Evaluation of the ACT on Health Program

NCT03932994 | Completed

• 1 other identifier: AOH2018
• Study Type: interventional
• Target: 79
• Locations: 1 country
• Sites: 1

Brief Summary

This project will develop and test an online health promotion program that augments diet and physical activity behavior change methods using acceptance and commitment therapy (ACT). ACT is an evidence-based cognitive behavioral therapy found to be effective in over 200 randomized controlled trials (RCTs) in improving a wide range of psychological and behavioral health problems. Recently, several clinical trials have found ACT enhances diet and exercise behavior as well as long term weight management. These studies have focused on testing ACT provided by experts in face-to-face interventions, which limits broad dissemination. Delivering an ACT health promotion program online could potentially provide a low-cost resource to improve health across Utah. The specific aims are to:

1. 1.Develop a canvas-based online course (ACT on Health) that teaches how to improve diet and physical activity as well as ACT-based skills to enhance behavior change efforts.
2. 2.Evaluate ACT on Health relative to a waitlist in a RCT with 60 overweight/obese adults on outcomes including self-reported physical activity, diet, and quality of life.
3. 3.Participants will report a high degree of satisfaction and will demonstrate adequate engagement in the ACT on Health program.
4. 4.Participants assigned to ACT on Health will improve more on self-reported diet, physical activity, and quality of life relative to the waitlist condition.

Conditions

Overweight and Obesity

Outcome Measures

Primary Outcomes (1)

• Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24)

  Asks participants to report on the specific foods they ate over the past day to measure specific nutritional intake

  24 hours

Secondary Outcomes (6)

• International Physical Activity Questionnaire (IPAQ)

  1 week

• Three Factor Eating Questionnaire (TFEQ)

  8 weeks

• Weight Control Strategies Scale (WCSS)

  8 weeks

• General Health Questionnaire (GHQ) General Health Questionnaire

  2 weeks

• Weight Self Stigma Questionnaire (WSSQ)

  During the past month

Study Arms (2)

ACT on Health Intervention

EXPERIMENTAL

Those assigned to ACT on Health will use the program over the next 8 weeks, completing weekly modules and coaching calls.

Behavioral: ACT on Health

Waitlist

NO INTERVENTION

Those assigned to the waitlist will simply wait 8 weeks. A second online assessment will be completed 8 weeks after baseline in both conditions (for a between condition comparison). After the second assessment, waitlist participants will gain access to ACT on Health.

Interventions

ACT on Health BEHAVIORAL

This intervention consists of an online canvas course based on Acceptance and Commitment Therapy, focused on increasing healthy diet and physical activity and addressing barriers to change. The intervention also consists of weekly phone coaching calls.

ACT on Health Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 or older.
• Being a fluent English speaker.
• A self-reported body mass index of 25 or higher.
• Interest participating in an online program to improve eating and physical activity.
• Regular access to the internet.
• Comfort with using the internet and navigating websites.
• Living in Utah or neighboring counties.
• Have not participated in other web/mobile or self-help book studies from the USU CBS lab.

You may not qualify if:

• We will recommend participants consult their physician if they have a condition that might be affected by changes to diet or exercise.

Sponsors & Collaborators

• Utah State University: lead

Study Sites (1)

Utah State University

Logan, Utah, 84322, United States

Location

MeSH Terms

Conditions

Overweight; Obesity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: April 15, 2019
• First Posted: May 1, 2019
• Study Start: May 28, 2019
• Primary Completion: December 20, 2019
• Study Completion: December 20, 2019
• Last Updated: March 24, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)