Please select the eligibility criteria that correspond to the clinical trial below.
Title: ACTonHEALTH Study Protocol: Promoting Psychological Flexibility With Activity Tracker and mHealth Tools to Foster Healthy Lifestyle for Obesity and Other Chronic Health Conditions
Brief Summary: Obesity and overweight are growing steadily and becoming a global epidemic. Recent researches report a 64% of the adult population as overweight. The social and economical impact is increasing and the most of the rehabilitation programs, while effective in the short term, do not produce long lasting results. From a behavioral perspective an explanatory model can describe the phenomena with the lack of sources of reinforcement related to healthy habits in the daily-life context. The goal of this project, combining Acceptance and Commitment Therapy and Wearable Technology, is to develop an effective intervention, efficient and sustainable, which continues after ending of the hospitalization, providing adequate contingencies of reinforcement in the natural environment, integrating systematic measurements, continuous feedbacks and individualized, values-based objectives. Related goal-setting show a shift from results linked with weight loss towards action connected with healthy life-style.


Options:
A: Inclusion Criteria:

1. Currently own and regularly use a smartphone
2. Age ≥18 years;
3. BMI \> 27 and \< 43; and
4. Successful completion of a 5-day electronic diary of food intake during a run-in period.

Exclusion Criteria:

1. Presence of an unstable condition requiring physician-supervised diet and exercise (e.g., recent myocardial infarction);
2. Physical limitations precluding ability to engage in moderate-intensity physical activity;
3. Pregnancy or intention to become pregnant during study;
4. Current treatment for a serious mental illness (e.g. schizophrenia);
5. Reported alcohol intake \> 4 drinks/day;
6. Participation in a formal weight loss program, loss of ≥ 5% weight in past 6 month, or current use of weight loss medication;
7. History of bariatric surgery in \<5 years,
8. Planned extended vacations, absences, or relocation during study;
9. A score \>16 on the Center for Epidemiologic Studies Depression Scale (CES-D);
10. Score \>32 on the Eating Habits Checklist, an eating disorder scale administered at baseline. For those who have an elevated BDI score (\>22) or EHC (\>32), we offer referral for counseling.
B: Inclusion Criteria:

1. Be an employee of the American University of Beirut (AUB) or its Medical Center (AUBMC).
2. To be able to read, write, and understand English.
3. To own a mobile phone with either Android (v4.4 or above) with or iOS (v8 or later).
4. To be interested in better controlling their weight.

Exclusion Criteria:

1. Students, who cannot prove their status as full-time or part-time employees at AUB or AUBMC.
2. Employees who are not able to read, write, and understand English.
3. Employees who do not own a mobile phone with either Android (v4.4 or above) or iOS (v8 or later).
4. Employees who have physical disabilities preventing them from exercising or walking.
5. Employees who are on a special diet for treatment of chronic conditions (e.g., Diabetes).
C: Inclusion Criteria:

* age between 18 and 70 years;
* obesity according to the WHO criteria (BMI ≥ 30); ù
* written and informed consent to participate, 4) tech-friendly to receive feedback through smartphone, mail and wearable devices

Exclusion Criteria:

* other severe psychiatric disturbance diagnosed by DSM-V criteria;
* severe visual difficulties,
* important limitations of movement, in particular subjects for which it is not recommended physical activity,
* concurrent medical condition not related to obesity. DSM-V (Thomas et al., 2014) will be used as screening tools for psychiatric disorders.
D: Inclusion Criteria:

* Having a IMC \>25,
* Being sedentary and
* Have not been submitted to a restrictive diet in the 6 months preceding this study.
* Having a body fat percentage of ≥ 30%

Exclusion Criteria:

* Suffered from type 2 diabetes or renal conditions
* Being pregnancy or attempt at pregnancy,
* Being in a maternal lactation period,
* Not possessing a Smartphone with an operating system (Android or iOS) and available data connection did not participate in the study.

Answer: C