- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04457804
A Brief Virtual ACT Workshop for Emotional Eating
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Emotional eating is defined as increased food consumption in response to negative emotions, and has been linked to weight concerns, mental health concerns, and disordered eating behaviours. Effective interventions have been developed that address emotional eating, namely to improve weight loss. Such interventions are based in Acceptance and Commitment Therapy (ACT), which encourages tolerance of internal cues, such as emotions, and external cues, such as food.
Previous studies have found that brief ACT interventions are effective for the reduction of emotional eating. Our laboratory has recently developed and pilot-tested a one-day ACT workshop intervention for emotional eating, which was found to be effective for reducing emotional eating and deemed feasible and acceptable by participants.
The present study was developed with the aim to adapt the above mentioned workshop intervention to an online format in the context of the COVID-19 crisis. The study aims to test the efficacy, feasibility and acceptability of a brief, online version of the above mentioned one-day ACT workshop for emotional eating. The workshops will be delivered through the Zoom online platform.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Quebec
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Montréal, Quebec, Canada, H3A1G1
- McGill University
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Self-identifying as emotional-eater
- Being over the age of 18
Exclusion Criteria:
- N/A
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Online ACT workshop for Emotional Eating
All participants will be assigned to 2, 1.5 hour interventions using Acceptance and Commitment Therapy (ACT) techniques to help reduce emotional eating.
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This is a brief online intervention using Acceptance and Commitment Therapy (ACT) technique to target and reduce emotional eating.
The intervention will be modeled after Frayn and Knäuper's 1-day ACT workshop for emotional eating intervention, which was derived from Forman and colleagues' "Mind Your Health Program".
During the workshop, the following topics will be discussed, based on the three processes of ACT: (1) values clarification/commitment, (2) acceptance/distress tolerance, and (3) mindfulness/awareness.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Emotional Eating - Post-Intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
Emotional eating, as assessed by the Dutch Eating Behaviour Questionnaire Emotional Eating Subscale (DEBQ-EE).
Participants are asked to rate the frequency with which they engage in particular eating behaviours, on a 5-point Likert-type rating scale from never (1) to very often (5), with higher scores reflecting higher emotional eating.
Only the emotional eating subscale of the DEBQ will be assessed and is calculated by averaging the 13 items that assess emotional eating.
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Assessed at post-intervention (1 week following the first session)
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Emotional Eating - 2 weeks post-intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
Emotional eating, as assessed by the Dutch Eating Behaviour Questionnaire Emotional Eating Subscale (DEBQ-EE).
Participants are asked to rate the frequency with which they engage in particular eating behaviours, on a 5-point Likert-type rating scale from never (1) to very often (5), with higher scores reflecting higher emotional eating.
Only the emotional eating subscale of the DEBQ will be assessed and is calculated by averaging the 13 items that assess emotional eating.
|
Assessed 2-weeks following the second (last) session
|
Emotional Eating - 3 months Post-Intervention
Time Frame: Assessed 3-months following the second (last) session
|
Emotional eating, as assessed by the Dutch Eating Behaviour Questionnaire Emotional Eating Subscale (DEBQ-EE).
Participants are asked to rate the frequency with which they engage in particular eating behaviours, on a 5-point Likert-type rating scale from never (1) to very often (5), with higher scores reflecting higher emotional eating.
Only the emotional eating subscale of the DEBQ will be assessed and is calculated by averaging the 13 items that assess emotional eating.
|
Assessed 3-months following the second (last) session
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Distress Tolerance - Post-Intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
Distress tolerance, as assessed by the Distress Tolerance Scale (DTS).
Participants are asked to indicate the extent to which they agree with statements aimed at assessing distress tolerance, absorption, appraisal, and regulation from 1 (strongly agree) to 5 (strongly disagree), with lower scores reflecting lower distress tolerance.
Subscale scores are derived by calculating the means of the items that make up each subscale.
Total score is calculating by averaging the four subscales.
|
Assessed at post-intervention (1 week following the first session)
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Distress Tolerance - 2-weeks Post-Intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
Distress tolerance, as assessed by the Distress Tolerance Scale (DTS).
Participants are asked to indicate the extent to which they agree with statements aimed at assessing distress tolerance, absorption, appraisal, and regulation from 1 (strongly agree) to 5 (strongly disagree), with lower scores reflecting lower distress tolerance.
Subscale scores are derived by calculating the means of the items that make up each subscale.
Total score is calculating by averaging the four subscales.
|
Assessed 2-weeks following the second (last) session
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Distress Tolerance - 3-months Post-Intervention
Time Frame: Assessed 3-months following the second (last) session
|
Distress tolerance, as assessed by the Distress Tolerance Scale (DTS).
Participants are asked to indicate the extent to which they agree with statements aimed at assessing distress tolerance, absorption, appraisal, and regulation from 1 (strongly agree) to 5 (strongly disagree), with lower scores reflecting lower distress tolerance.
Subscale scores are derived by calculating the means of the items that make up each subscale.
