Improving Attendance and Behavior Change in a Weight Loss Program for Veterans: Feasibility and Acceptability of the HERO Intervention. Issue 2 (May 2020)

• Record Type: Journal Article
• Authors: Evans-Hudnall, Gina; Thakur, Elyse; Amspoker, Amy; Dubbert, Patricia; Trahan, Lisa H.; Carges, Elizabeth; Lawson, Evan; Nelson, Caroline; Forsyth, Jordan; Stanley, Melinda A.
• Is Part Of: Cognitive and behavioral practice. Volume 27:Issue 2(2020)
• Page Start: 136
• Page End: 148
• Publication Date: 2020-05
• Subjects: weight loss -- anxiety -- depression -- posttraumatic stress disorder -- veterans; Behavior therapy -- Periodicals; Cognitive therapy -- Periodicals; Behavior Therapy -- Periodicals; Cognitive Therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.cbpra.2019.07.008
• Languages: English
• ISSNs: 1077-7229

Abstract

Abstract: Psychological distress, such as anxiety, depression, and posttraumatic stress disorder (PTSD), is commonly comorbid with obesity in veterans. The feasibility and acceptability of an integrated cognitive behavioral treatment approach has been tested in nonveteran settings but has yet to be tested among obese veterans with comorbid anxiety, depression, and PTSD. This paper describes such a framework, highlighting a flexible delivery method, transdiagnostic treatment approach, and attention to treatment barriers examined in a prior qualitative assessment. Brief vignettes are used to illustrate clinical decision-making procedures and treatment activities. The feasibility and acceptability as well as potential next steps for research and clinical benefits are also described. Highlights: Lack of treatment of psychological disorders creates barriers to weight management. HERO was an integrated CBT for psychological symptom and weight management. HERO participants improved dietary and sedentary behaviors and HRQOL. HERO participants had significant reductions in depression and anxiety symptoms. This trial highlights the benefit of an integrated CBT in this population.