Effects of a Digital AI-Mediated Mindful Eating Intervention on Eating Behavior and Well-Being Outcomes in College Students

August 26, 2026 updated by: Tracy Chen Xi, Singapore Management University

Effects of a Digital AI-Mediated Mindful Eating Intervention on Eating Behavior and Well-Being Outcomes in College Students: A Randomized Controlled Trial

The goal of this randomized controlled study is to learn whether a 21-day mindful eating program can improve mental well-being and eating behavior outcomes in university students. The main questions it aims to answer are: Does participation in a 21-day mindful eating program improve students' well-being (e.g., anxiety, stress, affect, life satisfaction, perceived health)? Does the program improve students' eating behavior outcomes (e.g., mindful eating, emotional eating)? Researchers will compare students who complete the mindful eating program immediately to students in a waitlist control group to see whether participation in the program leads to greater improvements in well-being and eating behavior outcomes. Participants will sign up online and provide informed consent, be randomly assigned to either the intervention group or a waitlist control group, receive daily mindful eating tasks and reminders via Telegram for 21 days (intervention group), reflect daily about the task with a chatbot, as well as complete online questionnaire surveys at baseline, post-intervention, and a 2-week follow-up for those who opt in.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

250

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Student of Singapore Management University
  • Uses Telegram

Exclusion Criteria:

- Below 18 Years Old

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention group
The intervention is a 21-day, digitally delivered mindful eating program consisting of daily, brief, mindful eating tasks as well as brief post-task reflections with an AI bot, designed to support eating behavior and mental well-being in university students. The program includes low-intensity mindful eating practices that can be completed independently without specialized equipment or prior training, e.g. observing one's meal for one minute before taking the first bite. Participants assigned to the intervention group receive one structured mindful eating task per day for 21 consecutive days. Tasks are delivered via a Telegram channel, accompanied by brief reminders to prompt engagement. Each task is designed to be short in duration, flexible in timing, and feasible within daily meal routines, emphasizing consistency. Participants then reflect on the tasks with an AI bot. The intervention is self-guided and asynchronous, with no in-person contact, live sessions, or direct supervision.
No Intervention: Waitlist Control

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
State Anxiety
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
State anxiety will be measured using the 6-item State-Trait Anxiety Inventory STAI-6. Six items (e.g., "I felt upset these past 2 weeks.") rated from 1 (Not at all) to 4 (Very much so) will be averaged. Higher composite scores indicate higher levels of anxiety.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Stress
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Perceived stress will be measured by an adapted version of the 4-item Perceived Stress Scale (PSS). One sample item is "In the last 2 weeks, how often have you felt that you were unable to control the important things in your life? ", and items are scored from 0 (Never) to 4 (Very often). The composite score is calculated by averaging the scores of all items after reverse coding two of the items; higher scores indicate greater levels of perceived stress.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Positive and Negative Affect
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Positive Affect (PA) and Negative Affect (NA) will be evaluated using the affect scale developed by Conner and Silvia, according to principles of the Circumplex Model of Affect. Participants will rate feelings such as 'Enthusiastic' and 'Hostile' experienced over the past two weeks, from a scale of 1 to 5 (1 = Not at all, 5 = Extremely). Composite scores will be calculated by averaging the positive affect items and negative affect items accordingly.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Mindful eating
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Mindful eating will be measured by the 17-item Mindful Eating Behavior Scale (MEBS) which consists of 4 domains: Focused Eating (e.g. "I notice flavors and textures when I'm eating my food"), Hunger and Satiety Cues (e.g. "I trust my body to tell me when to eat"), Eating with Awareness (reverse scored, e.g. "I snack without being aware that I am eating"), and Eating Without Distraction (reverse scored, e.g. "My thoughts tend to wander while I am eating.") Each item is scored from 1 (Never) to 5 (Very often). Scores will be averaged across domains.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Eating Behavior
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Eating behavior is measured by the Dutch Eating Behavior Questionnaire (DEBQ). Items are scored by calculating the average score for three eating styles of restrained eating, emotional eating and external eating. It contains 33 items (11 each style), each rated on a 5-point Likert scale (1 = Never, 5 = Very Often). Scores are averaged across domains.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Life Satisfaction
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Life satisfaction will be measured using an adapted version of Diener's Satisfaction With Life Scale (SWLS). The scale consists of 5 items e.g. "The conditions of my life these past 2 weeks are excellent." and is scored from 1 (Strongly disagree) to 7 (Strongly agree). Scores will be averaged and higher scores indicate higher life satisfaction.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Perceived Health
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
Perceived physical and mental health will be assessed using a self-report single-item measure of general health status. Participants will respond to the question, "How would you rate your physical(mental) health over the past two weeks?" Responses will be rated on a 5-point scale from 1 (Poor) to 5 (Excellent). Higher scores indicate better perceived physical health.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
AI Attitude
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
AI Attitude is measured by the 12-item Attitudes towards artificial intelligence Scale (ATTARI). One example item is "I look forward to future AI developments", and items are scored from 1 (Strongly Disagree) to 5 (Strongly Agree). There are three facets: Cognitive, Affective and Behavioral. Scores are averaged across domains and higher scores indicate more favorable attitudes toward AI.
Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 21, 2026

Primary Completion (Estimated)

October 17, 2026

Study Completion (Estimated)

October 17, 2026

Study Registration Dates

First Submitted

August 19, 2026

First Submitted That Met QC Criteria

August 19, 2026

First Posted (Actual)

August 25, 2026

Study Record Updates

Last Update Posted (Actual)

August 28, 2026

Last Update Submitted That Met QC Criteria

August 26, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • IRB-26-176-A144(826)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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