Using Positive Psychology to Address Emotional Barriers to Physical Activity After Bariatric Surgery: Proof-of-Concept Trial of the Gaining Optimism After Weight Loss Surgery (GOALS) Project

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2023-03-23 DOI:10.1016/j.cbpra.2023.02.002
Emily H. Feig, Claire Szapary, Lauren E. Harnedy, Crystal Castillo, Anne N. Thorndike, Christina Psaros, Rachel A. Millstein, Jeff C. Huffman
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Abstract

Physical activity promotes health and longevity after metabolic/bariatric surgery (MBS), but most patients do not meet recommended levels. The Gaining Optimism After weight Loss Surgery (GOALS) Project was a positive psychological intervention designed to address common emotional barriers to physical activity in patients who have recently undergone MBS (e.g., low confidence around exercise, internalized weight bias, fear of injury) and use motivational interviewing and standard behavior change techniques (e.g., self-monitoring) to increase physical activity. This single-arm proof-of-concept trial was designed to refine the intervention, test feasibility and acceptability, and explore pre-post changes in behavioral and psychological outcomes. Participants were 12 adults 6–12 months post-MBS (M age of 46, 58% female, 67% non-Hispanic white). GOALS was a 10-week telephone counseling program that introduced new positive psychological skills and physical activity topics each week. Participants tracked physical activity with a Fitbit and set weekly goals. Results showed that the intervention was feasible (85% of sessions completed) and acceptable (average participant ratings of session ease and utility above 8.0 on a 0–10 scale). There were medium-to-large effect size improvements in physical activity and psychological well-being (e.g., depressive symptoms). The GOALS intervention will next be tested in a pilot randomized controlled trial with longer-term follow-up to assess its effect more robustly.

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使用积极心理学解决减肥手术后身体活动的情绪障碍:减肥手术后获得乐观(GOALS)项目的概念验证试验
体育锻炼能促进代谢/减肥手术(MBS)后的健康和长寿,但大多数患者并没有达到建议的水平。减肥手术后保持乐观(GOALS)项目是一项积极的心理干预措施,旨在解决近期接受代谢/减重手术的患者在体育锻炼方面的常见情绪障碍(如对锻炼信心不足、内化体重偏差、害怕受伤),并使用动机访谈和标准行为改变技术(如自我监控)来增加体育锻炼。这项单臂概念验证试验旨在完善干预措施,测试其可行性和可接受性,并探索行为和心理结果的前后变化。参加者为 12 名接受 MBS 后 6-12 个月的成年人(平均年龄 46 岁,58% 为女性,67% 为非西班牙裔白人)。GOALS 是一个为期 10 周的电话咨询项目,每周都会介绍新的积极心理技能和体育锻炼主题。参与者使用 Fitbit 跟踪体育锻炼情况,并设定每周目标。结果表明,该干预措施是可行的(85% 的疗程已完成),也是可以接受的(在 0-10 级评分中,参与者对疗程难易程度和效用的平均评分高于 8.0)。在体育锻炼和心理健康(如抑郁症状)方面取得了中等至较大的改善效果。下一步,GOALS 干预疗法将在一项试点随机对照试验中进行测试,并进行长期跟踪,以更有力地评估其效果。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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