Browsing by Author "Rossi, Alessandro"
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- ItemACTonHEALTH study protocol: promoting psychological flexibility with activity tracker and mHealth tools to foster healthful lifestyle for obesity and other chronic health conditions.(0000-00-00) Cattivelli, Roberto; Castelnuovo, Gianluca; Musetti, Alessandro; Varallo, Giorgia; Spatola, Chiara A M; Riboni, Francesco Vailati; Usubini, Anna Guerrini; Tosolin, Fabio; Manzoni, Gian Mauro; Capodaglio, Paolo; Rossi, Alessandro; Pietrabissa, Giada; Molinari, EnricoBACKGROUND Obesity and the state of being overweight are increasing steadily and becoming a global epidemic Recent research reports 64 of the adult population as overweight in Europe and the USA The social and economic impacts are increasing and most of the rehabilitation programs while effective in the short term do not produce long lasting results An explanatory model from a behavioral perspective can describe the phenomena with the lack of sources of reinforcement related to healthful habits in a daily life context METHODS DESIGN A randomized clinical trial combining single subject studies and a four arm group design will be conducted to compare the effect of the current standard in obesity treatment to Acceptance and Commitment Therapy ACT and wearable technology at different times before starting intervention at the end and at follow up visits of 3 6 and 12 months measuring changes over time of physical activity and psychological well being DISCUSSION The goal of this project combining ACT and wearable technology is to develop an effective intervention efficient and sustainable which even after discharge can provide adequate contingencies of reinforcement in the natural environment integrating systematic measurements continuous feedback and individualized values based objectives The intervention is aimed to provide a contingent reinforcement for healthful behaviors instead of reinforcing only the achievement of a significant weight loss The aim of the project combining Acceptance and Commitment Therapy and Wearable Technology is to develop an effective efficient and sustainable intervention able to provide a contingent reinforcement for healthy behaviors The intervention is aimed to promote adequate healthy behaviors in the natural environment integrating systematic measurements continuous feedback and individualized values based objectives instead of reinforcing only the achievement of a significant weight loss TRIAL REGISTRATION ClinicalTrials gov NCT03351712 Registered on 24 November 2017
- ItemBrief strategic therapy and cognitive behavioral therapy for women with binge eating disorder and comorbid obesity: A randomized clinical trial one-year follow-up.(0000-00-00) Jackson, Jeffrey B; Pietrabissa, Giada; Rossi, Alessandro; Manzoni, Gian Mauro; Castelnuovo, GianlucaOBJECTIVE Binge eating disorder BED is frequently linked with obesity and related health risks like cardiovascular disease and diabetes The purpose of this randomized clinical trial RCT was to determine the effectiveness of brief strategic therapy BST compared with cognitive behavioral therapy CBT 1 year after a two phase inpatient and outpatient telemedicine treatment for BED METHOD Italian women with BED and comorbid obesity were recruited from a self referred inpatient treatment program for weight loss N 60 and randomly assigned to either the BST treatment condition n 30 or CBT treatment condition n 30 Inpatient psychotherapy sessions were conducted in person and outpatient telemedicine psychotherapy sessions were conducted over the telephone Multilevel growth curve modeling was used to estimate average growth trajectories from baseline to 1 year after treatment for the following outcomes binge eating frequency weight and global functioning RESULTS One year after treatment women in the BST condition decreased in binge eating frequency and women in the CBT condition did not whereas women in both conditions improved in weight and global functioning BST was statistically and clinically superior to CBT in improving binge eating frequency weight and global functioning CONCLUSIONS Examining BED given the current obesity epidemic is an important area of study Findings suggest that BST is statistically and clinically more effective than CBT in treating BED promoting weight loss and improving global functioning among women with BED and comorbid obesity 1 year after treatment Telemedicine may be instrumental in reducing attrition PsycINFO Database Record