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.
Ataxia Physiotherapy Presentation - COAP study dayAtaxia UK
This is a presentation given by Anita Watson, Lecturer in Physiotherapy, at the Care of Ataxia Patients (COAP) study day on 18 November 2011 in Manchester. It is an overview of physiotherapy treatment options for people with ataxia.
Community-wide Interventions to Increase Physical Activity: What's the Evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on community-wide interventions for increasing physical activity. Key messages and implications for practice were presented on Wednesday January 30, 2013 at 1:00 pm EST.
This webinar focused on interpreting the evidence in the following review:
Baker, P., Francis, D., Soares, J., Weightman, A., Foster, C. Community wide interventions for increasing physical activity. Cochrane Database of Systematic Reviews, 2011(4): Art. No.: CD008366.
Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Philip Baker, the first author of this review.
The study investigated correlations between physical activity levels and self-reported well-being in older adults using accelerometer and phone survey data. Fifty adults aged 50-90 wore accelerometers for a week and responded to four daily phone surveys rating mood, activity, social contact, and mental engagement on Likert scales. Higher activity generally correlated with more positive responses, though variability between individuals reduced statistical significance. Those with normal cognition showed stronger correlations between activity and mood than cognitively impaired individuals, suggesting activity monitoring could help identify cognitive health changes. Future work could explore effects of sleep and compare accelerometer and smart home activity data.
The MoveM8 study evaluated strategies to promote physical activity in the workplace using email and SMS messages. Study 1 was a randomized controlled trial that involved sending weekly personalized emails plus two standard SMS messages per week to employees in the experimental group. Study 2 examined reasons for employee participation or non-participation through interviews. Preliminary results found a significant increase in job-related and leisure-time physical activity for the experimental group. However, the study also encountered problems with low participation and survey response rates. Overall, the MoveM8 intervention showed encouraging results but had limitations that could be addressed in a future version through improved formative research, incentives for participation, and consideration of competition from other programs or barriers.
Evidence-Based, Implementable Motor Rehabilitation edit.pptxssuser4b7f591
This document presents evidence-based, implementable guidelines for motor rehabilitation in individuals with cerebral palsy. The guidelines were developed by a working group of experts and peer reviewers based on a systematic review of literature and expert opinion. The guidelines provide recommendations on priority interventions for individuals with CP based on age, topography, and ambulation capacity. Key first-line interventions recommended include gait training, physical activity, and bimanual training for children and adolescents with CP, and gait training and physical activity for adults with CP.
An activity monitor-based intervention was tested on 10 sedentary older adults over 6 weeks. Participants wore an activity monitor and received a tablet with weekly counseling. Fitness significantly improved as measured by the 6-minute walk test, increasing their distance walked by over 50 feet. However, there was no significant change in moderate physical activity. Participants significantly improved their exercise-related goal setting and planning. The intervention was found to be feasible and acceptable for this population. The monitoring nature of the devices may help with goal setting and planning to increase physical activity levels in older adults.
Ataxia Physiotherapy Presentation - COAP study dayAtaxia UK
This is a presentation given by Anita Watson, Lecturer in Physiotherapy, at the Care of Ataxia Patients (COAP) study day on 18 November 2011 in Manchester. It is an overview of physiotherapy treatment options for people with ataxia.
Community-wide Interventions to Increase Physical Activity: What's the Evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on community-wide interventions for increasing physical activity. Key messages and implications for practice were presented on Wednesday January 30, 2013 at 1:00 pm EST.
This webinar focused on interpreting the evidence in the following review:
Baker, P., Francis, D., Soares, J., Weightman, A., Foster, C. Community wide interventions for increasing physical activity. Cochrane Database of Systematic Reviews, 2011(4): Art. No.: CD008366.
Maureen Dobbins, Scientific Director of Health Evidence, lead the webinar, which included interactive discussion with Philip Baker, the first author of this review.
The study investigated correlations between physical activity levels and self-reported well-being in older adults using accelerometer and phone survey data. Fifty adults aged 50-90 wore accelerometers for a week and responded to four daily phone surveys rating mood, activity, social contact, and mental engagement on Likert scales. Higher activity generally correlated with more positive responses, though variability between individuals reduced statistical significance. Those with normal cognition showed stronger correlations between activity and mood than cognitively impaired individuals, suggesting activity monitoring could help identify cognitive health changes. Future work could explore effects of sleep and compare accelerometer and smart home activity data.
