An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study
ABSTRACT Background Most weight lost during weight‐loss programmes is eventually regained. Interventions based on Acceptance and Commitment Therapy (ACT) demonstrate good evidence for long‐term weight loss, but are often costly and difficult to scale up. Guided self‐help programmes delivered using t...
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Wiley
2025-04-01
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| Series: | Obesity Science & Practice |
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| Online Access: | https://doi.org/10.1002/osp4.70048 |
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| author | Rebecca A. Jones Julia Mueller Rebecca Richards Jennifer Woolston Marie Stubbings Fiona Whittle Andrew J. Hill Carly A. Hughes Robbie Duschinsky Stephen J. Sharp Michelle Chester Carlotta Schwertel Struan Tait Patricia Eustachio Colombo Laura Kudlek Clare E. Boothby Jennifer Bostock Penny Breeze Alan Brennan Francesco Fusco Emma R. Lawlor Stephen Morris Simon J. Griffin Amy L. Ahern |
| author_facet | Rebecca A. Jones Julia Mueller Rebecca Richards Jennifer Woolston Marie Stubbings Fiona Whittle Andrew J. Hill Carly A. Hughes Robbie Duschinsky Stephen J. Sharp Michelle Chester Carlotta Schwertel Struan Tait Patricia Eustachio Colombo Laura Kudlek Clare E. Boothby Jennifer Bostock Penny Breeze Alan Brennan Francesco Fusco Emma R. Lawlor Stephen Morris Simon J. Griffin Amy L. Ahern |
| author_sort | Rebecca A. Jones |
| collection | DOAJ |
| description | ABSTRACT Background Most weight lost during weight‐loss programmes is eventually regained. Interventions based on Acceptance and Commitment Therapy (ACT) demonstrate good evidence for long‐term weight loss, but are often costly and difficult to scale up. Guided self‐help programmes delivered using technology and non‐specialist coaches could increase scalability, but it is unclear whether delivering ACT‐based interventions in this way is feasible and acceptable. Methods In this feasibility study, 61 people who recently completed a behavioral weight management intervention (BWMI) for weight management were randomly allocated to SWiM (“Supporting Weight Management”: 4‐month digital guided self‐help ACT‐based intervention for weight loss maintenance) or a standard care group (leaflet about maintaining weight loss) using a 2:1 allocation ratio. At baseline and 6 months, participants completed measures of weight, mental health, eating behavior, and other psychosocial variables. Participants completed an intervention evaluation questionnaire. At 3 and 6 months, qualitative interviews were conducted with participants from both trial arms and SWiM coaches. The analysis integrated statistics and thematic analysis, informed by the Medical Research Council (MRC) framework for process evaluations. Since this was a feasibility study, analyses focused on process outcomes instead of interpreting statistical significance. Results Eighty‐eight percent (36/41) of participants allocated to SWiM completed at least the first session and 22 (54%) completed all sessions. At 6 months, mean weight change was −2.2 (+/−6.4 SD) kg in SWiM participants and +2.2 (+/−6.6) kg in standard care participants. Descriptively, eating behavior and mental health scores improved in SWiM participants but not in standard care participants. In interviews, SWiM participants noted that they reinforced their existing knowledge while acquiring new skills and strategies, which were felt to contribute to positive behavioral changes. Conclusion The SWiM intervention is practical and well‐received, and shows promise in supporting weight loss maintenance, though evaluation in a larger trial is needed to assess effectiveness. Trial Registration ISRCTN12685964 |
| format | Article |
| id | doaj-art-bc30cc3e35104b4d9283a1d789d85e10 |
| institution | OA Journals |
| issn | 2055-2238 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
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| series | Obesity Science & Practice |
