Full Text Journal Articles by
Author Meghan L Butryn

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Real-time fluctuations in mindful awareness, willingness, and values clarity, and their associations with craving and dietary lapse among those seeking weight loss.

Margaret Sala, Corey R Roos, Rebecca J Crochiere, Meghan L Butryn, Adrienne S Juarascio, Stephanie M Manasse, Evan M Forman,

Background:Mindful awareness, willingness and values clarity have been examined as protective factors across a wide range of problems, including overweight/obesity. However, these variables have almost exclusively been examined at the trait-level. It is possible that these variables also fluctuate within individuals in daily life, and that these intraindividual fluctuations may ... Read more >>

J Contextual Behav Sci (Journal of contextual behavioral science)
[2021, 22:87-92]

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Evaluating the efficacy of mindfulness and acceptance-based treatment components for weight loss: Protocol for a multiphase optimization strategy trial.

Evan M Forman, Christina Chwyl, Michael P Berry, Lauren C Taylor, Meghan L Butryn, Donna L Coffman, Adrienne Juarascio, Stephanie M Manasse,

Behavioral weight loss treatment (BT) for individuals with overweight and obesity is effective but leaves room for improvement. Mindfulness and acceptance-based treatments may bolster weight loss outcomes; yet, little is known about the efficacy of the individual components or the combinations of components that are most effective in producing weight ... Read more >>

Contemp Clin Trials (Contemporary clinical trials)
[2021, 110:106573]

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Enhancing efficacy of a dissonance-based obesity and eating disorder prevention program: Experimental therapeutics.

Eric Stice, Paul Rohde, Jeff M Gau, Meghan L Butryn, Heather Shaw, Kasie Cloud, Laura D'Adamo,

<h4>Objective</h4>Test the hypothesis that the efficacy of a dissonance-based obesity/eating disorder prevention program, Project Health, could be enhanced by implementing it in single-sex groups and adding food response inhibition and attention training.<h4>Method</h4>Using a 2 × 2 factorial design, young adults (N = 261; Mage = 19.3, 79% female; 64% White) ... Read more >>

J Consult Clin Psychol (Journal of consulting and clinical psychology)
[2021, 89(10):793-804]

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BestFIT Sequential Multiple Assignment Randomized Trial Results: A SMART Approach to Developing Individualized Weight Loss Treatment Sequences.

Nancy E Sherwood, A Lauren Crain, Elisabeth M Seburg, Meghan L Butryn, Evan M Forman, Melissa M Crane, Rona L Levy, Alicia S Kunin-Batson, Robert W Jeffery,

<h4>Background</h4>State-of-the-art behavioral weight loss treatment (SBT) can lead to clinically meaningful weight loss, but only 30-60% achieve this goal. Developing adaptive interventions that change based on individual progress could increase the number of people who benefit.<h4>Purpose</h4>Conduct a Sequential Multiple Assignment Randomized Trial (SMART) to determine the optimal time to identify ... Read more >>

Ann Behav Med (Annals of behavioral medicine : a publication of the Society of Behavioral Medicine)
[2021, :]

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Social comparisons between group members during behavioural weight loss treatment: comparison direction, scale, and associations with weight loss maintenance.

Danielle Arigo, Savannah R Roberts, Meghan L Butryn,

<h4>Objective</h4>To examine distinct types of social comparisons (i.e. self-evaluations relative to others) in behavioural weight loss groups and their relations with weight loss maintenance.<h4>Design</h4>Participants (<i>N</i> = 127, <i>M<sub>BMI</sub></i> = 35.66 kg/m<sup>2</sup>) reported on their comparisons at mid-treatment (6 months), including identification of their primary individual comparison target (group member) and perceptions of their own ... Read more >>

Psychol Health (Psychology & health)
[2021, :1-16]

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Validation of the food craving Acceptance and action questionnaire (FAAQ) in a weight loss-seeking sample.

Helen Burton Murray, Fengqing Zhang, Stephanie M Manasse, Evan M Forman, Meghan L Butryn, Adrienne S Juarascio,

<h4>Objective</h4>The Food Craving Acceptance and Action Questionnaire (FAAQ) was developed to measure psychological flexibility around food-related internal experiences (e.g., thoughts, feelings, urges) and has two subscales, acceptance and willingness. However, the FAAQ factor structure has not yet been systematically validated with a clinically relevant sample.<h4>Methods</h4>Two weight-loss treatment seeking samples (total ... Read more >>

Appetite (Appetite)
[2022, 168:105680]

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Discrepancies Between Clinician and Participant Intervention Adherence Ratings Predict Percent Weight Change During a Six-Month Behavioral Weight Loss Intervention.