The MoveM8 study evaluated strategies to promote physical activity in the workplace using email and SMS messages. Study 1 was a randomized controlled trial that involved sending weekly personalized emails plus two standard SMS messages per week to employees in the experimental group. Study 2 examined reasons for employee participation or non-participation through interviews. Preliminary results found a significant increase in job-related and leisure-time physical activity for the experimental group. However, the study also encountered problems with low participation and survey response rates. Overall, the MoveM8 intervention showed encouraging results but had limitations that could be addressed in a future version through improved formative research, incentives for participation, and consideration of competition from other programs or barriers.
Evidence-Based, Implementable Motor Rehabilitation edit.pptxssuser4b7f591
This document presents evidence-based, implementable guidelines for motor rehabilitation in individuals with cerebral palsy. The guidelines were developed by a working group of experts and peer reviewers based on a systematic review of literature and expert opinion. The guidelines provide recommendations on priority interventions for individuals with CP based on age, topography, and ambulation capacity. Key first-line interventions recommended include gait training, physical activity, and bimanual training for children and adolescents with CP, and gait training and physical activity for adults with CP.
An activity monitor-based intervention was tested on 10 sedentary older adults over 6 weeks. Participants wore an activity monitor and received a tablet with weekly counseling. Fitness significantly improved as measured by the 6-minute walk test, increasing their distance walked by over 50 feet. However, there was no significant change in moderate physical activity. Participants significantly improved their exercise-related goal setting and planning. The intervention was found to be feasible and acceptable for this population. The monitoring nature of the devices may help with goal setting and planning to increase physical activity levels in older adults.
Exercise programs for people with dementia: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of exercise programs for people with dementia. Click here for access to the audio recording: https://youtu.be/jC8HhC2XFrE
Dorothy Forbes, Professor, Faculty of Nursing, University of Alberta, Edmonton led the session and presented findings from her latest Cochrane review:
Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2015(4), CD006489.
As the population ages, the number of people suffering with dementia will also rise. Not only will this affect quality of life of people with dementia but will also increase the burden of family caregivers, community care, and residential care services. Exercise interventions have been identified as a potential way of reducing or delaying the progression of dementia and its symptoms. This review examines two questions: do exercise programs for older people with dementia improve cognition, activities of daily living (ADLs), challenging behaviour, depression, and mortality in older people with dementia? and; do exercise programs for older people with dementia have an indirect impact on family caregivers' burden, quality of life, and mortality?
In 2009, the Chicago Board of Health and the Chicago Department of Public Health approved a joint resolution to improve childcare standards. This presentation by Dr. Adam Becker, Executive Director of Consortium to Lower Obesity in Chicago Children (CLOCC) provides the preliminary findings of an assessment of those standards.
David French presentation- Exercise and Health conferencemckenln
This document summarizes research on promoting physical activity. It finds that:
1) Simply communicating health risks is not effective at changing behavior, but combining risk information with strategies to improve self-efficacy and response efficacy can have larger effects.
2) Brief interventions that focus on goal setting, action planning, and overcoming barriers can successfully increase walking levels.
3) Techniques shown to improve both self-efficacy and physical activity include action planning, reinforcing progress, instruction, and graded tasks.
4) Older adults want physical activity experiences that are enjoyable, social, and allow improvements in function at their own pace without pressure. Satisfaction and self-efficacy predict long-term
A presentation from a workshop held at The University of St Mark & St john in November, 2014. The session was an information exchange session on the new NICE guidelines PH54 (exercise referral schemes to promote physical activity)
Presentation given to outline an ongoing research study which is evaluating “The Nike+ Fuelband as a motivational tool to encourage adherence to exercise prescription for the teenager with congenital heart disease”.
After Action Report: a structured support to the practice of continuous impro...Learning Everywhere
This paper is about Lean and Continuous Improvement principles and tools, focusing in the After Action Report as the way to practice the “check” and “adjust” at PDCA cycle.
It presents the After Action Report - a Lean and Continuous Improvement tool, as a tool for those who are interested in supporting continuous improvement, practicing “check” and “adjust”, individually and in organizations and teams. This tool can be applied everywhere, in every projects or daily situations, and every time (as it is “continuous”). The main goal is to clarify that, when we have a structure, it becomes easier to support the practice of continuous improvement.
This document discusses strategies for increasing physical activity levels through "push" approaches that make active choices the default option rather than relying on individual motivation. It provides evidence that brief activity breaks of 10 minutes can have benefits for health, costs, and productivity in workplace settings. Studies show implementing 10-minute physical activity breaks in various organizations and schools has resulted in increased activity levels and improvements in outcomes like blood pressure, weight, and absenteeism. The document argues for promoting physical activity through environmental and policy changes rather than solely relying on individual motivation.
