Effects of 6-month episodic future thinking training on delay discounting, weight loss and HbA1c changes in individuals with prediabetes.

People with prediabetes are at risk for type 2 diabetes. They may discount the future delay discounting (DD), and not engage in preventive health behaviors. Episodic future thinking (EFT) can reduce DD when future scenarios are cued, but research is needed to assess long-term effects of EFT and when...

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Publicado en:Journal of Behavioral Medicine Vol. 45; no. 2; pp. 227 - 240
Autores principales: Epstein, Leonard H., Paluch, Rocco A., Biondolillo, Mathew J., Stein, Jeff S., Quattrin, Teresa, Mastrandrea, Lucy D., Gatchalian, Kirstin, Greenawald, Mark H., Bickel, Warren K.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Effects of 6-month episodic future thinking training on delay discounting, weight loss and HbA1c changes in individuals with prediabetes.
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          Epstein, Leonard H.
          Paluch, Rocco A.
          Biondolillo, Mathew J.
          Stein, Jeff S.
          Quattrin, Teresa
          Mastrandrea, Lucy D.
          Gatchalian, Kirstin
          Greenawald, Mark H.
          Bickel, Warren K.
        affil: Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, G-56 Farber Hall, 3435 Main Street, Building #26, 14214-3000, Buffalo, NY, USA
      sug:
        subj:
          Thinking
          Delay Discounting
          Weight Loss
          Glycated Hemoglobin
          Prediabetic State
          Imagination
          Human
          Weight Reduction Programs
          Body Weight
          Physical Activity
          Cues
          Descriptive Statistics
      ab: People with prediabetes are at risk for type 2 diabetes. They may discount the future delay discounting (DD), and not engage in preventive health behaviors. Episodic future thinking (EFT) can reduce DD when future scenarios are cued, but research is needed to assess long-term effects of EFT and when EFT is not cued. This study tested EFT training compared to control for people with prediabetes enrolled in a 6-month weight loss program on DD, weight, HbA1c, and physical activity. Results showed a reliable EFT effect on reducing DD in cued (p = 0.0035), and uncued DD tasks (p = 0.048), and significant overall changes in weight (p < 0.001), HbA1c (p, 0.001) and physical activity (p = 0.003), but no significant differences in these outcomes by group (p's > 0.05). Sixty-eight percent of the sample ended below the prediabetes HbA1c range. These results suggest that DD can be modified over extended periods, and the effects of EFT can be observed without EFT cues. However, these data do not suggest that changes in weight, HbA1c or physical activity were due to EFT training. The study was initiated before the COVID-19 pandemic which provided the opportunity to compare differences for people treated in-person or remotely. Analyses showed no differences in DD, weight, HBA1c or physical activity outcomes were observed between in-person and remote treatment, suggesting telehealth is a scalable approach to treating prediabetes.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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