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Digital Acceptance and Commitment Therapy for Lifestyle Change in Overweight Pregnant Women: A Feasibility Pilot Study

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By Anna Elena Nicoletti, Michele Tonelli, Barbara Purin
| preprints.org
Submitted: 24 February 2026 You are already at the latest version Overweight and obesity during pregnancy are associated with increased maternal and neonatal risks, yet scalable interventions addressing the psychological processes underlying health behaviours remain limited. This study describes the development and formative evaluation of DEMETRA, a chatbot delivering an Acceptance and Commitment Therapy (ACT)–informed intervention to promote healthier lifestyles in pregnant women.
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