This document summarizes a presentation about a study conducted by MAPS on the long-term efficacy of ibogaine-assisted treatment for opioid addiction. The study aimed to determine if ibogaine treatment could facilitate long-term recovery by measuring periods of abstinence, reductions in opioid use, and improvements in quality of life. Preliminary results found that about 1/3 of participants relapsed within months, but 20% made it over 6 months and 4 made it over a year, suggesting ibogaine can interrupt addiction but is not a cure on its own
Collecting real-time qualitative data to understand health behaviourmruk
Summary of our ethnographic research on experience of using a pedometer to increase physical activity given to the Social Research Association Conference
The document describes a study that explored using iPads and computer-based technology to promote health and wellness for adults with intellectual disabilities. Sixteen participants received weekly behavioral weight loss sessions and accessed internet weight loss resources via iPads over 16 weeks. Overall, participants lost a total of 73.8 pounds, averaging a 4.6 pound reduction per person. Men lost an average of 5.6 pounds each while women lost an average of 3.61 pounds each. The study aims to replicate these procedures with a control group and statistical analysis to measure significant differences in outcomes from the intervention.
MOVE Congress 2021 presentation by Viv Holt and Kevin Barton, Youth Sport Trust International in the masterclass 'Rebuilding mental health through physical activity' on 19 November.
https://www.movecongress.com/
Highlights eular hp 2012 berlin john verhoef defjennyaboki
The document provides a summary of presentations from the 2012 EULAR congress related to health professionals. Key topics included:
- Collaboration between primary and secondary care for patients with rheumatic diseases
- Challenges in communication between different levels of care
- Studies evaluating the effectiveness of rehabilitation programs for conditions like hand osteoarthritis, ankylosing spondylitis, and fibromyalgia
- Ensuring quality exercise programs organized by patient organizations
- Promoting physical activity for people with rheumatic musculoskeletal diseases
- Exercising safely and preventing adverse events for patients with rheumatic diseases
The document summarizes self-management support programs in the Päijät-Häme region of Finland. It describes a lifestyle counseling process that identifies those at high risk for diabetes through health screenings and refers them to group counseling sessions. The goal group counseling program has shown evidence of preventing type 2 diabetes and improving health indicators. A tele-coaching program also led to improved lifestyle behaviors and health outcomes for patients with long-term conditions. Both programs demonstrated the potential for self-management support to empower patients and enhance health, but challenges remain in making these approaches a routine part of healthcare.
This document summarizes a study that tested three smartphone apps with different motivational frames (analytic, social, emotional) to promote physical activity in inactive adults over age 45. The social and emotional apps led to greater increases in moderate to vigorous physical activity compared to the analytic app or control after two months. Participants found the apps easy to use and motivating. The study is continuing to evaluate sedentary behavior changes and redesigning the apps for further testing and exploring questions around sustainability and generalizability.
Tecnologías que mejoran el resultado en el proceso de rehabilitación de perso...Teletón Paraguay
The document discusses technology for children with cerebral palsy and other disabilities. It summarizes several technologies including:
1) Robotic gait technology like Lokomat that can enhance activities like walking through increased practice.
2) Ultrasound technology that can more accurately quantify impairments in body structures and functions like muscle stiffness.
3) Substitution technologies like powered wheelchairs and brain-computer interfaces that can enable participation through alternative means of mobility.
There are many examples of evidence-informed decision making (EIDM) among public health professionals and organizations in Canada. However, there are limited mechanisms in place to facilitate the sharing of these stories within the public health community. The National Collaborating Centre for Methods and Tools (NCCMT) seeks to address this gap with an interactive, peer-led webinar series featuring a collection of EIDM success stories in public health.
These success stories will illustrate what EIDM in public health practice, programs and policy looks like across the country.
Join us to engage with public health practitioners across Canada as they share their success stories of using or implementing EIDM in the real world. Learn about the strategies and tools used by presenters to improve the use of evidence. Each webinar will feature two presentations. This series will feature authors from the NCCMT’s EIDM Casebook as well as other presenters.
Effective Psychological and Psychosocial Interventions to Prevent Perinatal Depression and Anxiety Disorders: A Rapid Review and Applicability Assessment
Becky Blair, Louise Azzara, John Barbaro, and Amy Faulkner, Simcoe-Muskoka District Health Unit
A higher-than-provincial-average rate of mental health concerns during pregnancy in the SMDHU catchment area prompted a review of the evidence for interventions to prevent perinatal mood disorders. Learn more about how this team synthesized available evidence and shared it with decision makers.
