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dc.contributor.authorKasila, Kirsti
dc.contributor.authorVainio, Suvi
dc.contributor.authorPunna, Mari
dc.contributor.authorLappalainen, Päivi
dc.contributor.authorLappalainen, Raimo
dc.contributor.authorKaipainen, Kirsikka
dc.contributor.authorKettunen, Tarja
dc.date.accessioned2020-05-25T08:09:56Z
dc.date.available2020-05-25T08:09:56Z
dc.date.issued2020
dc.identifier.citationKasila, K., Vainio, S., Punna, M., Lappalainen, P., Lappalainen, R., Kaipainen, K., & Kettunen, T. (2020). Individual differences in processes of lifestyle changes among people with obesity : an acceptance and commitment therapy (ACT) intervention in a primary health care setting. <i>Primary Health Care Research and Development</i>, <i>21</i>, Article e12. <a href="https://doi.org/10.1017/s146342362000016x" target="_blank">https://doi.org/10.1017/s146342362000016x</a>
dc.identifier.otherCONVID_35686985
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/69172
dc.description.abstractAim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the individual learning processes of lifestyle change is still needed. Methods: This study investigated a subset of data from a larger web-based lifestyle intervention. This subset consisted of online logbooks written by 17 obese participants (n = 17, body mass index mean 41.26 kg/m2) during the six-week online module. The logbooks were analyzed via data-driven content analysis. Findings: Four groups were identified based on the participants being at different phases in their lifestyle changes: stuck with barriers, slowly forward, reflective and hardworking, and convincingly forward with the help of concrete goals. Differences between the groups were manifested in personal barriers, goal setting, training of mindfulness and acceptance, and achieving healthy actions. The ACT-based lifestyle intervention offered participants an opportunity to reflect on how their thoughts and feelings may hinder healthy lifestyle changes and provided tools for learning psychological flexibility.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherCambridge University Press
dc.relation.ispartofseriesPrimary Health Care Research and Development
dc.rightsCC BY 4.0
dc.subject.otheracceptance and commitment therapy
dc.subject.otherlearning
dc.subject.otherlifestyle change
dc.subject.otherobesity
dc.subject.otherselfregulation
dc.subject.otherweb-based intervention
dc.titleIndividual differences in processes of lifestyle changes among people with obesity : an acceptance and commitment therapy (ACT) intervention in a primary health care setting
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202005253425
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineTerveyskasvatusfi
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiaineHealth Promotion and Health Educationen
dc.contributor.oppiainePsychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1463-4236
dc.relation.volume21
dc.type.versionpublishedVersion
dc.rights.copyright© The Authors 2020.
dc.rights.accesslevelopenAccessfi
dc.subject.ysooppiminen
dc.subject.ysolihavuus
dc.subject.ysoelintavat
dc.subject.ysohyväksymis- ja omistautumisterapia
dc.subject.ysointerventiohoito
dc.subject.ysoitsesääntely
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p2945
jyx.subject.urihttp://www.yso.fi/onto/yso/p823
jyx.subject.urihttp://www.yso.fi/onto/yso/p5530
jyx.subject.urihttp://www.yso.fi/onto/yso/p20112
jyx.subject.urihttp://www.yso.fi/onto/yso/p19526
jyx.subject.urihttp://www.yso.fi/onto/yso/p22188
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1017/s146342362000016x
jyx.fundinginformationThis project was supported by the Finnish Funding Agency for Technology and Innovation (Tekes). The project has been conducted and the manuscript written independently of the funder.
dc.type.okmA1


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