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NCT Number: NCT07817849

Online Acceptance and Commitment Therapy-Based Physical Literacy Program for Socioeconomically Disadvantaged Women Living With Overweight

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.

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Key information

Age range

18 year–64 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

ACT-Based Physical Literacy Program

Behavioral

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.

Primary outcomes

  1. Change From Baseline in Physical Literacy Scale for Adults (PLAS) Total Score

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

Secondary outcomes

  1. Change From Baseline in PERMA-Profiler Overall Well-Being Score

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

  2. Change From Baseline in Psy-Flex Scale Score

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

  3. Change From Baseline in Total Physical Activity Measured by the Global Physical Activity Questionnaire (GPAQ)

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

  4. Change From Baseline in Body Mass Index (BMI)

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

  5. Change From Baseline in Waist Circumference

    Time frame: Baseline, Week 7 (post-core/pre-booster), and Week 11 (4-week post-booster follow-up)

Study contacts

Contact information is provided by the study sponsor or research team.

Ayla Rezvan Reha, PhD

CONTACT

[email protected]

+905340571233

Sponsors and collaborators

Lead sponsor

Navid Reha

Other

Registry information

Official study title

Effects of a Brief Online Acceptance and Commitment Therapy-Based Physical Literacy Program in Socioeconomically Disadvantaged Women Living With Overweight: A Randomized Controlled Trial

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Sep 14, 2026
Registry last updated
Sep 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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