Building a Best Practice Tool to Address the Needs of Clients with Hepatitis C
Mary Guyton and Heidi Parker, Sherbourne Health Centre Site
Following Hepatitis C care integration within primary care settings, there was a lack of resources tailored to primary care nurses caring for Hep C patients. Learn more about how a best practice resource tool was developed to fill a resource gap.
This document describes an online, brief, recovery-focused mindfulness intervention called ORBIT for late-stage bipolar disorder. A pilot study of 30 participants found the intervention was acceptable with no adverse effects. It significantly improved quality of life and showed non-significant improvements in other measures like anxiety. Participants responded positively in qualitative feedback and said they would recommend the program. Further research is planned to test mechanisms of action and effectiveness in a randomized controlled trial.
Digital biomarkers for preventive personalised healthcarePaolo Missier
A talk given to the Alan Turing Institute, UK, Oct 2021, reporting on the preliminary results and ongoing research in our lab, on self-monitoring using accelerometers for healthcare applications
RIWC_PARA_A127 Occupational Therapy at Home in DenmarkMarco Muscroft
1) The study aimed to compare the effectiveness of intensive client-centered occupational therapy (ICC-OT) to usual care in improving occupational performance and satisfaction in older home-dwelling adults.
2) 119 participants were randomly assigned to either the ICC-OT group, which received twice weekly occupational therapy sessions for 11 weeks, or the usual care group.
3) Preliminary results found that the ICC-OT group showed significantly greater improvements in occupational performance and satisfaction at both 3 and 6 month follow-ups compared to the usual care group.
Exercise programs for people with dementia: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of exercise programs for people with dementia. Click here for access to the audio recording: https://youtu.be/jC8HhC2XFrE
Dorothy Forbes, Professor, Faculty of Nursing, University of Alberta, Edmonton led the session and presented findings from her latest Cochrane review:
Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2015(4), CD006489.
As the population ages, the number of people suffering with dementia will also rise. Not only will this affect quality of life of people with dementia but will also increase the burden of family caregivers, community care, and residential care services. Exercise interventions have been identified as a potential way of reducing or delaying the progression of dementia and its symptoms. This review examines two questions: do exercise programs for older people with dementia improve cognition, activities of daily living (ADLs), challenging behaviour, depression, and mortality in older people with dementia? and; do exercise programs for older people with dementia have an indirect impact on family caregivers' burden, quality of life, and mortality?
In 2009, the Chicago Board of Health and the Chicago Department of Public Health approved a joint resolution to improve childcare standards. This presentation by Dr. Adam Becker, Executive Director of Consortium to Lower Obesity in Chicago Children (CLOCC) provides the preliminary findings of an assessment of those standards.
David French presentation- Exercise and Health conferencemckenln
This document summarizes research on promoting physical activity. It finds that:
1) Simply communicating health risks is not effective at changing behavior, but combining risk information with strategies to improve self-efficacy and response efficacy can have larger effects.
2) Brief interventions that focus on goal setting, action planning, and overcoming barriers can successfully increase walking levels.
3) Techniques shown to improve both self-efficacy and physical activity include action planning, reinforcing progress, instruction, and graded tasks.
4) Older adults want physical activity experiences that are enjoyable, social, and allow improvements in function at their own pace without pressure. Satisfaction and self-efficacy predict long-term
A presentation from a workshop held at The University of St Mark & St john in November, 2014. The session was an information exchange session on the new NICE guidelines PH54 (exercise referral schemes to promote physical activity)
Presentation given to outline an ongoing research study which is evaluating “The Nike+ Fuelband as a motivational tool to encourage adherence to exercise prescription for the teenager with congenital heart disease”.
After Action Report: a structured support to the practice of continuous impro...Learning Everywhere
This paper is about Lean and Continuous Improvement principles and tools, focusing in the After Action Report as the way to practice the “check” and “adjust” at PDCA cycle.
It presents the After Action Report - a Lean and Continuous Improvement tool, as a tool for those who are interested in supporting continuous improvement, practicing “check” and “adjust”, individually and in organizations and teams. This tool can be applied everywhere, in every projects or daily situations, and every time (as it is “continuous”). The main goal is to clarify that, when we have a structure, it becomes easier to support the practice of continuous improvement.