Total score is calculating by averaging the four subscales.
|
Assessed 3-months following the second (last) session
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Food Craving Acceptance and Action - Post-intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
Food craving acceptance and action, as assessed by the Food Craving Acceptance and Action Questionnaire (FAAQ).
Items are rated on a 6-point Likert-type rating scale from 1 (very seldom true) to 6 (always true), with higher scores reflecting higher acceptance.
Total score is derived by summing all items.
Minimum score is 10 and maximum score is 60.
|
Assessed at post-intervention (1 week following the first session)
|
Food Craving Acceptance and Action - 2-weeks Post-intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
Food craving acceptance and action, as assessed by the Food Craving Acceptance and Action Questionnaire (FAAQ).
Items are rated on a 6-point Likert-type rating scale from 1 (very seldom true) to 6 (always true), with higher scores reflecting higher acceptance.
Total score is derived by summing all items.
Minimum score is 10 and maximum score is 60.
|
Assessed 2-weeks following the second (last) session
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Food Craving Acceptance and Action - 3-months Post-intervention
Time Frame: Assessed 3-months following the second (last) session
|
Food craving acceptance and action, as assessed by the Food Craving Acceptance and Action Questionnaire (FAAQ).
Items are rated on a 6-point Likert-type rating scale from 1 (very seldom true) to 6 (always true), with higher scores reflecting higher acceptance.
Total score is derived by summing all items.
Minimum score is 10 and maximum score is 60.
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Assessed 3-months following the second (last) session
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Mindful Eating - Post-Intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
Mindful eating, as assessed by the Mindful Eating Questionnaire (MEQ).
It is a 28-item self-report measure that assesses five domains of mindful eating: disinhibition, external cues, awareness, emotional response and distraction.
Participants are asked to indicate the extent to which extent they agree with each item from 1 ("never" / "rarely") to 4 ("usually"/ "always"), with higher scores reflecting higher levels of mindful eating.
Total score is derived by taking the mean of the five subscales.
|
Assessed at post-intervention (1 week following the first session)
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Mindful Eating - 2-weeks Post-Intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
Mindful eating, as assessed by the Mindful Eating Questionnaire (MEQ).
It is a 28-item self-report measure that assesses five domains of mindful eating: disinhibition, external cues, awareness, emotional response and distraction.
Participants are asked to indicate the extent to which extent they agree with each item from 1 ("never" / "rarely") to 4 ("usually"/ "always"), with higher scores reflecting higher levels of mindful eating.
Total score is derived by taking the mean of the five subscales.
|
Assessed 2-weeks following the second (last) session
|
Mindful Eating - 3-months Post-Intervention
Time Frame: Assessed 3-months following the second (last) session
|
Mindful eating, as assessed by the Mindful Eating Questionnaire (MEQ).
It is a 28-item self-report measure that assesses five domains of mindful eating: disinhibition, external cues, awareness, emotional response and distraction.
Participants are asked to indicate the extent to which extent they agree with each item from 1 ("never" / "rarely") to 4 ("usually"/ "always"), with higher scores reflecting higher levels of mindful eating.
Total score is derived by taking the mean of the five subscales.
|
Assessed 3-months following the second (last) session
|
ACT Values Application - Post-intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
Application of ACT values techniques taught during the workshop, as assessed by items developed by the study's authors.
Participants were asked to rate the extent to which they agreed with a number of value-based statements on a scale from 1 (strongly disagree) to 5 (strongly agree).
Values score was derived by taking the mean of the items, with higher scores reflecting greater value-consistent eating behaviors.
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Assessed at post-intervention (1 week following the first session)
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ACT Values Application - 2-weeks Post-intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
Application of ACT values techniques taught during the workshop, as assessed by items developed by the study's authors.
Participants were asked to rate the extent to which they agreed with a number of value-based statements on a scale from 1 (strongly disagree) to 5 (strongly agree).
Values score was derived by taking the mean of the items, with higher scores reflecting greater value-consistent eating behaviors.
|
Assessed 2-weeks following the second (last) session
|
ACT Values Application - 3-months Post-intervention
Time Frame: Assessed 3-months following the second (last) session
|
Application of ACT values techniques taught during the workshop, as assessed by items developed by the study's authors.
Participants were asked to rate the extent to which they agreed with a number of value-based statements on a scale from 1 (strongly disagree) to 5 (strongly agree).
Values score was derived by taking the mean of the items, with higher scores reflecting greater value-consistent eating behaviors.
|
Assessed 3-months following the second (last) session
|
Emotional Eating Frequency - Post-intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
As assessed by a self-report item developed by the study's authors.
Participants were asked to report the number of times they engaged in emotional eating in the past week.
|
Assessed at post-intervention (1 week following the first session)
|
Emotional Eating Frequency - 2-weeks Post-intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
As assessed by a self-report item developed by the study's authors.
