A Preliminary Randomized Controlled Trial of a Mindful Eating Intervention for Post-menopausal Obese Women

Smith, Bruce W.; Shelley, Brian M.; Sloan, A.L.; Colleran, Kathleen; Erickson, Kelly

doi:10.1007/s12671-017-0824-9

Cited by 25 publications

(36 citation statements)

References 48 publications

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“…Seventeen studies used a two‐group RCT, four used a three‐group RCT, and one used a two‐group cluster RCT design . Fourteen studies used a pre‐intervention to post‐intervention one‐group design, and one study was a non‐randomized three‐group study .…”

Section: Resultsmentioning

confidence: 99%

“…Studies included 2726 participants and the sample size ranged from 10 to 283 . Seventy‐five percent of participants were female (n = 2035/2726), with 12 studies focusing exclusively on females. Mean age was 46 years (ranged from 21 to 58 years), and mean BMI was 35.6 kg/m 2 (Table and Table S2a,b).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty‐two studies evaluated MBCT, eleven evaluated ACT‐based interventions, three evaluated DBT (one in combination with pharmacotherapy), and one evaluated CFT . Twenty‐seven studies used primarily face‐to‐face, group‐format delivery. One study had an initial individual face‐to‐face session before delivery of group sessions.…”

Section: Resultsmentioning

confidence: 99%

“…Intervention duration varied, with two lasting less than a week, twelve studies between 1 and 3 months, and nine studies between 3½ and 5½ months in length. Thirteen studies lasted for 6 months or more, with five of these being 12 months in length . Hamel et al did not report intervention length.…”

Section: Resultsmentioning

confidence: 99%

“…For the primary outcomes, where standard deviations (SDs) for mean change were missing and not provided following author correspondence, these were imputed using the following methods, in order of prioritization: (a) imputed from other time points within same study, (b) estimated from t statistics, Cohen's d , p‐values or confidence intervals (CIs), (c) estimated using a correlation coefficient of .97, based on empirical data from seven studies (17 estimates) that reported SDs for baseline, follow‐up, and mean change . Insufficient data prevented this approach for secondary outcomes, so we used a correlation of .7 as in previous studies …”

Section: Methodsmentioning

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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