Michael P Berry, Elisabeth M Seburg, Meghan L Butryn, Robert W Jeffery, Melissa M Crane, Rona L Levy, Evan M Forman, Nancy E Sherwood,

<h4>Background</h4>Individuals receiving behavioral weight loss treatment frequently fail to adhere to prescribed dietary and self-monitoring instructions, resulting in weight loss clinicians often needing to assess and intervene in these important weight control behaviors. A significant obstacle to improving adherence is that clinicians and clients sometimes disagree on the degree to ... Read more >>

Transl Behav Med (Translational behavioral medicine)
[2021, 11(4):1006-1014]

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Examining weight suppression as a predictor and moderator of intervention outcomes in an eating disorder and obesity prevention trial: A replication and extension study.

Christine C Call, Laura D'Adamo, Meghan L Butryn, Eric Stice,

Weight suppression (WS) predicts future weight gain and increases in eating disorder symptoms in community and clinical samples but has received minimal attention in obesity and eating disorder prevention programs. In a sample of emerging adults (N = 364) in a randomized controlled trial evaluating two obesity and eating disorder prevention interventions ... Read more >>

Behav Res Ther (Behaviour research and therapy)
[2021, 141:103850]

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Gender differences in the effect of gamification on weight loss during a daily, neurocognitive training program.

Evan M Forman, Stephanie M Manasse, Diane H Dallal, Rebecca J Crochiere, Michael P Berry, Meghan L Butryn, Adrienne S Juarascio,

A major contributor to the obesity epidemic is the overconsumption of high-calorie foods, which is partly governed by inhibitory control, that is, the ability to override pre-prepotent impulses and drives. Computerized inhibitory control trainings (ICTs) have demonstrated qualified success at affecting real-world health behaviors, and at improving weight loss, particularly ... Read more >>

Transl Behav Med (Translational behavioral medicine)
[2021, 11(4):1015-1022]

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Feasibility/acceptability of an acceptance-based therapy intervention for diverse adolescent girls with overweight/obesity.

Michelle I Cardel, Alexandra M Lee, Xiaofei Chi, Faith Newsome, Darci R Miller, Angelina Bernier, Lindsay Thompson, Matthew J Gurka, David M Janicke, Meghan L Butryn,

<h4>Background</h4>Behavioral obesity interventions using an acceptance-based therapy (ABT) approach have demonstrated efficacy for adults, yet feasibility and acceptability of tailoring an ABT intervention for adolescents remains unknown.<h4>Objective</h4>This study assessed the feasibility and acceptability of an ABT healthy lifestyle intervention among diverse adolescent cisgender girls with overweight/obesity (OW/OB).<h4>Methods</h4>Adolescent cisgender girls aged ... Read more >>

Obes Sci Pract (Obesity science & practice)
[2021, 7(3):291-301]

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Weight-Related Information Avoidance Prospectively Predicts Poorer Self-Monitoring and Engagement in a Behavioral Weight Loss Intervention.

Leah M Schumacher, Mary K Martinelli, Alexandra D Convertino, Evan M Forman, Meghan L Butryn,

<h4>Background</h4>Self-monitoring is a key component of behavioral weight loss (BWL) interventions. Past research suggests that individuals may avoid self-monitoring in certain contexts (e.g., skipping self-weighing after higher-than-usual calorie intake). However, no studies have attempted to quantify individuals' inclination to avoid information about their weight control ("weight-related information avoidance"; WIA) or ... Read more >>

Ann Behav Med (Annals of behavioral medicine : a publication of the Society of Behavioral Medicine)
[2021, 55(2):103-111]

Cited: 3 times

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Project Step: A Randomized Controlled Trial Investigating the Effects of Frequent Feedback and Contingent Incentives on Physical Activity.

Stephanie G Kerrigan, Evan M Forman, Dave Williams, Mitesh Patel, Caitlin Loyka, Fengqing Zhang, Ross D Crosby, Meghan L Butryn,

<h4>Background</h4>Financial incentives and feedback on behavior offer promise for promoting physical activity. However, evidence for the effect of each of these techniques is inadequate. The present study evaluated the effects of daily versus weekly feedback and incentives contingent on reaching a daily walking goal versus noncontingent incentives in a 2 ... Read more >>

J Phys Act Health (Journal of physical activity & health)
[2021, 18(3):247-253]

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Promotion of physical activity during weight loss maintenance: A randomized controlled trial.