This document discusses strategies for increasing physical activity levels through "push" approaches that make active choices the default option rather than relying on individual motivation. It provides evidence that brief activity breaks of 10 minutes can have benefits for health, costs, and productivity in workplace settings. Studies show implementing 10-minute physical activity breaks in various organizations and schools has resulted in increased activity levels and improvements in outcomes like blood pressure, weight, and absenteeism. The document argues for promoting physical activity through environmental and policy changes rather than solely relying on individual motivation.
This document summarizes a presentation about a study conducted by MAPS on the long-term efficacy of ibogaine-assisted treatment for opioid addiction. The study aimed to determine if ibogaine treatment could facilitate long-term recovery by measuring periods of abstinence, reductions in opioid use, and improvements in quality of life. Preliminary results found that about 1/3 of participants relapsed within months, but 20% made it over 6 months and 4 made it over a year, suggesting ibogaine can interrupt addiction but is not a cure on its own
Collecting real-time qualitative data to understand health behaviourmruk
Summary of our ethnographic research on experience of using a pedometer to increase physical activity given to the Social Research Association Conference
The document describes a study that explored using iPads and computer-based technology to promote health and wellness for adults with intellectual disabilities. Sixteen participants received weekly behavioral weight loss sessions and accessed internet weight loss resources via iPads over 16 weeks. Overall, participants lost a total of 73.8 pounds, averaging a 4.6 pound reduction per person. Men lost an average of 5.6 pounds each while women lost an average of 3.61 pounds each. The study aims to replicate these procedures with a control group and statistical analysis to measure significant differences in outcomes from the intervention.
MOVE Congress 2021 presentation by Viv Holt and Kevin Barton, Youth Sport Trust International in the masterclass 'Rebuilding mental health through physical activity' on 19 November.
https://www.movecongress.com/
Highlights eular hp 2012 berlin john verhoef defjennyaboki
The document provides a summary of presentations from the 2012 EULAR congress related to health professionals. Key topics included:
- Collaboration between primary and secondary care for patients with rheumatic diseases
- Challenges in communication between different levels of care
- Studies evaluating the effectiveness of rehabilitation programs for conditions like hand osteoarthritis, ankylosing spondylitis, and fibromyalgia
- Ensuring quality exercise programs organized by patient organizations
- Promoting physical activity for people with rheumatic musculoskeletal diseases
- Exercising safely and preventing adverse events for patients with rheumatic diseases
The document summarizes self-management support programs in the Päijät-Häme region of Finland. It describes a lifestyle counseling process that identifies those at high risk for diabetes through health screenings and refers them to group counseling sessions. The goal group counseling program has shown evidence of preventing type 2 diabetes and improving health indicators. A tele-coaching program also led to improved lifestyle behaviors and health outcomes for patients with long-term conditions. Both programs demonstrated the potential for self-management support to empower patients and enhance health, but challenges remain in making these approaches a routine part of healthcare.
This document summarizes a study that tested three smartphone apps with different motivational frames (analytic, social, emotional) to promote physical activity in inactive adults over age 45. The social and emotional apps led to greater increases in moderate to vigorous physical activity compared to the analytic app or control after two months. Participants found the apps easy to use and motivating. The study is continuing to evaluate sedentary behavior changes and redesigning the apps for further testing and exploring questions around sustainability and generalizability.
Tecnologías que mejoran el resultado en el proceso de rehabilitación de perso...Teletón Paraguay
The document discusses technology for children with cerebral palsy and other disabilities. It summarizes several technologies including:
1) Robotic gait technology like Lokomat that can enhance activities like walking through increased practice.
2) Ultrasound technology that can more accurately quantify impairments in body structures and functions like muscle stiffness.
3) Substitution technologies like powered wheelchairs and brain-computer interfaces that can enable participation through alternative means of mobility.
There are many examples of evidence-informed decision making (EIDM) among public health professionals and organizations in Canada. However, there are limited mechanisms in place to facilitate the sharing of these stories within the public health community. The National Collaborating Centre for Methods and Tools (NCCMT) seeks to address this gap with an interactive, peer-led webinar series featuring a collection of EIDM success stories in public health.
These success stories will illustrate what EIDM in public health practice, programs and policy looks like across the country.
Join us to engage with public health practitioners across Canada as they share their success stories of using or implementing EIDM in the real world. Learn about the strategies and tools used by presenters to improve the use of evidence. Each webinar will feature two presentations. This series will feature authors from the NCCMT’s EIDM Casebook as well as other presenters.
