The effects of acceptance and commitment therapy on lifestyle and behavioral changes: A systematic review of randomized controlled trials

Yıldız, Erman

doi:10.1111/ppc.12482

Cited by 18 publications

(14 citation statements)

References 65 publications

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“…ACT a is a transdiagnostic, evidence-based psychotherapeutic approach that can foster acceptance and committed action (opposite of giving up) and improve well-being in a nonpathologizing way [62]. ACT may be used to address a range of psychological disorders and promote general well-being in nonclinical samples [62][63][64], including via web-based interventions [64,65]. It is particularly suited to contexts where the stressor must be accepted or cannot be fixed [66].…”

Section: Resulting Design Principle Evidence Synthesismentioning

confidence: 99%

Combining Farmers’ Preferences With Evidence-Based Strategies to Prevent and Lower Farmers’ Distress: Co-design and Acceptability Testing of ifarmwell

Gunn¹,

Skaczkowski²,

Dollman³

et al. 2022

JMIR Hum Factors

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Background Farming is physically and psychologically hazardous. Farmers face many barriers to help seeking from traditional physical and mental health services; however, improved internet access now provides promising avenues for offering support. Objective This study aims to co-design with farmers the content and functionality of a website that helps them adopt transferable coping strategies and test its acceptability in the broader farming population. Methods Research evidence and expert opinions were synthesized to inform key design principles. A total of 18 farmers detailed what they would like from this type of website. Intervention logic and relevant evidence-based strategies were mapped. Website content was drafted and reviewed by 2 independent mental health professionals. A total of 9 farmers provided detailed qualitative feedback on the face validity of the draft content. Subsequently, 9 farmers provided feedback on the website prototype. Following amendments and internal prototype testing and optimization, prototype usability (ie, completion rate) was examined with 157 registered website users who were (105/157, 66.9%) female, aged 21-73 years; 95.5% (149/156) residing in inner regional to very remote Australia, and 68.2% (107/157) “sheep, cattle and/or grain farmers.” Acceptability was examined with a subset of 114 users who rated at least module 1. Interviews with 108 farmers who did not complete all 5 modules helped determine why, and detailed interviews were conducted with 18 purposively sampled users. Updates were then made according to adaptive trial design methodology. Results This systematic co-design process resulted in a web-based resource based on acceptance and commitment therapy and designed to overcome barriers to engagement with traditional mental health and well-being strategies—ifarmwell. It was considered an accessible and confidential source of practical and relevant farmer-focused self-help strategies. These strategies were delivered via 5 interactive modules that include written, drawn, and audio- and video-based psychoeducation and exercises, as well as farming-related jokes, metaphors, examples, and imagery. Module 1 included distress screening and information on how to speak to general practitioners about mental health–related concerns (including a personalized conversation script). Modules were completed fortnightly. SMS text messages offered personalized support and reminders. Qualitative interviews and star ratings demonstrated high module acceptability (average 4.06/5 rating) and suggested that additional reminders, higher quality audio recordings, and shorter modules would be useful. Approximately 37.1% (52/140) of users who started module 1 completed all modules, with too busy or not got to it yet being the main reason for non-completion, and previous module acceptability not predicting subsequent module completion. Conclusions Sequential integration of research evidence, expert knowledge, and farmers’ preferences in the co-design process allowed for the development of a self-help intervention that focused on important intervention targets and was acceptable to this difficult-to-engage group. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12617000506392; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372526

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Section: Resulting Design Principle Evidence Synthesismentioning

confidence: 99%

Combining Farmers’ Preferences With Evidence-Based Strategies to Prevent and Lower Farmers’ Distress: Co-design and Acceptability Testing of ifarmwell

