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Lillis J, Niemeier HM, Ross KM, et al. Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial. BMC Psychol. 2015;3(1):17doi: 10.1186/s40359-015-0075-2.
Lillis, J., Niemeier, H. M., Ross, K. M., Thomas, J. G., Leahey, T., Unick, J., Kendra, K. E., & Wing, R. R. (2015). Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial. BMC psychology, 3(1), 17. https://doi.org/10.1186/s40359-015-0075-2
Lillis, Jason, et al. "Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial." BMC psychology vol. 3,1 (2015): 17. doi: https://doi.org/10.1186/s40359-015-0075-2
Lillis J, Niemeier HM, Ross KM, Thomas JG, Leahey T, Unick J, Kendra KE, Wing RR. Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial. BMC Psychol. 2015 May 28;3(1):17. doi: 10.1186/s40359-015-0075-2. eCollection 2015. PMID: 26019869; PMCID: PMC4446109.
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BMC Psychol. 2015 May 28;3(1):17. doi: 10.1186/s40359-015-0075-2. eCollection 2015.

Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial.

BMC psychology

Jason Lillis, Heather M Niemeier, Kathryn M Ross, J Graham Thomas, Tricia Leahey, Jessica Unick, Kathleen E Kendra, Rena R Wing

Affiliations

  1. The Miriam Hospital, Brown Medical School, Providence, USA ; Weight Control and Diabetes Research Center, The Miriam Hospital, Brown Medical School, 196 Richmond Street, Providence, RI 02903 USA.
  2. University of Wisconsin, Whitewater, USA.
  3. The Miriam Hospital, Brown Medical School, Providence, USA.
  4. University of Connecticut, Mansfield, USA.

PMID: 26019869 PMCID: PMC4446109 DOI: 10.1186/s40359-015-0075-2

Abstract

BACKGROUND: Obesity is public health problem associated with significant health risks and healthcare costs. Behavioral weight control programs produce clinically meaningful weight losses, however outcomes have high variability and maintenance continues to be a problem. The current study is an NIH-funded randomized clinical trial testing a novel approach, Acceptance-Based Behavioral Intervention (ABBI), that combines techniques from standard behavioral treatment (SBT) and Acceptance and Commitment Therapy (ACT). We test this approach among individuals reporting high internal disinhibition who typically respond poorly to standard interventions and appear to benefit from ACT components.

METHODS/DESIGN: The ABBI study targets recruitment of 160 overweight or obese adults (BMI of 25-50) who report that they overeat in response to negative emotional states. These individuals are randomly assigned to either (1) ABBI or (2) SBT. Both interventions involve weekly meetings for 22 sessions, bi-weekly for 6 sessions, and then monthly for 3 sessions and both receive the same calorie intake target (1200-1800, depending on starting weight), exercise goal (work up to 250 min per week), and self-monitoring skills training. SBT incorporates current best practice interventions for addressing problematic thoughts and emotions, sometimes called "change" or "control" strategies. ABBI uses acceptance-based techniques based on ACT. Full assessments occur at baseline, 6, 12, and 18 months. Weight loss from baseline to 18 months is the primary outcome.

DISCUSSION: The ABBI study is unique in its focus on integrating acceptance-based techniques into a SBT intervention and targeting a group of individuals with problems with emotional overeating who might experience particular benefit from this novel approach.

TRIAL REGISTRATION: ClinicalTrials.gov, NCT01461421 (registered October 25, 2011).

Keywords: Acceptance; Acceptance and commitment therapy; Disinhibition; Emotional eating; Mindfulness; Obesity; Weight loss

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