Obesity
Conditions
Brief summary
The purpose of this study is to explore the efficacy of a phone-based weight loss program that has stress management techniques integrated throughout (Weight Talk-Mindfulness). The program is targeted at employees of certain companies who meet a cut-off score on a measure of stress-related eating. The control group will receive a standard phone-based program with no additional stress management information (Weight Talk-Standard). * Hypothesis 1: Participants in Weight Talk-Mindfulness (WT-M; n=50) will experience decreases in their stress-related & emotion-related eating compared to the Weight Talk-Standard (WT-S; n=25) group. * Hypothesis 2: The WT-M group will lose more weight compared to the WT-S control group. * Hypothesis 3: Participants in WT-M will experience decreased perceived stress, increased eating self-efficacy, increased acceptance of weight-related thoughts & feelings and increased mindfulness compared to those in the WT-S control arm. * Hypothesis 4: Participants in WT-M will be equally as satisfied with their weight loss program as those in WT-S.
Interventions
BEHAVIORALWeight Talk-Mindfulness
Sponsors
Consumer Wellness Solutions
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Be enrolled in the Weight Talk program, inclusion criteria: * Employment by one of the employers who contract for Weight Talk services * Being over 18 years of age * Speak and read English * Have a starting BMI between 25 and 35. * Score 5 or higher on the 8-item Internal Disinhibition subscale of the Eating Inventory. * Have regular access to email and internet. * Willingness and ability to complete study and intervention procedures, including completing assessments, engaging in moderate physical activity (e.g., walking, swimming) and using the electronic scale at least once per week.
Exclusion criteria
* Type 2 Diabetes (Type 1 is an exclusion for the Weight Talk program). * Past diagnosis of anorexia nervosa or bulimia nervosa. * Weight Talk program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Eating Inventory - Internal Disinhibition subscale | Screening and 6-month follow-up | 8 items, screens for emotion and stress-related eating habits |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body weight | Screening and 6-month follow-up | Weight in pounds |
Other
| Measure | Time frame | Description |
|---|---|---|
| Fat Screener | Screening, 6-month follow-up | 17-item scale that assesses fat intake |
| Sweets Eating | Screening, 6-month follow-up | 2-item scale that assesses high sugar food and drink intake |
| Perceived Stress Scale - 4 item | Screening, 6-month follow-up | a 4-item scale that evaluates the appraisal of stress in one's life |
| Binge Eating Scale | Screening, 6-month follow-up | 16-item scale that assesses the presence of binge eating behaviors. |
| Behavioral Obesity Phenotype Scale | Screening, 6-month follow-up | 8-item scale that assesses lack of control, lack of satiation, and preoccupation with food. We include 6 out of the 8 original items; 2 of the items already exist in the Binge Eating Scale (BES). One additional Preoccupation with Food item was added. |
| Mindful Eating Questionnaire | Screening, 6-month follow-up | 28-item scale that measures non-judgmental awareness of physical and emotional sensations associated with eating. |
| Generalized Anxiety Disorder scale | Screening, 6-month follow-up | 7-item diagnostic scale that assesses an individual's severity of anxiety and is used as a clinical screening tool for generalized anxiety disorder. |
| Personal Health Questionnaire | Screening, 6-month follow-up | 2-item scale that assesses the frequency of depressed mood over the past 2 weeks and is used as a preliminary screening tool for depression. |
| Adapted Physical Activity Measure | Screening, 6-month follow-up | 11-item scale that assesses overall activity level over the past week, adapted from measure used in the National Health and Nutrition Examination Survey (NHANES) |
| Five Facet Mindfulness Questionnaire: Short Form | Screening, 6-month follow-up | 24-item scale that measures non-judgmental awareness of thoughts, feelings, and physical sensations. |
| Satisfaction and Adherence | 6-month follow-up | 11-item measure consisting of Likert scale and open-ended questions about the participants' experience with the intervention and their adherence to mindfulness practice assignments. |
| Acceptance and Action Questionnaire for Weight Related Difficulties | Screening, 6-month follow-up | 22-item scale that measures acceptance and flexibility in relation to problematic thoughts and feelings regarding weight. |
| Rapid Fruit and Vegetable Screener | Screening, 6-month follow-up | 10-item scale that assesses fruit and vegetable intake. |
Countries
United States
Outcome results
None listed