000070922 001__ 70922
000070922 005__ 20191126134634.0
000070922 0247_ $$2doi$$a10.1186/s13063-018-2639-y
000070922 0248_ $$2sideral$$a106458
000070922 037__ $$aART-2018-106458
000070922 041__ $$aeng
000070922 100__ $$aSalvo, V.
000070922 245__ $$aMindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: Study protocol for a randomised controlled trial
000070922 260__ $$c2018
000070922 5060_ $$aAccess copy available to the general public$$fUnrestricted
000070922 5203_ $$aBackground
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.
000070922 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000070922 590__ $$a1.975$$b2018
000070922 591__ $$aMEDICINE, RESEARCH & EXPERIMENTAL$$b89 / 135 = 0.659$$c2018$$dQ3$$eT2
000070922 592__ $$a1.287$$b2018
000070922 593__ $$aPharmacology (medical)$$c2018$$dQ1
000070922 593__ $$aMedicine (miscellaneous)$$c2018$$dQ1
000070922 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000070922 700__ $$aKristeller, J.
000070922 700__ $$0(orcid)0000-0001-9096-2294$$aMarin, J.M.$$uUniversidad de Zaragoza
000070922 700__ $$aSanudo, A.
000070922 700__ $$aLourenço, B.H.
000070922 700__ $$aSchveitzer, M.C.
000070922 700__ $$aD''Almeida, V.
000070922 700__ $$aMorillo, H.
000070922 700__ $$aGimeno, S.G.A.
000070922 700__ $$0(orcid)0000-0002-3797-4218$$aGarcia-Campayo, J.$$uUniversidad de Zaragoza
000070922 700__ $$aDemarzo, M.
000070922 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000070922 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000070922 773__ $$g19, 1 (2018), 277 [14 pp]$$pTrials$$tTrials$$x1745-6215
000070922 8564_ $$s1169430$$uhttps://zaguan.unizar.es/record/70922/files/texto_completo.pdf$$yVersión publicada
000070922 8564_ $$s95503$$uhttps://zaguan.unizar.es/record/70922/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000070922 909CO $$ooai:zaguan.unizar.es:70922$$particulos$$pdriver
000070922 951__ $$a2019-11-26-13:42:59
000070922 980__ $$aARTICLE