A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight? (2021)


Punna, M., Lappalainen, R., Kettunen, T., Lappalainen, P., Muotka, J., Kaipainen, K., Villberg, J., & Kasila, K. (2021). Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight?. Journal of Contextual Behavioral Science, 21, 1-11. https://doi.org/10.1016/j.jcbs.2021.04.007


JYU-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Punna, Mari; Lappalainen, Raimo; Kettunen, Tarja; Lappalainen, Päivi; Muotka, Joona; Kaipainen, Kirsikka; Villberg, Jari; Kasila, Kirsti

Lehti tai sarja: Journal of Contextual Behavioral Science

ISSN: 2212-1447

eISSN: 2212-1455

Julkaisuvuosi: 2021

Volyymi: 21

Artikkelin sivunumerot: 1-11

Kustantaja: Elsevier

Julkaisumaa: Alankomaat

Julkaisun kieli: englanti

DOI: https://doi.org/10.1016/j.jcbs.2021.04.007

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/75871


Tiivistelmä

Objective
An increase in psychological flexibility has been found to be associated with health behavior changes. Peer-led interventions have been advantageous in improving physical activity among individuals at health risk. This study aimed to discover whether an ACT-based peer-tutored online intervention can increase self-reported physical activity participation and psychological flexibility among adults with overweight.

Design
The study was a non-randomized longitudinal intervention study. The intervention participants (N = 177) were primary health care clients with overweight. They participated in a 24-month program provided by health services, including three online modules of ACT of six week each, and tutoring by trained peers via five group meetings and four phone calls.

Main outcome measures and results
Physical activity participation was measured with Kasari’s FIT index concerning the frequency, intensity and time of the physical activity. Psychological flexibility was measured with AAQ-II, and thought suppression, as a dimension of psychological flexibility, with WBSI. Measures were taken at baseline, and at 6, 12, and 24 months. The statistical analysis was conducted with Mplus to identify latent groups with similar change patterns of physical activity, and to examine differences between the profiles. Two change profiles for physical activity participation were found: Low and High. At baseline in High profile group, physical activity and psychological flexibility were higher and thought suppression was lower than they were in Low profile group, as was expressing other psychological symptoms measured by DASS. During the intervention, physical activity increased significantly only within Low profile (within Cohen’s d = .48). Psychological flexibility (AAQ-II) increased within High profile (within Cohen’s d = .34), and thought suppression (WBSI) decreased in both profiles (within Cohen’s d = .33).

Conclusion
The ACT-based peer-tutored online intervention was promising especially for participants with low physical activity participation.


YSO-asiasanat: fyysinen aktiivisuus; terveyskäyttäytyminen; hyväksymis- ja omistautumisterapia; vertaistuki; interventio

Vapaat asiasanat: physical activity; health behavior; psychological flexibility; acceptance and commitment therapy; peer tutor; online intervention


Liittyvät organisaatiot


OKM-raportointi: Kyllä

Raportointivuosi: 2021

Alustava JUFO-taso: 1


Viimeisin päivitys 2021-24-11 klo 11:12