Evidence map›Paper›PMID 29482636›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2018

The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial.

Elina Järvelä-Reijonen, Leila Karhunen, Essi Sairanen, Joona Muotka, Sanni Lindroos, Jaana Laitinen, Sampsa Puttonen, Katri Peuhkuri, Maarit Hallikainen, Jussi Pihlajamäki and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01738256 (Applicability and Efficiency of Different Approaches in Lifestyle Interventions - Lifestyle Management and Changes in Everyday Life), which is not on this map. Cited by 44 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01738256 nacompletednot on this map

Applicability and Efficiency of Different Approaches in Lifestyle Interventions - Lifestyle Management and Changes in Everyday Life

TypeinterventionalSponsorUniversity of JyvaskylaRan2012 to 2013Enrolled339ConditionsMetabolic Syndrome Risk Factors, Overweight, Psychological StressArmsWellbeing intervention (ACT), Wellbeing intervention (Internet), No intervention
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  8. Weight-neutral interventions in young people with high body mass index: A systematic review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2023
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  13. Third-wave cognitive behaviour therapies for weight management: A systematic review and network meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Elina Järvelä-ReijonenInstitute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland. elina.jarvela-reijonen@uef.fi.ORCID 0000-0002-9346-3340
Leila KarhunenInstitute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.
Essi SairanenDepartment of Psychology, University of Jyväskylä, P.O. Box 35, FI-40014 University of Jyväskylä, Jyväskylä, Finland.
Joona MuotkaDepartment of Psychology, University of Jyväskylä, P.O. Box 35, FI-40014 University of Jyväskylä, Jyväskylä, Finland.
Sanni LindroosMedical Faculty, Pharmacology, Medical Nutrition Physiology, University of Helsinki, P.O. Box 63, FI-00014 University of Helsinki, Helsinki, Finland.
Jaana LaitinenFinnish Institute of Occupational Health, P.O. Box 40, FI-00251, Helsinki, Finland.
Sampsa PuttonenFinnish Institute of Occupational Health, P.O. Box 40, FI-00251, Helsinki, Finland.
Katri PeuhkuriMedical Faculty, Pharmacology, Medical Nutrition Physiology, University of Helsinki, P.O. Box 63, FI-00014 University of Helsinki, Helsinki, Finland.
Maarit HallikainenInstitute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.
Jussi PihlajamäkiInstitute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.
Riitta KorpelaMedical Faculty, Pharmacology, Medical Nutrition Physiology, University of Helsinki, P.O. Box 63, FI-00014 University of Helsinki, Helsinki, Finland.
Miikka ErmesVTT Technical Research Centre of Finland, P.O. Box 1300, FI-33101, Tampere, Finland.
Raimo LappalainenDepartment of Psychology, University of Jyväskylä, P.O. Box 35, FI-40014 University of Jyväskylä, Jyväskylä, Finland.
Marjukka KolehmainenInstitute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.

Funding

Tekes 1104/10
6 · The paper itself

Abstract

backgroundInternal motivation and good psychological capabilities are important factors in successful eating-related behavior change. Thus, we investigated whether general acceptance and commitment therapy (ACT) affects reported eating behavior and diet quality and whether baseline perceived stress moderates the intervention effects.

methodsSecondary analysis of unblinded randomized controlled trial in three Finnish cities. Working-aged adults with psychological distress and overweight or obesity in three parallel groups: (1) ACT-based Face-to-face (n = 70; six group sessions led by a psychologist), (2) ACT-based Mobile (n = 78; one group session and mobile app), and (3) Control (n = 71; only the measurements). At baseline, the participants' (n = 219, 85% females) mean body mass index was 31.3 kg/m

resultsGroup x time interactions showed that the subcomponent of intuitive eating (IES-1), i.e., Eating for physical rather than emotional reasons, increased in both ACT-based groups (p = .019); the subcomponent of TFEQ-R18, i.e., Uncontrolled eating, decreased in the Face-to-face group (p = .020); the subcomponent of health and taste attitudes (HTAS), i.e., Using food as a reward, decreased in the Mobile group (p = .048); and both subcomponent of eating competence (ecSI 2.0), i.e., Food acceptance (p = .048), and two subcomponents of regulation of eating behavior (REBS), i.e., Integrated and Identified regulation (p = .003, p = .023, respectively), increased in the Face-to-face group. Baseline perceived stress did not moderate effects on these particular features of eating behavior from baseline to follow-up. No statistically significant effects were found for dietary measures.

conclusionsACT-based interventions, delivered in group sessions or by mobile app, showed beneficial effects on reported eating behavior. Beneficial effects on eating behavior were, however, not accompanied by parallel changes in diet, which suggests that ACT-based interventions should include nutritional counseling if changes in diet are targeted.

trial registrationClinicalTrials.gov ( NCT01738256 ), registered 17 August, 2012.

Indexed as

DietEmotionsFeeding BehaviorMotivationAcceptance and Commitment TherapyAdultBody Mass IndexEatingFemaleFinlandHealth EducationHumansInhibition, PsychologicalIntuitionMaleMiddle AgedACTBehavior changeDietary intakeIntuitive eatingmHealthMindful eatingMindfulnessObesityOverweightRegulation of eating behavior

Identifiers

PMID29482636
PMCPMC5828146

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.