Screening for food addiction in people living with obesity Nutritional, Metabolic, Endocrine
Conditions
Interventions
Our population group will consist of two subcategories:
1. Dietitians: Only Registered Dietitians delivering tier 3 or 4 weight management clinics or diabetes clinics in the NHS will be included
2.
this process will be under the supervision of a statistician who will provide sealed envelopes. The lead researcher will be blinded to the allocation
Sponsors
Coventry University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Attending outpatient clinic of a participating dietitian 2. =18 years of age 3. BMI >30kg/m² 4. Is willing and able to provide informed consent to participate and adhere to the study procedures 5. Able to read and speak English
Exclusion criteria
Exclusion criteria: 1. <18 years of age 2. BMI <30kg/m² 3. In a current episode of anorexia nervosa, e.g. self-imposed anorexia nervosa with rapid weight loss, this would require immediate referral to an ED team. 4. Likely to have bariatric surgery in the next six months or have had bariatric surgery in the last 12 months as this will skew the outcome of BMI and weight. 5. Pregnant or planning to become pregnant in the next six months as this will skew the outcome of BMI and weight. 6. Unable to consent or adhere to study procedures 7. Not able to read or speak English 8. Any situation where it is or becomes inappropriate for the RD to signpost to OA, e.g. in end stages of disease; significantly distressed by circumstances that would mean the brief intervention is unethical or insensitive at this time
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcome measures: 1. Recruitment rates are measured by the number of participants recruited during the recruitment period which is a six-month period 1.1 Retention rates are measured by the percentage of participants enrolled into the study that complete both post intervention (2 weeks) and follow up questionnaires (3 and 6 months) 2. Adherence will be measured through qualitative assessments of receipt and enactment which explore whether a participant has understood the content of the consultation with the dietitian and how they have responded to the advice provided (eg. whether they attended the recommended support group) this will be measured at 2-week post intervention through telephone interview 3. Time required to recruit service users measured by the number of months it will take to recruit our sample size 4. Attrition will be measured by how many participants remain in the study until the end of follow up at 3 and 6 months 5. Fidelity of training and delivery (Dietitians): Dietitians will be audio-recorded delivering the intervention. Transcripts will be checked to see if dietitians delivered the ‘food addiction’ Screening Tool (FAST) interventions trained for 6. Dietitian Acceptability: After all patients have received the FAST intervention dietitians will be interviewed to explore how acceptable they found delivering the FAST intervention. Topic guide will be informed by the theoretical framework of acceptability (TFA). 7. Patient Acceptability: Two weeks after the patients receive the FAST intervention they will be interviewed to explore how acceptable they found receiving the FAST intervention. Topic guide will be informed by TFA 8. Fidelity of receipt and enactment (Patient): Two weeks after patients the FAST intervention they will also be asked questions around receipt (the extent to which participants initially engaged with and understood the intervention), and enactment (extent to which patients apply the intervention as intended in ‘ | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured by a self-reported questionnaire via online Qualtrics at baseline, three months, and six months after consent. 1. Addictive eating behaviour as measured by Yale Food Addiction Scale 2. Self-reported anthropometric measures weight (kg); height (cm); BMI (kg/m²) 3. Spiritual well-being is measured by the Spiritual Well-being scale | — |
Countries
England, United Kingdom
Contacts
Public ContactEllen Calteau
Outcome results
None listed