Gunn¹,

Skaczkowski²,

Dollman³

et al. 2022

JMIR Hum Factors

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“…Considering the importance of these dynamics, incorporating psychological resilience and psychological flexibility into nursing education may help smoothing the transition of students to professional nursing roles. Psychosocial approaches using acceptance and awareness strategies such as acceptance and commitment therapy to support psychological flexibility and resilience are preferred 62,63 . In a recent review study, five basic methods such as adoption of peer activities, reflective practice, guided work, problem‐based learning/inquiry‐based learning, and experiential learning were determined as learning and teaching approaches that support resilience in nursing students 41 .…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Yıldız

2021

Perspect Psychiatr Care

Self Cite

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Purpose To determine the relationship between posttraumatic growth (PTG), psychological flexibility, and psychological resilience of nursing students after the COVID‐19 alarm status. Design and Methods This descriptive cross‐sectional study was conducted with nursing students (N = 292) studying at a nursing school of a university. The data collection instruments included a form on descriptive variables, and the PTG, psychological flexibility, and psychological resilience scales. Descriptive statistics, independent‐samples t test, ANOVA, correlation, simple, and hierarchical linear regression analyses were used to analyze the data. Findings The mean scores regarding psychological flexibility, psychological resilience, and PTG were 27.56 ± 11.06, 18.10 ± 5.75, and 63.49 ± 20.64, respectively. While psychological flexibility explained 36.7% of the total variance in psychological resilience, the predictive effect of seven descriptive variables, including psychological flexibility and psychological resilience, on PTG was determined as 13.4%. Practice Implications PTG, psychological flexibility, and psychological resilience may help nursing students prepare for their transition to the profession.

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“…-305 study reviewed the effectiveness of ACT on overweight/ obesity but merely listed the effectiveness on weightrelated outcomes such as emotional eating, valuefocussed behaviours, weight management, psychological flexibility, body satisfaction and quality of life (Yıldız, 2020). No meta-analyses were conducted possibly due to the sheer number of and high heterogeneity between the studies.…”

Section: Introductionmentioning

confidence: 99%

Weight‐loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta‐analysis and meta‐regression

Chew

Lau

2022

Euro Eating Disorders Rev

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Objectives To evaluate the effectiveness of weight‐loss interventions on emotional eating among adults with high body mass index (BMI). Methods A systematic review, meta‐analysis and meta‐regression were performed on randomized controlled trials published from inception until 19 March 2021. Results Thirty‐one studies were included, representing 1203 participants with mean ages ranging from 21.8 to 57.3 years old and BMI 27.2–43.5 kg/m2. We found small‐to‐medium interventional effects on emotional eating (n = 18; Hedges' g = 0.22; p = 0.01, I2 = 61.7%), uncontrolled eating (n = 16; Hedges' g = 0.46; p < 0.001, I2 = 71.6%) and cognitive restraint (n = 18; Hedges' g = 0.42; p < 0.001, I2 = 75.8%). Small‐to‐medium interventional effects were only found for emotional eating (n = 8; Hedges' g = 0.45; p = 0.02, I2 = 74.3%) 3‐month post‐intervention, and on BMI (n = 4; Hedges' g = 0.43; p < 0.05, I2 = 33.4%) and weight (n = 6; Hedges' g = 0.36; p < 0.01, I2 < 10.4%) 12‐month post‐intervention. Age, male proportion, baseline BMI, attrition rate and intervention length were not significant moderators of the heterogeneity between studies. Conclusion Interventions improved emotional eating and weight loss along a year‐long trajectory.

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The effects of acceptance and commitment therapy on lifestyle and behavioral changes: A systematic review of randomized controlled trials

Cited by 18 publications

References 65 publications

Combining Farmers’ Preferences With Evidence-Based Strategies to Prevent and Lower Farmers’ Distress: Co-design and Acceptability Testing of ifarmwell

Combining Farmers’ Preferences With Evidence-Based Strategies to Prevent and Lower Farmers’ Distress: Co-design and Acceptability Testing of ifarmwell

Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Weight‐loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta‐analysis and meta‐regression

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