Examining the Effects of Mindful Eating Training on Adherence to a Carbohydrate-Restricted Diet in Patients With Type 2 Diabetes (the DELISH Study): Protocol for a Randomized Controlled Trial

Ashley E Mason, Laura Saslow, Patricia J Moran, Sarah Kim, Priyanka K Wali, Hiba Abousleiman, Alison Hartman, Robert Richler, Samantha Schleicher, Wendy Hartogensis, Elissa S Epel, Frederick Hecht, Ashley E Mason, Laura Saslow, Patricia J Moran, Sarah Kim, Priyanka K Wali, Hiba Abousleiman, Alison Hartman, Robert Richler, Samantha Schleicher, Wendy Hartogensis, Elissa S Epel, Frederick Hecht

Abstract

Background: Diet patterns have a profound influence on glycemic control for individuals with type 2 diabetes mellitus (T2DM), and craving-related eating is an important obstacle to dietary adherence. A growing body of research suggests that carbohydrate-restricted (CR) diets can improve glycemic control and reduce medication dependence in T2DM. However, limited data speak to the effects of long-term adherence to CR diets. Mindful eating training has been shown to reduce craving-related eating in overweight populations but has yet to be examined as a behavioral support for dietary adherence in T2DM. This trial examines behavioral mechanisms, particularly craving-related eating, through which mindful eating training might improve adherence to CR dietary recommendations in T2DM. This will clarify the importance of focusing on craving-related eating in the optimization of dietary adherence interventions.

Objective: The aim of this trial is to determine whether providing training in mindful eating increases adherence to a CR dietary recommendation in T2DM.

Methods: We are randomizing 60 participants to receive a CR diet with or without mindful eating training (12-week group intervention) and are following participants for 12 weeks after intervention completion. We hypothesize that participants who receive mindful eating training (relative to those who do not) will demonstrate greater adherence to the CR diet.

Results: Our primary outcome is change in craving-related eating, as assessed using an ecological momentary assessment mobile phone-based platform. Secondary behavioral pathway outcomes include changes in stress-related eating, impulsivity, glycemic control, weight change, dietary adherence, and resumption of dietary adherence after dietary nonadherence.

Conclusions: This theory-driven trial will shed light on the impact of mindfulness training on mechanisms that may impact dietary adherence in T2DM.

Trial registration: ClinicalTrials.gov NCT03207711; https://ichgcp.net/clinical-trials-registry/NCT03207711 (Archived by WebCite at http://www.webcitation.org/73pXscwaU).

International registered report identifier (irrid): DERR1-10.2196/11002.

Keywords: diabetes mellitus; diet, ketogenic; mind-body therapies; mindfulness; treatment adherence and compliance.

Conflict of interest statement

Conflicts of Interest: FH is a scientific advisor to Virta Health. All other authors declare no conflicts of interest.

©Ashley E Mason, Laura Saslow, Patricia J Moran, Sarah Kim, Hiba Abousleiman, Alison Hartman, Robert Richler, Samantha Schleicher, Wendy Hartogensis, Elissa S Epel, Frederick Hecht. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 20.02.2019.

