Mindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: study protocol for a randomised controlled trial

Mindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: study protocol for a randomised controlled trial

Author Salvo, Vera Autor UNIFESP Google Scholar
Kristeller, Jean Google Scholar
Marin, Jesus Montero Google Scholar
Sanudo, Adriana Autor UNIFESP Google Scholar
Lourenco, Barbara Hatzlhoffer Autor UNIFESP Google Scholar
Schveitzer, Mariana Cabral Autor UNIFESP Google Scholar
D'Almeida, Vania Autor UNIFESP Google Scholar
Morillo, Hector Google Scholar
Gimeno, Suely Godoy Agostinho Autor UNIFESP Google Scholar
Garcia-Campayo, Javier Google Scholar
Demarzo, Marcelo Marcos Piva Autor UNIFESP Google Scholar
Abstract Background: Mindfulness has been applied in the United States and Europe to improve physical and psychological health

however, little is known about its feasibility and efficacy in a Brazilian population. Mindfulness may also be relevant in tackling obesity and eating disorders by decreasing binge eating episodes-partly responsible for weight regain for a large number of people- and increasing awareness of emotional and other triggers for overeating. The aim of the present study protocol is to evaluate and compare the feasibility and efficacy of two mindfulness-based interventions (MBIs) addressing overweight and obesity in primary care patients: a general programme called Mindfulness-Based Health Promotion and a targeted mindful eating protocol called Mindfulness-Based Eating Awareness Training. Methods/design: A randomised controlled trial will be conducted to compare treatment as usual separately in primary care with both programmes (health promotion and mindful eating) added to treatment as usual. Two hundred forty adult women with overweight and obesity will be enrolled. The primary outcome will be an assessment of improvement in eating behaviour. Secondary outcomes will be (1) biochemical control

(2) anthropometric parameters, body composition, dietary intake and basal metabolism

and (3) levels of mindfulness, stress, depression, self-compassion and anxiety. At the end of each intervention, a focus group will be held to assess the programme's impact on the participants' lives, diet and health. A feasibility study on access to benefits from and importance of MBIs at primary care facilities will be conducted among primary care health care professionals and participants. Monthly maintenance sessions lasting at least 1 hour will be offered, according to each protocol, during the 3-month follow-up periods. Discussion: This clinical trial will result in more effective mindfulness-based interventions as a complementary treatment in primary care for people with overweight and obesity. If the findings of this study confirm the effectiveness of mindfulness programmes in this population, it will be possible to improve quality of life and health while optimising public resources and reaching a greater number of people. In addition, on the basis of the evaluation of the feasibility of implementing this intervention in primary care facilities, we expect to be able to suggest the intervention for incorporation into public policy.
Keywords Mindfulness-Based Eating Awareness Training (MB-EAT)
Obesity
Randomised controlled trial
Primary health care
Nutritional status
Language English
Sponsor Brazilian Centre of Mindfulness and Health Promotion (Mente Aberta Centre)
Date 2018
Published in Trials. London, v. 19, p. -, 2018.
ISSN 1745-6215 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent -
Origin http://dx.doi.org/10.1186/s13063-018-2639-y
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000431916200002
URI http://repositorio.unifesp.br/handle/11600/46041

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