| spelling | doaj-art-bc30cc3e35104b4d9283a1d789d85e102025-08-20T02:29:39ZengWileyObesity Science & Practice2055-22382025-04-01112n/an/a10.1002/osp4.70048An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility StudyRebecca A. Jones0Julia Mueller1Rebecca Richards2Jennifer Woolston3Marie Stubbings4Fiona Whittle5Andrew J. Hill6Carly A. Hughes7Robbie Duschinsky8Stephen J. Sharp9Michelle Chester10Carlotta Schwertel11Struan Tait12Patricia Eustachio Colombo13Laura Kudlek14Clare E. Boothby15Jennifer Bostock16Penny Breeze17Alan Brennan18Francesco Fusco19Emma R. Lawlor20Stephen Morris21Simon J. Griffin22Amy L. Ahern23MRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKDivision of Psychological and Social Medicine School of Medicine University of Leeds Leeds UKMRC Epidemiology Unit University of Cambridge Cambridge UKPrimary Care Unit Department of Public Health and Primary Care University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKPublic Involvement Lead, Quality Safety Outcomes Policy Research Unit University of Kent Oxford and Leeds Kent UKSheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health University of Sheffield Sheffield UKSheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health University of Sheffield Sheffield UKPrimary Care Unit Department of Public Health and Primary Care University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKPrimary Care Unit Department of Public Health and Primary Care University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKMRC Epidemiology Unit University of Cambridge Cambridge UKABSTRACT Background Most weight lost during weight‐loss programmes is eventually regained. Interventions based on Acceptance and Commitment Therapy (ACT) demonstrate good evidence for long‐term weight loss, but are often costly and difficult to scale up. Guided self‐help programmes delivered using technology and non‐specialist coaches could increase scalability, but it is unclear whether delivering ACT‐based interventions in this way is feasible and acceptable. Methods In this feasibility study, 61 people who recently completed a behavioral weight management intervention (BWMI) for weight management were randomly allocated to SWiM (“Supporting Weight Management”: 4‐month digital guided self‐help ACT‐based intervention for weight loss maintenance) or a standard care group (leaflet about maintaining weight loss) using a 2:1 allocation ratio. At baseline and 6 months, participants completed measures of weight, mental health, eating behavior, and other psychosocial variables. Participants completed an intervention evaluation questionnaire. At 3 and 6 months, qualitative interviews were conducted with participants from both trial arms and SWiM coaches. The analysis integrated statistics and thematic analysis, informed by the Medical Research Council (MRC) framework for process evaluations. Since this was a feasibility study, analyses focused on process outcomes instead of interpreting statistical significance. Results Eighty‐eight percent (36/41) of participants allocated to SWiM completed at least the first session and 22 (54%) completed all sessions. At 6 months, mean weight change was −2.2 (+/−6.4 SD) kg in SWiM participants and +2.2 (+/−6.6) kg in standard care participants. Descriptively, eating behavior and mental health scores improved in SWiM participants but not in standard care participants. In interviews, SWiM participants noted that they reinforced their existing knowledge while acquiring new skills and strategies, which were felt to contribute to positive behavioral changes. Conclusion The SWiM intervention is practical and well‐received, and shows promise in supporting weight loss maintenance, though evaluation in a larger trial is needed to assess effectiveness. Trial Registration ISRCTN12685964https://doi.org/10.1002/osp4.70048acceptance and commitment therapydigitalinterventionsobesityoverweightweight loss maintenance |
| spellingShingle | Rebecca A. Jones Julia Mueller Rebecca Richards Jennifer Woolston Marie Stubbings Fiona Whittle Andrew J. Hill Carly A. Hughes Robbie Duschinsky Stephen J. Sharp Michelle Chester Carlotta Schwertel Struan Tait Patricia Eustachio Colombo Laura Kudlek Clare E. Boothby Jennifer Bostock Penny Breeze Alan Brennan Francesco Fusco Emma R. Lawlor Stephen Morris Simon J. Griffin Amy L. Ahern An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study Obesity Science & Practice acceptance and commitment therapy digital interventions obesity overweight weight loss maintenance |
| title | An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study |
| title_full | An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study |
| title_fullStr | An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study |
| title_full_unstemmed | An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study |
| title_short | An Acceptance‐Based Guided Self‐Help Program for Weight Loss Maintenance in Adults Who Have Previously Completed a Behavioral Weight Loss Program: The SWiM Feasibility Study |
| title_sort | acceptance based guided self help program for weight loss maintenance in adults who have previously completed a behavioral weight loss program the swim feasibility study |
| topic | acceptance and commitment therapy digital interventions obesity overweight weight loss maintenance |
| url | https://doi.org/10.1002/osp4.70048 |
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