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Effectiveness of Acceptance and Commitment Therapy (ACT) interventions for promoting physical activity: a systematic review and meta-analysis.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Pears, Sally 

Abstract

Physical inactivity is a key risk factor for non-communicable diseases, and there is a need for interventions to increase the adoption and maintenance of regular physical activity. Interventions based on Acceptance and Commitment (ACT) have shown promise for promoting a range of health behaviours, including physical activity. The aims of this review were to (1) determine the effectiveness of ACT interventions for physical activity; and (2) identify the ACT processes, behaviour change techniques (BCTs) and intervention characteristics associated with ACT interventions. Eight electronic databases were searched for ACT interventions that aimed to increase physical activity. Seven eligible studies were included in the systematic review, and ACT processes, Behaviour Change Techniques and other intervention components and characteristics of the included interventions were coded. Six studies were randomised controlled trials that were included in a random-effects meta-analysis, which indicated small-to-moderate effects on physical activity (SMD = 0.32, 95% CI (0.07, 0.57), p = 0.01). ACT interventions show promise for increasing physical activity, but very few of the 'active ingredients' of ACT interventions could be characterised as BCTs. Future development of ACT interventions for physical activity should attempt to describe and name the ACT processes targeted by the intervention, and the BCTs used to target those processes.

Description

Keywords

ACT, Acceptance and Commitment Therapy, BCTs, behaviour, change techniques BCTs, health promotion, physical activity, Acceptance and Commitment Therapy, Behavior Therapy, Exercise, Humans, Sedentary Behavior

Journal Title

Health Psychol Rev

Conference Name

Journal ISSN

1743-7199
1743-7202

Volume Title

15

Publisher

Informa UK Limited

Rights

All rights reserved