Participants were asked to report the number of times they engaged in emotional eating in the past week.
|
Assessed 2-weeks following the second (last) session
|
Emotional Eating Frequency - 3-months Post-intervention
Time Frame: Assessed 3-months following the second (last) session
|
As assessed by a self-report item developed by the study's authors.
Participants were asked to report the number of times they engaged in emotional eating in the past week.
|
Assessed 3-months following the second (last) session
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Ability to Stop Emotional Eating - Post-intervention
Time Frame: Assessed at post-intervention (1 week following the first session)
|
As assessed by a single self-report item developed by the study's authors.
Participants were asked to report the number of instances in which they began to engage in emotional eating and were able to stop themselves, on a scale from 1 (none of the time) to 5 (very often).
|
Assessed at post-intervention (1 week following the first session)
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Ability to Stop Emotional Eating - 2-weeks Post-intervention
Time Frame: Assessed 2-weeks following the second (last) session
|
As assessed by a single self-report item developed by the study's authors.
Participants were asked to report the number of instances in which they began to engage in emotional eating and were able to stop themselves, on a scale from 1 (none of the time) to 5 (very often).
|
Assessed 2-weeks following the second (last) session
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Ability to Stop Emotional Eating - 3-months Post-intervention
Time Frame: Assessed 3-months following the second (last) session
|
As assessed by a single self-report item developed by the study's authors.
Participants were asked to report the number of instances in which they began to engage in emotional eating and were able to stop themselves, on a scale from 1 (none of the time) to 5 (very often).
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Assessed 3-months following the second (last) session
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Feasibility Data: Recruitment Rates
Time Frame: Assessed during the recruitment period (i.e. over a period of 2 months)
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Overall number of participants who expressed interest in the workshop over the recruitment period.
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Assessed during the recruitment period (i.e. over a period of 2 months)
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Feasibility Data: Workshop Attendance Rates
Time Frame: Assessed during the treatment period: from baseline to post-treatment (i.e. over the course of 1 week).
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Number of participants who received the intervention (i.e. who attended both workshop sessions) out of the number of participants who signed up.
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Assessed during the treatment period: from baseline to post-treatment (i.e. over the course of 1 week).
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Feasibility Data: Dropout Rates
Time Frame: Assessed from baseline to the 3-month follow-up assessment.
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Number of participants who have dropped out or withdrawn from the study at any time point from baseline assessment to last follow-up assessment.
Number of dropouts and withdrawals will be kept track of at each study time-point.
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Assessed from baseline to the 3-month follow-up assessment.
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Feasibility Data: Loss-to-Follow-Up Rates
Time Frame: Assessed at the 2-week follow-up time point and the 3-month follow-up time point.
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Number of participants (out of those who have attended the workshop) who have not completed the follow-up questionnaire(s).
The number of participants with missing follow-up data will be kept track of at all follow-up time points (post-treatment, 2-week follow-up, and 3-month follow-up).
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Assessed at the 2-week follow-up time point and the 3-month follow-up time point.
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Oliver G, Wardle J, Gibson EL. Stress and food choice: a laboratory study. Psychosom Med. 2000 Nov-Dec;62(6):853-65. doi: 10.1097/00006842-200011000-00016.
- Forman EM, Butryn ML, Juarascio AS, Bradley LE, Lowe MR, Herbert JD, Shaw JA. The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity. Obesity (Silver Spring). 2013 Jun;21(6):1119-26. doi: 10.1002/oby.20169. Epub 2013 May 13. Erratum In: Obesity (Silver Spring). 2014 Mar;22(3):971.
- Geliebter A, Aversa A. Emotional eating in overweight, normal weight, and underweight individuals. Eat Behav. 2003 Jan;3(4):341-7. doi: 10.1016/s1471-0153(02)00100-9.
- Hou L, Li F, Wang Y, Ou Z, Xu D, Tan W, Dai M. Association between dietary patterns and coronary heart disease: a meta-analysis of prospective cohort studies. Int J Clin Exp Med. 2015 Jan 15;8(1):781-90. eCollection 2015.
- Konttinen H, Mannisto S, Sarlio-Lahteenkorva S, Silventoinen K, Haukkala A. Emotional eating, depressive symptoms and self-reported food consumption. A population-based study. Appetite. 2010 Jun;54(3):473-9. doi: 10.1016/j.appet.2010.01.014. Epub 2010 Feb 4.
- Lillis J, Niemeier HM, Thomas JG, Unick J, Ross KM, Leahey TM, Kendra KE, Dorfman L, Wing RR. A randomized trial of an acceptance-based behavioral intervention for weight loss in people with high internal disinhibition. Obesity (Silver Spring). 2016 Dec;24(12):2509-2514. doi: 10.1002/oby.21680. Epub 2016 Nov 2.
- Frayn M, Khanyari S, Knauper B. A 1-day acceptance and commitment therapy workshop leads to reductions in emotional eating in adults. Eat Weight Disord. 2020 Oct;25(5):1399-1411. doi: 10.1007/s40519-019-00778-6. Epub 2019 Sep 20.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 01 (Miami VAHS)
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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