Eating Disorders, Obesity, Weight Gain
Conditions
Keywords
Obesity, Weight Gain, Dissonance, College,University Students, Eating Disorders, Obesity Prevention, Selective Prevention, Effectiveness
Brief summary
Obesity is a major US public health problem. Few obesity prevention programs have reduced risk for weight gain over follow-up and those that have are very intensive, making dissemination difficult and costly. A brief 3-hr selective prevention program (Healthy Weight) targeting young adults with body dissatisfaction involving participant-driven healthy dietary and physical activity lifestyle changes significantly reduced increases in body mass index (BMI) and obesity onset relative to alternative interventions and assessment-only controls through 3-yr follow-up, though effects were small in magnitude. To enhance efficacy, the investigators added dissonance-inducing activities regarding unhealthy dietary and activity practices, drawing from a highly efficacious dissonance-based eating disorder prevention program. A pilot trial found that this new Project Health intervention significantly reduced increases in BMI relative to both the Healthy Weight intervention and an educational brochure condition from pre to post. The investigators propose to conduct a rigorous multisite effectiveness trial that will test whether adding the dissonance-induction elements to the originally Healthy Weight intervention improves weight gain prevention effects. 360 college students at risk for future weight by virtue of their age and weight concerns will be randomized one of three conditions: (1) a refined 6-hr group-based dissonance-based Project Health, (2) a 6-hr group-based Healthy Weight intervention, or (3) a psychoeducational video (Weight of the World) condition. Participants will complete assessments of % body fat, mediators (including objectively measured physical activity), moderators, and other outcomes at pre, post, and 6, 12, and 24 month follow-ups.
Detailed description
Aim 1 will test the hypothesis that Project Health significantly reduces increases in % body fat relative to the Healthy Weight intervention and video control condition during a 2-yr follow-up; secondary outcomes are BMI, depressive symptoms and eating disorder symptoms. The investigators will also compare Healthy Weight to video controls. Aim 2 will test the hypothesis that Project Health participants will experience increased cognitive dissonance (an uncomfortable psychological state) regarding eating unhealthy foods and engaging in sedentary behaviors, and that changes in dissonance mediate the program's weight gain prevention effects. The investigators will also test whether reduced calorie intake and increased physical activity mediate the effects of Project Health on change in % body fat. Aim 3 will test the hypothesis that intervention effects are amplified for participants with elevated body dissatisfaction (which should increase motivation change) and preference for consistency (which should maximize dissonance induction) and mitigated for participants who report emotional eating and substance use (because these factors increase risk for overeating).
Interventions
BEHAVIORALHealthy Weight
BEHAVIORALProject Health
BEHAVIORALPlacebo Control
Participants will view a video on overweight and obesity
Sponsors
Oregon Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
17 Years to 23 Years
Healthy volunteers
Yes
Inclusion criteria
* University student * Presents with self-reported weight concerns
Exclusion criteria
* Diagnosis of Eating Disorder * Obese * Underweight * Non-english speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Fat Percentage | Changes in body fat from baseline to 2-year follow up | We will use air displacement plethysmography (ADP) via the Bod Pod S/T to assess % body fat. Two measures will be averaged. Body density, calculated as body mass divided by estimated body volume, is used to calculate age- and gender-adjusted body fat percentile scores, based on normative reference data (McCarthy et al., 2006). A pilot validity study (N = 30) revealed that direct DEXA measures of % body fat correlates much more strongly with ADP estimates of body fat (r = .88) than with BMI (r = .23). Change in age- and gender-adjusted body fat percentile over the 2-year follow-up will be the primary outcome. This assessment takes 3-5 minutes to complete. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Eating Pathology | Baseline and post intervention (6 weeks); 6/12/24 month follow-up | The Eating Disorder Diagnostic Interview, a brief semi-structured interview, will assess eating disorder symptoms. It provides diagnoses for anorexia nervosa, bulimia nervosa, and binge eating disorder, which will allow us to exclude participants with these disorders. It also provides a continuous measure of overall eating disorder symptoms. |
| Negative Affect | Baseline and post intervention (6 weeks); 6/12/24 month follow-ups | The 20-item Negative Affect subscale of the Positive and Negative Affect Schedule (PANAS: Watson et al., 1988) measures general negative affectivity and depressive symptoms. Using a Likert rating system, participants choose their degree of endorsement of negative affectivity items such as disgusted with self and lonely (response options: 1 = not at all; 5 = extremely). |
| Food Craving/Liking | Baseline, 6 weeks (post intervention), 6/12/24 month follow ups | The 28-item Food Craving Inventory (FCI; White et al., 2002) assesses subjective cravings for individual foods (pasta, ice cream), asking: Over the past month, how often have you experienced a craving for the food? |
Other
| Measure | Time frame | Description |
|---|---|---|
| Weighing Habits | Baseline and post intervention (6 weeks); 6/12/24 mo follow-ups | Participants will be asked how often they weighed themselves in the past two weeks at each assessment. |
| Physical Activity | Baseline and post-intervention (6 weeks); 6/12/24 month follow-ups | Accelerometers will give objective measures of physical activity from each participant at each wave assessment. |
Countries
United States
Outcome results
None listed