Meghan L Butryn, Kathryn M Godfrey, Christine C Call, Evan M Forman, Fengqing Zhang, Stella L Volpe,

<h4>Objective</h4>Behavioral weight loss (BWL) programs are not sufficiently effective at promoting high levels of moderate-to-vigorous physical activity (MVPA), despite the clear health benefits of exercise and the possibility that high levels of MVPA may improve long-term weight loss. This three-arm randomized controlled trial tested the hypotheses that 1) BWL interventions ... Read more >>

Health Psychol (Health psychology : official journal of the Division of Health Psychology, American Psychological Association)
[2021, 40(3):178-187]

Cited: 2 times

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Binge eating predicts adherence to digital self-monitoring during behavioral weight loss.

Mary K Martinelli, Laura D'Adamo, Meghan L Butryn,

<h4>Objective</h4>Consistent self-monitoring of dietary intake, weight, and physical activity predicts better outcomes during behavioral weight loss, but the factors that influence self-monitoring adherence are not well understood. This study attempted to fill gaps in the existing literature by examining whether pre-treatment eating behaviors predict adherence to digital self-monitoring during a ... Read more >>

Eat Behav (Eating behaviors)
[2020, 39:101448]

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Evaluation of intervention components to maximize outcomes of behavioral obesity treatment delivered online: A factorial experiment following the multiphase optimization strategy framework.

J Graham Thomas, Carly M Goldstein, Dale S Bond, Jason Lillis, Eric B Hekler, Jessica A Emerson, Hallie M Espel-Huynh, Stephanie P Goldstein, Shira I Dunsiger, E Whitney Evans, Meghan L Butryn, Jeff Huang, Rena R Wing,

<h4>Background</h4>Behavioral lifestyle intervention (BLI) is recommended as a first-line treatment for obesity. While BLI has been adapted for online delivery to improve potential for dissemination while reducing costs and barriers to access, weight losses are typically inferior to gold standard treatment delivered in-person. It is therefore important to refine and ... Read more >>

Contemp Clin Trials (Contemporary clinical trials)
[2021, 100:106217]

Cited: 4 times

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Counselor Surveillance of Digital Self-Monitoring Data: A Pilot Randomized Controlled Trial.

Meghan L Butryn, Mary K Martinelli, Nicole T Crane, Kathryn Godfrey, Savannah R Roberts, Fengqing Zhang, Evan M Forman,

<h4>Objective</h4>This pilot study tested counselor access to participants' digital self-monitoring (SM) data as a means of improving long-term lifestyle modification (LM) outcomes.<h4>Methods</h4>After 12 weeks of weight-loss treatment, participants (N = 77) were randomized to LM or LM+SHARE for weeks 13 to 52. All participants received monthly phone calls and weekly text messages ... Read more >>

Obesity (Silver Spring) (Obesity (Silver Spring, Md.))
[2020, 28(12):2339-2346]

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Physical discomfort intolerance as a predictor of weight loss and physical activity in a lifestyle modification program.

Mary K Martinelli, Kathryn M Godfrey, Monica Martinez, Evan M Forman, Meghan L Butryn,

This study examined physical discomfort intolerance (DI) as a baseline predictor of weight loss and physical activity outcomes, and assessed whether changes in DI during the initial phase of weight loss prospectively predicted long-term treatment outcomes among adults enrolled in a group-based lifestyle modification program for obesity. DI was measured ... Read more >>

J Behav Med (Journal of behavioral medicine)
[2020, 43(6):1041-1046]

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Differences between accelerometer cut point methods among midlife women with cardiovascular risk markers.

Danielle Arigo, Jacqueline A Mogle, Megan M Brown, Savannah R Roberts, Kristen Pasko, Meghan L Butryn, Danielle Symons Downs,

<h4>Objective</h4>Midlife women experience elevated risk for cardiovascular disease and often receive advice to increase physical activity to mitigate this risk. Use of accelerometers to measure ambulatory physical activity requires selection of appropriate thresholds for estimating moderate-to-vigorous physical activity (MVPA), and choice of cut points may lead to meaningfully different conclusions ... Read more >>

Menopause (Menopause (New York, N.Y.))
[2020, 27(5):559-567]

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Is physical activity a risk or protective factor for subsequent dietary lapses among behavioral weight loss participants?

