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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weight Talk-Mindfulness | Experimental | WT-M retain the evidence-based elements of WT-S (control condition), including the DASH diet, physical activity components, and an emphasis on self-monitoring. However, each call in WT-M will include an emphasis on mindfulness and stress management that will not be included in the control condition. |
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| Weight Talk-Standard | No Intervention | Weight Talk-Standard is a phone and web-based weight loss intervention offered by employers as a benefit to their employees. Weight Talk is based on the NIH Clinical Guidelines on Identification, Evaluation and Treatment of Overweight and Obesity in Adults and utilizes the curriculum developed for the Diabetes Prevention Program. Weight Talk-S contains no additional stress management techniques. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Weight Talk-Mindfulness | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Eating Inventory - Internal Disinhibition subscale | 8 items, screens for emotion and stress-related eating habits | Screening and 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Body weight | Weight in pounds | Screening and 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Mindful Eating Questionnaire | 28-item scale that measures non-judgmental awareness of physical and emotional sensations associated with eating. | Screening, 6-month follow-up |
| Rapid Fruit and Vegetable Screener |
Inclusion Criteria:
Be enrolled in the Weight Talk program, inclusion criteria:
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 exclusion criteria include:
Women who are pregnant are not eligible for the program, but contraception is not required as this is a low risk study
Currently using or planning to start using a pharmaceutical weight loss drug
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| Name | Affiliation | Role |
|---|---|---|
| Lee Alekel, PhD | National Center for Complementary and Integrative Health (NCCIH) | Study Chair |
| Kelly Carpenter, PhD | Consumer Wellness Solutions | Principal Investigator |
| Jennifer Lovejoy, PhD | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alere Wellbeing, Inc | Seattle | Washington | 98104 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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10-item scale that assesses fruit and vegetable intake.
| Screening, 6-month follow-up |
| Fat Screener | 17-item scale that assesses fat intake | Screening, 6-month follow-up |
| Sweets Eating | 2-item scale that assesses high sugar food and drink intake | Screening, 6-month follow-up |
| Perceived Stress Scale - 4 item | a 4-item scale that evaluates the appraisal of stress in one's life | Screening, 6-month follow-up |
| Binge Eating Scale | 16-item scale that assesses the presence of binge eating behaviors. | Screening, 6-month follow-up |
| Behavioral Obesity Phenotype Scale | 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. | Screening, 6-month follow-up |
| Acceptance and Action Questionnaire for Weight Related Difficulties | 22-item scale that measures acceptance and flexibility in relation to problematic thoughts and feelings regarding weight. | Screening, 6-month follow-up |
| Generalized Anxiety Disorder scale | 7-item diagnostic scale that assesses an individual's severity of anxiety and is used as a clinical screening tool for generalized anxiety disorder. | Screening, 6-month follow-up |
| Personal Health Questionnaire | 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. | Screening, 6-month follow-up |
| Adapted Physical Activity Measure | 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) | Screening, 6-month follow-up |
| Five Facet Mindfulness Questionnaire: Short Form | 24-item scale that measures non-judgmental awareness of thoughts, feelings, and physical sensations. | Screening, 6-month follow-up |
| Satisfaction and Adherence | 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. | 6-month follow-up |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |