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Nordic acbs 081112
 

Nordic acbs 081112

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Kangasniemi, Lappalainen, Kulmala Hakonen, Kankaanpää & Tammelin "The Role of Acceptance and Commitment Therapy (ACT) ...

Kangasniemi, Lappalainen, Kulmala Hakonen, Kankaanpää & Tammelin "The Role of Acceptance and Commitment Therapy (ACT)
in encouraging a physically active lifestyle"

Slides captured at the conference 2012.

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    Nordic acbs 081112 Nordic acbs 081112 Presentation Transcript

    • Nordic ACBS Forum 8.-10.11.2012The Role of Acceptance andCommitment Therapy (ACT)in encouraging a physically activelifestyleKangasniemi Anu1,2, Lappalainen Raimo2,Kulmala Janne1, Hakonen Harto1, Kankaanpää,Anna1 & Tammelin Tuija11 LIKES Research center, Jyväskylä, Finland2 University of Jyväskylä www.likes.fi
    • Introduction www.likes.fi
    • Introduction• Physical inactivity increases the risk of many lifestyle diseases -> type II diabetes, cardiovascular disease, breast and colon cancers and shortens life expectancy• Physical inactivity has been identified as the fourth leading risk factor for global mortality. www.likes.fi
    • Aim of the study• is to investigate the efficacy of the Acceptance and Commitment Therapy method in enhacing a physically active lifestyle among 30- 50 years old sedentary adults. www.likes.fi
    • Methods• Participants• Study setting• Measurements www.likes.fi
    • Global recommendation for physical activity for adults (WHO)• Adults should do at least 150 minutes of moderately intense physical activity throughout the week or at least 75 minutes of vigorous- activity throughout the week or an equivalent combination of moderate- and vigorous activity.• All activity should be performed in bouts of at least 10 minutes duration. www.likes.fi
    • Eligible participants (n=70) Randomization Control ACT group group (n=35): (n=35)Outlier (n=1) Drop out (n=6) Drop out (n=3)Invalid Participated in data the ACT group (n=1) (N=29) Dropout n=1) Included in Included in analysis (N=26) analysis (n=32) www.likes.fi
    • Timeline of the study Post Follow up 3Baseline measurements months, 12/2011 03/201209/2011 ACT Intervention, 6 sessions www.likes.fi
    • Procedure• Control and ACT group:- Written feedback about their PA level at the baseline, after the intervention and follow up (3 months) compared to the current physical activity recommendations- Opportunity to attend a body composition analyze www.likes.fi
    • Procedure• ACT group participated the intervention program:- Six group sessions, 90 minutes/session- Group size: 5-8 members- They also used pedometer for monitoring their PA during the 9 weeks intervention www.likes.fi
    • Measurements• Physical activity (PA):- was measured objectively by accelerometer (ActiGraph GT1M): MVPA, moderate to vigorous intensity PA HEPA, health enhancing PA Steps in a day www.likes.fi
    • Accelerometer(ActiGraph GT1M) www.likes.fi
    • Measurements• Psychological well-being: - GHQ-12, General health questionnaire - Symptom Check-List-90, SCL-90 - Beck Depression Inventory, BDI-II - Kentucky Inventory of Mindfulness Skills, KIMS - Acceptance and Action Questionnaire,AAQ-2 www.likes.fi
    • The ACT program1. Session: ”Health Behavior-analysis”2. Session: ”Values and important things in the life”3. Session: ”Value based actions and barriers”4. Session: ”Living in the present moment and self-regulation skills”5. Session: ”Self as a context and social support”6. Session: ”Where are you going?” –evaluations of the learning process, set goals and values” www.likes.fi
    • The ACT program• Every session included: - mindfulness exercise - pair/group discussions - homework between the sessions• Varied number of defusion exercises and metaphors www.likes.fi
    • Little changes make the difference in the everyday life! www.likes.fi
    • Statistical analysis• Analysis of independent samples t-test and Chi-square tests were used to compare the descriptive statistics and baseline measures of the control and ACT group.• Repeated measures multivariate analysis of covariance (MANCOVA).• The analyses of physical activity measures were conducted while controlling for baseline depressive symptoms (BDI-II score). Effect sizes were estimated using Cohen’s d. www.likes.fi
    • Results• Physical activity: Health enhancing time, (HEPA)• Psychological well-being: - GHQ-12, General health questionnaire - Symptom Check-List-90, SCL-90 - Beck Depression Inventory, BDI-II - Kentucky Inventory of Mindfulness Skills, KIMS - Acceptance and Action Questionnaire,AAQ-2 www.likes.fi
    • Changes in the health enhancing 16 time (HEPA)min/day 14 12 p=.045, d=.667 10 8 Control group 6 ACT group 4 2 0 Baseline After the Follow up 3 months intervention www.likes.fi
    • Psychological well-being:decrease in the symptoms, (GHQ-12)16 P=.001, d=.601141210 Control 8 group 6 ACT group 4 2 0 Baseline After the intervention Follow up 3 months www.likes.fi
    • Conclusions• The main results showed significant improvement in the health enhancing (HEPA) physical activity time in the ACT group compared to the control group.• Implications of the reductions in the psychological symptoms were also observed in measures of the psychological well-being. www.likes.fi
    • Conclusions• The ACT application offers a novel and innovative method to enhance physical activity among adults. -> People know quite well why and how, but don´t get started or motivated enough. -> The holistic approach is needed especially among sedentary people. www.likes.fi
    • Future directions• The small sample size (n=70), the data collection continues -> second wave started in the august 2012 -> follow–up measurements will give information about the maintenance of the changes. Thank you! www.likes.fi