journal article Open Access Feb 01, 2022

Investigating the effect of an online self-compassion for weight management (SC4WM) intervention on self-compassion, eating behaviour, physical activity and body weight in adults seeking to manage weight: protocol for a randomised controlled trial

BMJ Open Vol. 12 No. 2 pp. e056174 · BMJ
View at Publisher Save 10.1136/bmjopen-2021-056174
Abstract
IntroductionIndividual weight management, defined as engaging in behaviours to maintain or lose weight, can improve health and well-being. However, numerous factors influence weight management outcomes, such as genetics, biology, stress, the social and physical environment. Consequently, weight management can be hard. Self-compassion, described as treating oneself kindly in times of failure or distress, has shown promise in improving weight management outcomes. The objectives of this study are twofold: (1) to examine the efficacy of an online self-compassion for weight management (SC4WM) intervention coupled with an online commercial weight management programme (WW Weight Watchers reimagined) with increasing self-compassion and improving weight management outcomes (eating behaviour, physical activity and body weight) in comparison with the WW programme only and (2) to explore whether improvements in weight management outcomes are moderated by eating restraint, weight self-stigma, perceived stress and psychological coping.Methods and analysisTo achieve these objectives, 240 participants seeking to manage their weight were randomised to either an online behavioural commercial weight management programme (WW) or the online WW +SC4 WM intervention. Validated measures of self-compassion, stress, weight self-stigma, eating restraint, psychological coping and weight management outcomes were administered online at baseline, 4 weeks and at a 12-week follow-up.Ethics and disseminationEthics has been granted by the University of Auckland Health Research Ethics committee. Results will be communicated in peer-review journals, conferences and a doctoral thesis. If effective in increasing self-compassion and improving weight management outcomes, the intervention could be made more widely available to supplement behavioural weight management programmes.Trial registration numberACTRN12621000580875; Pre-results.
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References
91
[4]
Bhutani "COVID-19-Related home confinement in adults: weight gain risks and opportunities" Obesity (2020) 10.1002/oby.22904
[5]
Pellegrini "Relationship between stress and weight management behaviors during the COVID-19 pandemic among those enrolled in an Internet program" Obes Sci Pract (2021) 10.1002/osp4.465
[7]
Rahimi-Ardabili "A systematic review of the efficacy of interventions that aim to increase self-compassion on nutrition habits, eating behaviours, body weight and body image" Mindfulness (2018) 10.1007/s12671-017-0804-0
[8]
Obesity in adults: a clinical practice guideline

Sean Wharton, David C.W. Lau, Michael Vallis et al.

Canadian Medical Association Journal 10.1503/cmaj.191707
[14]
Hadžiabdić "Factors predictive of drop-out and weight loss success in weight management of obese patients" J Hum Nutr Diet (2015) 10.1111/jhn.12270
[15]
Successful weight loss maintenance: A systematic review of weight control registries

Catarina Paixão, Carlos M. Dias, Rui Jorge et al.

Obesity Reviews 2020 10.1111/obr.13003
[16]
Physiological adaptations to weight loss and factors favouring weight regain

F L Greenway

International Journal of Obesity 10.1038/ijo.2015.59
[17]
Wang "Causal beliefs about obesity and associated health behaviors: results from a population-based survey" Int J Behav Nutr Phys Act (2010) 10.1186/1479-5868-7-19
[19]
Rand ""It is not the diet; it is the mental part we need help with." A multilevel analysis of psychological, emotional, and social well-being in obesity" Int J Qual Stud Health Well-being (2017) 10.1080/17482631.2017.1306421
[20]
Hartmann-Boyce "Experiences of self-monitoring in Self-Directed weight loss and weight loss maintenance: systematic review of qualitative studies" Qual Health Res (2019) 10.1177/1049732318784815
[21]
Pearl "Weight bias internalization and health: a systematic review" Obes Rev (2018) 10.1111/obr.12701
[23]
Puhl "International comparisons of weight stigma: addressing a void in the field" Int J Obes (2021) 10.1038/s41366-021-00860-z
[24]
O'Brien "The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress" Appetite (2016) 10.1016/j.appet.2016.02.032
[27]
Yau "Stress and eating behaviors" Minerva Endocrinol (2013)
[30]
Phelan "Behavioral and psychological strategies of Long‐Term weight loss Maintainers in a widely available weight management program" Obesity (2020) 10.1002/oby.22685
[31]
Dietary restraint and self-regulation in eating behavior

F Johnson, M Pratt, J Wardle

International Journal of Obesity 2012 10.1038/ijo.2011.156
[33]
Rockliff "A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery" Clinical Neuropsychiatry (2008)
[34]
Arch "Self-compassion training modulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women" Psychoneuroendocrinology (2014) 10.1016/j.psyneuen.2013.12.018
[35]
Allen "Self-Compassion, stress, and coping" Soc Personal Psychol Compass (2010) 10.1111/j.1751-9004.2009.00246.x
[38]
Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs

Madeleine Ferrari, Caroline Hunt, Ashish Harrysunker et al.

Mindfulness 10.1007/s12671-019-01134-6
[40]
Fekete "Self-Compassion, internalized weight stigma, psychological well-being, and eating behaviors in women" Mindfulness (2021) 10.1007/s12671-021-01597-6
[41]
Kirschner "Soothing your heart and feeling connected: a new experimental paradigm to study the benefits of Self-Compassion" Clin Psychol Sci (2019) 10.1177/2167702618812438
[42]
Forbes "The role of internalised weight stigma and self‐compassion in the psychological well‐being of overweight and obese women" Aust Psychol (2019) 10.1111/ap.12407
[44]
Carrière "Mindfulness-based interventions for weight loss: a systematic review and meta-analysis" Obes Rev (2018) 10.1111/obr.12623
[45]
Dunn "Mindfulness approaches and weight loss, weight maintenance, and weight regain" Curr Obes Rep (2018) 10.1007/s13679-018-0299-6
[47]
Brenton-Peters "Self-compassion in weight management: a systematic review" J Psychosom Res (2021) 10.1016/j.jpsychores.2021.110617
[48]
Mindfulness: A proposed operational definition.

Scott R. Bishop, Mark Lau, Shauna Shapiro et al.

Clinical Psychology: Science and Practice 10.1093/clipsy.bph077
[49]
Mantzios "Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study" Mindfulness (2015) 10.1007/s12671-014-0325-z
[50]
Mantzios "Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss" Psychol Health (2014) 10.1080/08870446.2013.863883

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Published
Feb 01, 2022
Vol/Issue
12(2)
Pages
e056174
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Funding
WW International Award: NA
Cite This Article
Jennifer M Brenton-Peters, Nathan S Consedine, Alana Cavadino, et al. (2022). Investigating the effect of an online self-compassion for weight management (SC4WM) intervention on self-compassion, eating behaviour, physical activity and body weight in adults seeking to manage weight: protocol for a randomised controlled trial. BMJ Open, 12(2), e056174. https://doi.org/10.1136/bmjopen-2021-056174