Effective Psychological and Psychosocial Interventions to Prevent Perinatal Depression and Anxiety Disorders: A Rapid Review and Applicability Assessment
Becky Blair, Louise Azzara, John Barbaro, and Amy Faulkner, Simcoe-Muskoka District Health Unit
A higher-than-provincial-average rate of mental health concerns during pregnancy in the SMDHU catchment area prompted a review of the evidence for interventions to prevent perinatal mood disorders. Learn more about how this team synthesized available evidence and shared it with decision makers.
Building a Best Practice Tool to Address the Needs of Clients with Hepatitis C
Mary Guyton and Heidi Parker, Sherbourne Health Centre Site
Following Hepatitis C care integration within primary care settings, there was a lack of resources tailored to primary care nurses caring for Hep C patients. Learn more about how a best practice resource tool was developed to fill a resource gap.
This document describes an online, brief, recovery-focused mindfulness intervention called ORBIT for late-stage bipolar disorder. A pilot study of 30 participants found the intervention was acceptable with no adverse effects. It significantly improved quality of life and showed non-significant improvements in other measures like anxiety. Participants responded positively in qualitative feedback and said they would recommend the program. Further research is planned to test mechanisms of action and effectiveness in a randomized controlled trial.
Digital biomarkers for preventive personalised healthcarePaolo Missier
A talk given to the Alan Turing Institute, UK, Oct 2021, reporting on the preliminary results and ongoing research in our lab, on self-monitoring using accelerometers for healthcare applications
RIWC_PARA_A127 Occupational Therapy at Home in DenmarkMarco Muscroft
1) The study aimed to compare the effectiveness of intensive client-centered occupational therapy (ICC-OT) to usual care in improving occupational performance and satisfaction in older home-dwelling adults.
2) 119 participants were randomly assigned to either the ICC-OT group, which received twice weekly occupational therapy sessions for 11 weeks, or the usual care group.
3) Preliminary results found that the ICC-OT group showed significantly greater improvements in occupational performance and satisfaction at both 3 and 6 month follow-ups compared to the usual care group.
This document summarizes research on using Acceptance and Commitment Therapy (ACT) to treat obesity. It finds that traditional psychological treatments are ineffective for obesity beyond short-term weight loss due to weight regain. ACT aims to reduce experiential avoidance, increase psychological flexibility, and focus on valued actions rather than weight loss. Studies show that acceptance and defusion strategies can reduce food cravings and consumption compared to suppression. Several studies also found that ACT interventions for obesity can effectively target factors like experiential avoidance that maintain unhealthy behaviors.
This document outlines an agenda for a workshop on how therapists can act according to their values when struggling with difficult clients. [1] The workshop will explore contacting and observing therapists' own difficult thoughts and emotions, [2] validating each other's shared experiences, and [3] working through struggles using Acceptance and Commitment Therapy processes. [3] Participants will engage in roleplays and exercises to broaden their flexibility and expand their repertoire for behaving according to their values in therapy.
This document provides information on several presentations at the Nordic ACBS Forum 2012. It includes summaries of presentations on brief ACT interventions for increasing wellbeing, including group interventions and mobile/internet applications. It also lists the names and brief biographies of various lecturers at the forum presenting on topics related to ACT, including youth and student interventions, stress management, depression, and integrating ACT with psychodynamic therapy.
1. Nordic ACBS Forum 8.-10.11.2012
The Role of Acceptance and
Commitment Therapy (ACT)
in encouraging a physically active
lifestyle
Kangasniemi Anu1,2, Lappalainen Raimo2,
Kulmala Janne1, Hakonen Harto1, Kankaanpää,
Anna1 & Tammelin Tuija1
1 LIKES Research center, Jyväskylä, Finland
2 University of Jyväskylä
www.likes.fi
3. 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
4. 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
6. 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
7. 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)
Drop
out n=1) Included in Included in
analysis (N=26) analysis (n=32)
www.likes.fi
8. Timeline of the study
Post Follow up 3
Baseline measurements months,
12/2011 03/2012
09/2011
ACT
Intervention,
6 sessions
www.likes.fi
9. 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
10. 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
11. 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
13. 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
14. The ACT program
1. 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
15. 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
17. 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
18. 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
19. 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
20. Psychological well-being:
decrease in the symptoms, (GHQ-12)
16
P=.001, d=.601
14
12
10
Control
8
group
6 ACT group
4
2
0
Baseline After the intervention Follow up 3 months
www.likes.fi
21. 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
22. 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
23. 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!
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