Effects of a Digital AI-Mediated Mindful Eating Intervention on Eating Behavior and Well-Being Outcomes in College Students
Effects of a Digital AI-Mediated Mindful Eating Intervention on Eating Behavior and Well-Being Outcomes in College Students: A Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Tracy X Chen
- Phone Number: +6591691725
- Email: Tracychen.2023@phdps.smu.edu.sg
Study Locations
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Singapore
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Singapore, Singapore, Singapore, 178903
- Singapore Management University, Online
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Contact:
- Tracy X Chen
- Phone Number: +65 91691725
- Email: Tracychen.2023@phdps.smu.edu.sg
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Student of Singapore Management University
- Uses Telegram
Exclusion Criteria:
- Below 18 Years Old
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Intervention group
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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.
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No Intervention: Waitlist Control
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What is the study measuring?
Primary Outcome Measures
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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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Mindful eating
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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Eating Behavior
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
|
Secondary Outcome Measures
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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
|
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Perceived Health
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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AI Attitude
Time Frame: Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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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.
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Enrollment to the end of intervention at 3 weeks and the end of follow-up at 5 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
- Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. doi: 10.1207/s15327752jpa4901_13.
- Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol. 1992 Sep;31(3):301-6. doi: 10.1111/j.2044-8260.1992.tb00997.x.
- Conner, T. S., & Silvia, P. J. (2015). Creative Days: A Daily Diary Study of Emotion, Personality, and Everyday Creativity. Psychology of Aesthetics, Creativity, and the Arts, 9(4), 463-470. https://doi.org/10.1037/aca0000022
- Russell, J. A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39(6), 1161-1178. https://doi.org/10.1037/h0077714
- Van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. The International Journal of Eating Disorders, 5(2), 295-315. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T
- Winkens LHH, van Strien T, Barrada JR, Brouwer IA, Penninx BWJH, Visser M. The Mindful Eating Behavior Scale: Development and Psychometric Properties in a Sample of Dutch Adults Aged 55 Years and Older. J Acad Nutr Diet. 2018 Jul;118(7):1277-1290.e4. doi: 10.1016/j.jand.2018.01.015. Epub 2018 Apr 11.
- Stein JP, Messingschlager T, Gnambs T, Hutmacher F, Appel M. Attitudes towards AI: measurement and associations with personality. Sci Rep. 2024 Feb 5;14(1):2909. doi: 10.1038/s41598-024-53335-2.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- IRB-26-176-A144(826)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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