-based interventions had the most consistent evidence of effectiveness. Only ACT had RCT evidence of effectiveness beyond 18 months. Meta-regression did not identify any specific intervention characteristics (dose, duration, delivery) that were associated with greater weight loss. Evidence supports the use of 3wCBT for weight management, specifically ACT. Larger trials with long-term follow-up are needed to identify who these interventions work for, their most effective components, and the most cost-effective method of delivery. network meta-analysis, obesity, third-wave behavioural therapy, weight loss 1 | BACKGROUND Although behavioural interventions are effective at helping people to lose weight, many people struggle to sustain effective weight management behaviours over extended periods due to a combination of biological, psychological, social, and environmental factors that drive weight gain. 1,2 Standard behavioural programmes can be effective in the short term, but less so in the longer term. 3-6 These usually combine diet and physical activity advice with core behavioural change techniques including goal setting, self-monitoring, problem solving, and planned social support. 7 It has been proposed that third-wave cognitive behaviour therapies (3wCBT), including acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), mindfulness-based cognitive behavioural ther- Nazrul Islamhttps://orcid.org/0000-0003-3982-4325

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

et al. 2020

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The effectiveness of acceptance and commitment therapy upon weight management and psychological well‐being of adults with overweight or obesity: A systematic review

Iturbe

Echeburúa

Maíz

2021

Clin Psychology and Psychoth

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Several studies have examined acceptance and commitment therapy's (ACT) effectiveness for addressing physical and psychological distress people with obesity can face. Nevertheless, no review focusing specifically on ACT analysing randomized controlled trials (RCT) has been done up to date in this field. The present systematic review was developed following the PRISMA statement and aimed to examine ACT's effects on weight management and psychological well-being of adults with overweight or obesity. A conjunction of keywords related to ACT and excess weight was searched in four databases (Medline, PubMed, Psycinfo and Scopus) for articles meeting inclusion criteria. The literature search yielded 2,074 papers, and 16 were included in the review, finally. In 71.43% of the studies, ACT was effective to enhance psychological well-being; in 50% effectively targeted process variables and health behaviours related to weight management; in 31.82% of studies, physical variables were improved; and 21.38% of studies showed evidence in favour of ACT for eating behaviour modification. The present review supports ACT for promoting emotional aspects of individuals immersed in such weight-related battles and highlights the benefits of psychological well-being-oriented ACT in the context of obesity treatment. More studies targeting psychological well-being primarily and with longer follow-ups are required.

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Obesity: Third Wave Case Conceptualization

2022

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Acceptance- and mindfulness-based interventions for health behavior change: Systematic reviews and meta-analyses

Cited by 35 publications

References 101 publications

Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

Third‐wave cognitive behaviour therapies for weight management: A systematic review and network meta‐analysis

The effectiveness of acceptance and commitment therapy upon weight management and psychological well‐being of adults with overweight or obesity: A systematic review

Obesity: Third Wave Case Conceptualization

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