{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:11:52Z","timestamp":1787836312418,"version":"build-2784847793"},"reference-count":52,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T00:00:00Z","timestamp":1565913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK106415"],"award-info":[{"award-number":["R01DK106415"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp; Practice"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The current study tested the efficacy of an acceptance and commitment therapy (ACT) group intervention for disinhibited eating behaviour as an adjunct to the Veterans Affairs <jats:italic>MOVE!\u00a9<\/jats:italic> weight management programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Veterans (<jats:italic>N<\/jats:italic> = 88) with overweight or obesity who completed the <jats:italic>MOVE!<\/jats:italic> weight management programme and self\u2010identified as having problems with \u2018stress\u2010related eating\u2019 were randomized to four 2\u2010h weekly ACT sessions or a continued behavioural weight\u2010loss (BWL) intervention. Assessments were completed at baseline, post\u2010treatment and 3\u2010 and 6\u2010month follow\u2010up on outcomes of interest including measures of disinhibited eating patterns, obesity\u2010related quality of life, weight\u2010related experiential avoidance and weight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The BWL group exhibited significantly greater reductions in binge eating behaviour at post\u2010treatment compared with the ACT group. Significant improvements in other outcomes were found with minimal differences between groups. In both groups, decreases in weight\u2010related experiential avoidance were related to improvements in binge eating behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Taken together, the continued BWL intervention resulted in larger improvements in binge eating behaviour than the ACT intervention. The two groups showed similar improvements in other disinhibited eating outcomes. Future studies are encouraged to determine if more integrated or longer duration of ACT treatment may maximize eating outcomes in <jats:italic>MOVE<\/jats:italic>.<\/jats:p><jats:p>Trial Registration Number: This trial was registered with ClinicalTrials.gov database (NCT01757847).<\/jats:p><\/jats:sec>","DOI":"10.1002\/osp4.356","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T14:40:21Z","timestamp":1562596821000},"page":"397-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Acceptance and commitment therapy as an adjunct to the <i>MOVE!<\/i> programme: a randomized controlled trial"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6489-378X","authenticated-orcid":false,"given":"N.","family":"Afari","sequence":"first","affiliation":[{"name":"VA San Diego Healthcare System  San Diego CA USA"},{"name":"Department of Psychiatry University of California, San Diego  La Jolla CA USA"},{"name":"Center of Excellence for Stress and Mental Health (CESAMH)  San Diego CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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