ORCID Profile
0000-0002-4797-8351
Current Organisation
The University of Auckland
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Publisher: Wiley
Date: 06-08-2023
DOI: 10.1111/BJHP.12686
Abstract: Weight loss is hard to achieve and even harder to maintain. Engaging in effortful behavioural change to manage body weight can sometimes result in feelings of guilt and shame. Self‐compassion, the tendency to find kindness for oneself in times of struggle, may facilitate coping with the unique challenges of weight management. This study assessed whether a remotely delivered self‐compassion intervention improved weight management outcomes when delivered as a supplement to an existing digital behavioural weight management programme, Weight Watchers (WW). Using a mixed‐method study design, 249 adults seeking to manage weight were randomized to either the WW programme or WW supplemented with the self‐compassion for weight management intervention (SC4WM). Participants completed measures of self‐compassion, eating behaviour, physical activity, body weight and emotional well‐being along with potential moderators, including weight self‐stigma, eating restraint, psychological coping and perceived stress at baseline, post‐intervention (4 weeks) and follow‐up (12 weeks). There was no evidence that the SC4WM intervention had a significantly different effect than WW alone. Other than body weight, all outcomes improved over time in both groups. Self‐compassion was slightly higher overall in the SC4WM group ( p = .05), with this group reporting higher self‐kindness at 4 weeks ( p = .014) and lower self‐judgement at 12 weeks ( p = .023) compared to the control group. Although the SC4WM intervention group did show a small increase in self‐kindness and reduction in self‐judgement, weight management outcomes were not improved over and above the existing WW programme. Recommendations for adapting the SC4WM intervention to improve efficacy to augment weight management outcomes are provided.
Publisher: Mary Ann Liebert Inc
Date: 20-10-2023
Publisher: Wiley
Date: 26-10-2022
DOI: 10.1111/COB.12562
Abstract: Conventional weight management approaches emphasize engaging in health behaviours, such as healthy eating and physical activity, to control body weight and promote favourable health outcomes (e.g., lower blood pressure). However, weight management is a multi‐faceted, complex process influenced by numerous factors that limit the impact of behaviour change on weight. Self‐compassion, treating oneself kindly in times of increased distress or difficulty, may offer a way for in iduals to cope with the challenges of managing weight. The objectives of this perspective paper are threefold: (1) to conceptualize weight management, (2) to describe the problem that arises when focusing solely on weight loss, and (3) to explore the theoretical rationale for integrating self‐compassion into weight management interventions. To support in idual health and well‐being, there is a need to reframe measures of success and provide innovative ways to cope with the challenges of managing body weight. Continued research is needed to investigate whether self‐compassion can support health outcomes for those with weight management goals. This manuscript provides a proposed research agenda and implications for future practice.
Publisher: Springer Science and Business Media LLC
Date: 22-06-2022
Publisher: Elsevier BV
Date: 06-2017
DOI: 10.1016/J.AMEPRE.2017.01.042
Abstract: Type 2 diabetes is a public health concern, but psychosocial factors that may protect against the disease are unknown. This study examines whether a positive psychosocial environment in childhood is associated with lower risk for Type 2 diabetes in adulthood or healthier glucose trajectories over the life course, and whether BMI mediates the associations. A cohort of 3,596 Finnish children was followed into adulthood over 32 years. An overall positive psychosocial score, consisting of six subdomains, was measured at study baseline (1980). Relative risk ratios and multilevel growth curve modeling were used to examine associations of the psychosocial score with Type 2 diabetes (2012) and glucose trajectories (1986-2012). The mediating effect by BMI was examined using mediation analysis. The analyses were conducted between June 2015 and January 2016. There was a 21% decrease in the rate of Type 2 diabetes (relative risk ratio, 0.79 95% CI=0.66, 0.94) for each 1-SD increase in the positive psychosocial score after adjustment for childhood cardiovascular risk factors and dietary behaviors. Adult BMI mediated 52% and weight gain mediated 25% of the association. The growth curve model showed healthier glucose trajectories (age X psychosocial score interaction, b= -0.01 p=0.010) for participants with higher versus lower positive psychosocial score in childhood. Positive psychosocial environment in childhood seems to have beneficial influences on the risk for Type 2 diabetes over the life span. RCTs will be required to see if interventions directed at early-life circumstances are warranted.
Publisher: CSIRO Publishing
Date: 2010
DOI: 10.1071/AH08634
Abstract: This paper reports on the development of a care-pathway to improve service linkages between the acute setting and community health services in the treatment of low back pain. The pathway was informed by two processes: (1) a literature review based on best-practice guidelines in the assessment, treatment and continuity of care for low back pain patients and (2) consultation with staff and key stakeholders. Stakeholders from both the acute and community sectors comprised the Working Group, who identified central areas of concern to be addressed in the care-pathway, with the goal of preventing chronicity of low back pain and reducing emergency department presentations. The main outcomes achieved include: the development of a new care-coordinator role, which would support a greater focus on integration between acute and community sectors for low back pain patients identifying the need to screen at-risk patients implementation of the SCTT (Service Coordination Tool Templates) tool as a system of referral across the acute and community settings and agreement on the need to develop an evidence-based self-management program to be offered to low back pain patients. The benefits and challenges of implementing this care pathway are discussed.
Publisher: BMJ
Date: 02-2022
DOI: 10.1136/BMJOPEN-2021-056174
Abstract: In idual 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. To 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 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. ACTRN12621000580875 Pre-results.
Publisher: Elsevier BV
Date: 11-2021
No related grants have been discovered for Anna Serlachius.