Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel
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...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | Contemporary Clinical Trials Communications |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865418301388 |
| _version_ | 1819172099512598528 |
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| author | Niloofar Afari Jessica Gundy Cuneo Matthew Herbert Isabel Miller Jennifer Webb-Murphy Eileen Delaney Joshua Peters Karla Materna Erin Miggantz Job Godino Shahrokh Golshan Gordon Wisbach |
| author_facet | Niloofar Afari Jessica Gundy Cuneo Matthew Herbert Isabel Miller Jennifer Webb-Murphy Eileen Delaney Joshua Peters Karla Materna Erin Miggantz Job Godino Shahrokh Golshan Gordon Wisbach |
| author_sort | Niloofar Afari |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-22T20:01:48Z |
| format | Article |
| id | doaj.art-e08381652b104f3aaca8746a84c518a5 |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-12-22T20:01:48Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-e08381652b104f3aaca8746a84c518a52022-12-21T18:14:16ZengElsevierContemporary Clinical Trials Communications2451-86542019-09-0115Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnelNiloofar Afari0Jessica Gundy Cuneo1Matthew Herbert2Isabel Miller3Jennifer Webb-Murphy4Eileen Delaney5Joshua Peters6Karla Materna7Erin Miggantz8Job Godino9Shahrokh Golshan10Gordon Wisbach11VA San Diego Healthcare System, San Diego, CA, USA; University of California, San Diego, La Jolla, CA, USA; Center of Excellence for Stress and Mental Health, San Diego, CA, USA; Corresponding author. Department of Psychiatry, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.VA San Diego Healthcare System, San Diego, CA, USA; University of California, San Diego, La Jolla, CA, USAVA San Diego Healthcare System, San Diego, CA, USA; University of California, San Diego, La Jolla, CA, USA; Center of Excellence for Stress and Mental Health, San Diego, CA, USAVA San Diego Healthcare System, San Diego, CA, USAThe Naval Center for Combat & Operational Stress Control, San Diego, CA, USAThe Naval Center for Combat & Operational Stress Control, San Diego, CA, USANaval Medical Center San Diego, San Diego, CA, USAVA San Diego Healthcare System, San Diego, CA, USAVA San Diego Healthcare System, San Diego, CA, USAUniversity of California, San Diego, La Jolla, CA, USAVA San Diego Healthcare System, San Diego, CA, USA; University of California, San Diego, La Jolla, CA, USANaval Medical Center San Diego, San Diego, CA, USAOverweight/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, Militaryhttp://www.sciencedirect.com/science/article/pii/S2451865418301388 |
| spellingShingle | Niloofar Afari Jessica Gundy Cuneo Matthew Herbert Isabel Miller Jennifer Webb-Murphy Eileen Delaney Joshua Peters Karla Materna Erin Miggantz Job Godino Shahrokh Golshan Gordon Wisbach Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel Contemporary Clinical Trials Communications |
| title | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
| title_full | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
| title_fullStr | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
| title_full_unstemmed | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
| title_short | Design for a cohort-randomized trial of an acceptance and commitment therapy-enhanced weight management and fitness program for Navy personnel |
| title_sort | design for a cohort randomized trial of an acceptance and commitment therapy enhanced weight management and fitness program for navy personnel |
| url | http://www.sciencedirect.com/science/article/pii/S2451865418301388 |
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