Third-wave cognitive behaviour therapies for weight management: systematic review and network meta-analysis protocol.
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Lawlor, E., Islam, N., Griffin, S., Hill, A. J., Hughes, C. A., & Ahern, A. (2018). Third-wave cognitive behaviour therapies for weight management: systematic review and network meta-analysis protocol.. BMJ open, 8 (7), e023425. https://doi.org/10.1136/bmjopen-2018-023425
Introduction: Behavioural and cognitive behavioural programmes are commonly used to assist with weight management, but there is considerable scope to improve their effectiveness, particularly in the longer term. Third-wave cognitive behaviour therapies (CBT) have this potential and are increasingly used. This systematic review will assess the effect of third-wave CBTs for weight management on weight, psychological and physical health outcomes in adults with overweight or obesity. Methods and analysis: The systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidance. We will include studies of any third-wave CBTs focusing on weight loss or weight maintenance for adults with a body mass index (BMI) ≥25kg/m2. Eligible study designs will be randomised control trials, non-randomised trials, prospective cohort and case series. Outcomes of interest will be body weight/BMI, psychological and physical health, and adherence. We will search the following databases from inception to 16th January 2018: MEDLINE, CINHAL, EMBASE, Cochrane database (CENTRAL), PsycINFO, AMED, ASSIA and Web of Science. The search strategy will be based on the concepts: 1) third-wave CBTs 2) overweight, obesity or weight management. No restrictions will be applied. We will search reference lists of relevant reviews and included articles. Two independent reviewers will screen articles for eligibility using a two-stage process. Two independent reviewers will extract data, assess risk of bias using RoB 2.0, ROBINS-I or ROBINS-E checklist and assess quality using GRADE. A random-effects network meta-analysis of outcomes, and sub-group analyses and meta-regression will be conducted, where data permit. If not appropriate, a narrative synthesis will be undertaken. Ethics and dissemination: Ethical approval is not required as no primary data will be collected. The completed systematic review will be disseminated in a peer-reviewed journal, presented at conferences and used to inform the development of a weight management programme.
Humans, Obesity, Weight Loss, Overweight, Weight Reduction Programs, Body Weight Maintenance, Network Meta-Analysis, Cognitive Behavioral Therapy
Department of Health (via National Institute for Health Research (NIHR)) (RP-PG-0216-20010)
Department of Health (via National Institute for Health Research (NIHR)) (NF-SI-0515-10119)
External DOI: https://doi.org/10.1136/bmjopen-2018-023425
This record's URL: https://www.repository.cam.ac.uk/handle/1810/282932
Attribution 4.0 International
Licence URL: https://creativecommons.org/licenses/by/4.0/