Skip to main content
Top
Published in: International Journal of Behavioral Medicine 6/2021

01-12-2021 | Obesity | Brief Report

Preliminary Evaluation of a 1-Day Acceptance and Commitment Therapy Workshop for Increasing Moderate-to-Vigorous Physical Activity in Adults with Overweight or Obesity

Authors: Jason Lillis, Leah M. Schumacher, Dale S. Bond

Published in: International Journal of Behavioral Medicine | Issue 6/2021

Login to get access

Abstract

Background

Novel strategies to help adults with overweight/obesity increase motivation for becoming active are needed. This single-arm trial aimed to test the feasibility, acceptability, and preliminary efficacy of a 4-h acceptance and commitment therapy (ACT)-based workshop intervention for increasing moderate-to-vigorous physical activity (MVPA) among insufficiently active adults with overweight/obesity.

Methods

Participants (N = 41) received a 1-day 4-h ACT workshop followed by weekly e-mails and monthly phone calls for 3 months. The primary outcome was change in accelerometer-measured MVPA minutes/day at 3 and 6 months. Process variables (i.e., autonomous motivation, PA acceptance) through which the ACT intervention was hypothesized to increase MVPA were assessed via questionnaires.

Results

Participants completed 91% of phone calls and 75% of e-mail surveys. Acceptability ratings were > 4.5 out of 5 for “understandable,” “useful,” and “intent-to-use” on all intervention components. Participants on average achieved significant increases in bouted and total MVPA at 3 months that were maintained at 6 months. Participants also reported significant increases in physical activity acceptance and autonomous motivation, the latter of which related to MVPA changes.

Conclusion

Results support the feasibility and acceptability of the ACT workshop intervention for promoting MVPA changes among insufficiently active adults with overweight/obesity. Rigorous testing of this approach as a low-intensity standalone or add-on intervention to increase MVPA is warranted.
Literature
1.
go back to reference Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014;63(25):2985–3023.CrossRef Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014;63(25):2985–3023.CrossRef
2.
go back to reference Rhodes RE, Janssen I, Bredin SS, Warburton DE, Bauman A. Physical activity: health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):942–75.CrossRef Rhodes RE, Janssen I, Bredin SS, Warburton DE, Bauman A. Physical activity: health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):942–75.CrossRef
3.
go back to reference Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT. Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese US men and women. Int J Behav Nutr Phys Act. 2010;7(1):60.CrossRef Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT. Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese US men and women. Int J Behav Nutr Phys Act. 2010;7(1):60.CrossRef
4.
go back to reference Unick JL, Gaussoin SA, Hill JO, et al. Four-year physical activity levels among intervention participants with type 2 diabetes. Med Sci Sports Exerc. 2016;48(12):2437.CrossRef Unick JL, Gaussoin SA, Hill JO, et al. Four-year physical activity levels among intervention participants with type 2 diabetes. Med Sci Sports Exerc. 2016;48(12):2437.CrossRef
5.
go back to reference Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: a review of meta-analyses. J Contextual Behav Sci. 2020;18:181–92.CrossRef Gloster AT, Walder N, Levin ME, Twohig MP, Karekla M. The empirical status of acceptance and commitment therapy: a review of meta-analyses. J Contextual Behav Sci. 2020;18:181–92.CrossRef
7.
go back to reference Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25.CrossRef Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25.CrossRef
9.
go back to reference Teixeira PJ, Carraça EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act. 2012;9(1):78.CrossRef Teixeira PJ, Carraça EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act. 2012;9(1):78.CrossRef
10.
go back to reference Butryn ML, Kerrigan SG, Arigo D, Raggio G, Forman EM. Pilot test of an acceptance-based behavioral intervention to promote physical activity durign weight loss maintenance. Behav Med. 2018;44(1):77–87.CrossRef Butryn ML, Kerrigan SG, Arigo D, Raggio G, Forman EM. Pilot test of an acceptance-based behavioral intervention to promote physical activity durign weight loss maintenance. Behav Med. 2018;44(1):77–87.CrossRef
11.
go back to reference Lillis J, Bond DS. Values-based and acceptance-based intervention to promote adoption and maintenance of habitual physical activity among inactive adults with overweight/obesity: a study protocol for an open trial. BMJ Open. 2019;9(1):e025115.CrossRef Lillis J, Bond DS. Values-based and acceptance-based intervention to promote adoption and maintenance of habitual physical activity among inactive adults with overweight/obesity: a study protocol for an open trial. BMJ Open. 2019;9(1):e025115.CrossRef
13.
go back to reference Vandelanotte C, De Bourdeaudhuij I. Acceptability and feasibility of a computer-tailored physical activity intervention using stages of change: project FAITH. Health Educ Res. 2003;18(3):304–17 https://doi.org/10.1093/her/cyf027 [published Online First: Epub Date]|. Vandelanotte C, De Bourdeaudhuij I. Acceptability and feasibility of a computer-tailored physical activity intervention using stages of change: project FAITH. Health Educ Res. 2003;18(3):304–17 https://​doi.​org/​10.​1093/​her/​cyf027 [published Online First: Epub Date]|.
14.
go back to reference Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357.CrossRef Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357.CrossRef
15.
go back to reference Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.CrossRef Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.CrossRef
16.
go back to reference Ryan RM, Connell JP. Perceived locus of causality and internalization: examining reasons for acting in two domains. J Pers Soc Psychol. 1989;57(5):749.CrossRef Ryan RM, Connell JP. Perceived locus of causality and internalization: examining reasons for acting in two domains. J Pers Soc Psychol. 1989;57(5):749.CrossRef
17.
go back to reference Butryn ML, Arigo D, Raggio GA, Kaufman AI, Kerrigan SG, Forman EM. Measuring the ability to tolerate activity-related discomfort: initial validation of the physical activity acceptance questionnaire (PAAQ). J Phys Act Health. 2015;12(5):717–26.CrossRef Butryn ML, Arigo D, Raggio GA, Kaufman AI, Kerrigan SG, Forman EM. Measuring the ability to tolerate activity-related discomfort: initial validation of the physical activity acceptance questionnaire (PAAQ). J Phys Act Health. 2015;12(5):717–26.CrossRef
18.
go back to reference Physical activity guidelines for Americans, 2nd edition. In: Services USDoHaH, ed. Washington, DC: Department of Health and Human Services, 2018. Physical activity guidelines for Americans, 2nd edition. In: Services USDoHaH, ed. Washington, DC: Department of Health and Human Services, 2018.
19.
go back to reference Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.CrossRef Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.CrossRef
Metadata
Title
Preliminary Evaluation of a 1-Day Acceptance and Commitment Therapy Workshop for Increasing Moderate-to-Vigorous Physical Activity in Adults with Overweight or Obesity
Authors
Jason Lillis
Leah M. Schumacher
Dale S. Bond
Publication date
01-12-2021
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 6/2021
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-021-09965-1

Other articles of this Issue 6/2021

International Journal of Behavioral Medicine 6/2021 Go to the issue