Physical Activity and Wellbeing
Conditions
Keywords
acceptance and commitment therapy, physical literacy, physical activity, well-being, socioeconomically disadvantaged women
Brief summary
This two-group, parallel, individually randomized controlled trial will evaluate a brief, live, online Acceptance and Commitment Therapy (ACT)-based physical literacy program among 60 socioeconomically disadvantaged adult women living with overweight. Participants will be randomized in a 1:1 ratio to either the intervention group or a waitlist control group. The intervention consists of six weekly approximately 60-minute online group sessions integrating the six ACT processes with adult physical literacy education, guided movement, and graded home-based exercise snacks, followed by an independent-practice week and an approximately 60-minute booster session. Assessments will be conducted at baseline, immediately before the booster following completion of the six core sessions, and at post-booster follow-up. The study will compare changes between the intervention and waitlist control groups over the study period.
Interventions
BEHAVIORALACT-Based Physical Literacy Program
Participants receive the live online ACT-based physical literacy program consisting of six weekly approximately 60-minute group sessions, an independent-practice week, and an approximately 60-minute booster session.
Sponsors
Navid Reha
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* Eligibility required: (a) age 18 to 64 years old; (b) residence in Gümüşpala, Avcılar, Istanbul; (c) BMI of 25.0-29.9 kg/m²; (d) annual equivalized net disposable household income below TRY 144,690, the 60%-of-median threshold in the 2025 Turkish Statistical Institute poverty statistics, based on the 2024 income reference period (Turkish Statistical Institute, 2025); (e) no completion of high school (ISCED Levels 0-2; UNESCO Institute for Statistics, 2012); (f) ability to read and understand Turkish; (g) access to a smartphone, WhatsApp, and the internet; (h) willingness to complete all assessments; and (i) written informed consent.
Exclusion criteria
* pregnancy or childbirth within the previous six months; a medical or musculoskeletal condition, or professional advice, precluding or substantially restricting physical activity; concurrent participation in another structured weight-management, physical-activity, or psychological intervention; a cognitive or psychiatric condition substantially limiting comprehension or informed consent; or inability to complete study assessments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change From Baseline in Physical Literacy Scale for Adults (PLAS) Total Score | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
Secondary
| Measure | Time frame |
|---|---|
| Change From Baseline in PERMA-Profiler Overall Well-Being Score | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
| Change From Baseline in Psy-Flex Scale Score | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
| Change From Baseline in Total Physical Activity Measured by the Global Physical Activity Questionnaire (GPAQ) | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
| Change From Baseline in Body Mass Index (BMI) | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
| Change From Baseline in Waist Circumference | Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up) |
Countries
Turkey (Türkiye)
Contacts
CONTACTAyla Rezvan Reha, PhD
Outcome results
None listed