Our Laboratory

The ACT in Context Research Lab is the lab affiliated with the ACT at Duke program. It is based in the Division of Behavioral Medicine in the School of Medicine and led by Dr. Rhonda Merwin. The laboratory uses contextual behavioral science to understand and alleviate human suffering. Although there are many ways in which humans suffer, our research focuses on suffering that arises from having an adversarial relationship with the body and signals arising from the body (this includes hunger/satiety, but also somatic constitutes of emotion and physical pain). We study populations for whom rejection of body signals has resulted in profound deprivation or impairment, including individuals with anorexia nervosa and individuals with type 1 diabetes who withhold life-saving insulin in an attempt to lose weight.

Our research uses contextually sensitive assessment and intervention, and includes gathering data in the moment using mobile technology, e.g., smart phones, sensors etc. Our applied research investigates the utility of acceptance, mindfulness and values in behavior change.

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Announcements 

Recruitment for the iACT study is currently closed. Results are published in the latest issue of the Journal of Eating Disorders.

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We frequently have student volunteers in our lab. Volunteers acquire experience in clinical research in an academic medical center, and are mentored by senior members of the lab. Please contact us if you are interested in joining the lab!

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Article Highlight

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Real-time predictors and consequences of binge eating among adults with type 1 diabetes

Journal of Eating Disorders volume 7, Article number: 7 (2019) 

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Ashley A. Moskovich, Natalia O. Dmitrieva, Michael A. Babyak, Patrick J. Smith, 

Lisa K. Honeycutt, Jan Mooney & Rhonda M. Merwin 

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Time of day when type 1 diabetes patients with eating disorder symptomatology commonly restrict insulin

Psychosomatic Medicine volume 80(2), 222-229 (2018)

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Rhonda M. Merwin, Ashley A. Moskovich, Lisa k. Honeycutt, James D. Lane, Mark Feinglos, Richard S. Surwit, Nancy L. Zucker, Natalia O. Dmitrieva, Healther Batchelder, Jan Mooney

Topics Under Investigation 

• Maladaptive eating and weight control 

• Experiential avoidance / Psychological flexibility

• Interoceptive awareness

• Self-regulation

• Acceptance, mindfulness and values-based interventions

• Use of mobile technology for contextually sensitive assessment and intervention

• Digital interventions

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• Digital Interventions for Eating Disorder Prevention

• ACT for Hematopoietic Stem Cell Transplant Patients

• Body Image Flexibility as a Process of Change

• App-assisted ACT for Eating Disorders in Type 1 Diabetes

• Momentary Predictors of Eating Disorder Symptoms

• Appetite Dysregulation in Type 1 Diabetes 

• ACT for Adolescent Anorexia Nervosa: A Separated Family Treatment

• ACT for Resident Burnout

• Rule-governed Behavior in Anorexia Nervosa

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Current and Recent Projects

Dissemination of Scientific Knowledge

Publications

Books

Presentations (coming soon)

Treatment protocols (coming soon)

Collaborations

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• Coping with COVID-19: An International Collaboration 

• ACTHealthy Lab, Dr. Maria Karekla, University of Cyprus 

• Duke Adult Bone Marrow Transplant Program

• NCDRC

Student Projects

Coming soon