Rebecca J Crochiere, Stephanie G Kerrigan, Elizabeth W Lampe, Stephanie M Manasse, Ross D Crosby, Meghan L Butryn, Evan M Forman,

<h4>Objective</h4>Dietary lapses drive weight loss failure, and specific factors influence risk of lapse. Physical activity (PA) may be one such risk factor, though whether PA increases or decreases appetite, and thus risk of lapse, is unclear. In fact, most studies examining the relation between PA and energy intake are limited ... Read more >>

Health Psychol (Health psychology : official journal of the Division of Health Psychology, American Psychological Association)
[2020, 39(3):240-244]

Cited: 3 times

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Refining an algorithm-powered just-in-time adaptive weight control intervention: A randomized controlled trial evaluating model performance and behavioral outcomes.

Stephanie P Goldstein, J Graham Thomas, Gary D Foster, Gabrielle Turner-McGrievy, Meghan L Butryn, James D Herbert, Gerald J Martin, Evan M Forman,

Suboptimal weight losses are partially attributable to lapses from a prescribed diet. We developed an app (OnTrack) that uses ecological momentary assessment to measure dietary lapses and relevant lapse triggers and provides personalized intervention using machine learning. Initially, tension between user burden and complete data was resolved by presenting a ... Read more >>

Health Informatics J (Health informatics journal)
[2020, 26(4):2315-2331]

Cited: 6 times

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Lifestyle modification approaches for the treatment of obesity in adults.

Thomas A Wadden, Jena S Tronieri, Meghan L Butryn,

The U.S. Preventive Services Task Force has recommended that primary care clinicians screen all adults for obesity and provide those affected intensive multicomponent behavioral interventions. Approximately 95 million U.S. adults qualify for such care, also referred to as lifestyle modification. Using the Guidelines (2013) for Managing Overweight and Obesity in ... Read more >>

Am Psychol (The American psychologist)
[2020, 75(2):235-251]

Cited: 30 times

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Stigmatizing weight experiences in health care: Associations with BMI and eating behaviours.

Jocelyn E Remmert, Alexandra D Convertino, Savannah R Roberts, Kathryn M Godfrey, Meghan L Butryn,

Introduction:Individuals with overweight or obesity often experience stigmatizing weight-related interactions in health care, though how these experiences are associated with body mass index (BMI) and eating behaviour is unknown. This study had three aims: (a) characterize types and frequency of stigmatizing health care experiences, (b) assess relationships among BMI, eating ... Read more >>

Obes Sci Pract (Obesity science & practice)
[2019, 5(6):555-563]

Cited: 5 times

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Perceived barriers to physical activity during and after a behavioural weight loss programme.

Christine C Call, Savannah R Roberts, Leah M Schumacher, Jocelyn E Remmert, Stephanie G Kerrigan, Meghan L Butryn,

<h4>Background</h4>Most adults with overweight/obesity participating in behavioural weight loss (BWL) programmes never achieve prescribed physical activity (PA) levels. This study examined changes in PA barriers, their relationships with accelerometer-measured PA during and after a 12-month BWL programme, and associations between PA barriers and participant characteristics.<h4>Methods</h4>Adults (N = 283) in a BWL programme ... Read more >>

Obes Sci Pract (Obesity science & practice)
[2020, 6(1):10-18]

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Evaluating the Feasibility, Acceptability, and Effects of Deposit Contracts With and Without Daily Feedback to Promote Physical Activity.

Stephanie G Kerrigan, Evan M Forman, Mitesh Patel, Dave Williams, Fengqing Zhang, Ross D Crosby, Meghan L Butryn,

BACKGROUND:Despite interest in financial incentive programs, evidence regarding the feasibility, acceptability, and effectiveness of deposit contracts (ie, use of participants' own money as a financial reward) for increasing physical activity (PA) is limited. Furthermore, evidence regarding the use of feedback within incentive programs is limited. PURPOSE:To evaluate: (1) the feasibility and acceptability ... Read more >>

J Phys Act Health (Journal of physical activity & health)
[2020, 17(1):29-36]

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Digital self-monitoring: Does adherence or association with outcomes differ by self-monitoring target?

Meghan L Butryn, Kathryn M Godfrey, Mary K Martinelli, Savannah R Roberts, Evan M Forman, Fengqing Zhang,

<h4>Objective</h4>Digital self-monitoring of eating, physical activity, and weight is increasingly prescribed in behavioural weight loss programmes. This study determined if adherence rates or associations with outcomes differed according to self-monitoring target (ie, self-monitoring of eating versus physical activity versus weight).<h4>Methods</h4>Participants in a 3-month, group-based weight loss programme were instructed to ... Read more >>

Obes Sci Pract (Obesity science & practice)
[2020, 6(2):126-133]

Cited: 5 times

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