References

    1. Leung M, Pollack L, Colditz G, Chang S. Life years lost and lifetime health care expenditures associated with diabetes in the U.S., National Health Interview Survey, 1997-2000. Diabetes Care. 2015 Mar;38(3):460–8. doi: 10.2337/dc14-1453. dc14-1453
    1. Ozieh M, Bishu K, Dismuke C, Egede L. Trends in health care expenditure in U.S. adults with diabetes: 2002-2011. Diabetes Care. 2015 Oct;38(10):1844–51. doi: 10.2337/dc15-0369. dc15-0369
    1. Seuring T, Archangelidi O, Suhrcke M. The ecomonic costs of Type 2 Diabetes: a global systematic review. Pharmacoeconomics. 2015 Aug;33(8):811–31. doi: 10.1007/s40273-015-0268-9.
    1. American Diabetes Association 2. Classification and Diagnosis of Diabetes. Diabetes Care. 2017 Dec;40(Suppl 1):S11–S24. doi: 10.2337/dc17-S005.40/Supplement_1/S11
    1. Stratton I, Adler A, Neil H, Matthews D, Manley S, Cull C, Hadden D, Turner R, Holman R. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Br Med J. 2000 Aug 12;321(7258):405–12.
    1. Middleton KR, Anton SD, Perri MG. Long-term adherence to health behavior change. Am J Lifestyle Med. 2013;7(6):395–404. doi: 10.1177/1559827613488867.
    1. Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS, American Diabetes Association Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2013 Nov;36(11):3821–42. doi: 10.2337/dc13-2042. dc13-2042
    1. Saslow LR, Kim S, Daubenmier JJ, Moskowitz JT, Phinney SD, Goldman V, Murphy EJ, Cox RM, Moran P, Hecht FM. A randomized pilot trial of a moderate carbohydrate diet compared to a very low carbohydrate diet in overweight or obese individuals with type 2 diabetes mellitus or prediabetes. PLoS One. 2014;9(4):e91027. doi: 10.1371/journal.pone.0091027. PONE-D-13-45663
    1. Santos F, Esteves S, da Costa Pereira A, Yancy JW, Nunes J. Systematic review and meta-analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors. Obes Rev. 2012 Nov;13(11):1048–66. doi: 10.1111/j.1467-789X.2012.01021.x.
    1. Nielsen JV, Joensson E. Low-carbohydrate diet in type 2 diabetes. Stable improvement of bodyweight and glycemic control during 22 months follow-up. Nutr Metab (Lond) 2006 Jun 14;3:22. doi: 10.1186/1743-7075-3-22. 1743-7075-3-22
    1. Kirk J, Graves D, Craven T, Lipkin E, Austin M, Margolis K. Restricted-carbohydrate diets in patients with type 2 diabetes: a meta-analysis. J Am Diet Assoc. 2008 Jan;108(1):91–100. doi: 10.1016/j.jada.2007.10.003.S0002-8223(07)01928-1
    1. Dashti H, Mathew T, Khadada M, Al-Mousawi M, Talib H, Asfar S, Behbahani A, Al-Zaid N. Beneficial effects of ketogenic diet in obese diabetic subjects. Mol Cell Biochem. 2007 Aug;302(1-2):249–56. doi: 10.1007/s11010-007-9448-z.
    1. Snorgaard O, Poulsen GM, Andersen HK, Astrup A. Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes. BMJ Open Diabetes Res Care. 2017;5(1):e000354. doi: 10.1136/bmjdrc-2016-000354. bmjdrc-2016-000354
    1. Feinman R, Pogozelski W, Astrup A, Bernstein R, Fine E, Westman E, Accurso A, Frassetto L, Gower B, McFarlane S, Nielsen JV, Krarup T, Saslow L, Roth KS, Vernon MC, Volek JS, Wilshire GB, Dahlqvist A, Sundberg R, Childers A, Morrison k, Manninen AH, Dashti HM, Wood RJ, Wortman J, Worm N. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition. 2015 Jan;31(1):1–13. doi: 10.1016/j.nut.2014.06.011. S0899-9007(14)00332-3
    1. Weingarten H, Elston D. The phenomenology of food cravings. Appetite. 1990 Dec;15(3):231–246. doi: 10.1016/0195-6663(90)90023-2.
    1. Schlundt D, Rea M, Kline S, Pichert J. Situational obstacles to dietary adherence for adults with diabetes. J Am Diet Assoc. 1994 Aug;94(8):874–879. doi: 10.1016/0002-8223(94)92367-1.
    1. Ogden J, Coop N, Cousins C, Crump R, Field L, Hughes S, Woodger N. Distraction, the desire to eat and food intake. Towards an expanded model of mindless eating. Appetite. 2013 Mar;62:119–26. doi: 10.1016/j.appet.2012.11.023.S0195-6663(12)00475-8
    1. Simmons W, Martin A, Barsalou L. Pictures of appetizing foods activate gustatory cortices for taste and reward. Cereb Cortex. 2005 Oct;15(10):1602–8. doi: 10.1093/cercor/bhi038.bhi038
    1. Papies EK. Tempting food words activate eating simulations. Front Psychol. 2013;4:838. doi: 10.3389/fpsyg.2013.00838. doi: 10.3389/fpsyg.2013.00838.
    1. Vartanian LR, Herman CP, Wansink B. Are we aware of the external factors that influence our food intake? Health Psychol. 2008 Sep;27(5):533–8. doi: 10.1037/0278-6133.27.5.533.2008-13168-004
    1. Dalton M, Finlayson G, Walsh B, Halseth AE, Duarte C, Blundell JE. Early improvement in food cravings are associated with long-term weight loss success in a large clinical sample. Int J Obes (Lond) 2017 Aug;41(8):1232–1236. doi: 10.1038/ijo.2017.89. ijo201789
    1. Hall D, Most M. Dietary adherence in well-controlled feeding studies. J Am Diet Assoc. 2005 Aug;105(8):1285–8. doi: 10.1016/j.jada.2005.05.009.S0002-8223(05)00642-5
    1. Martin C, Rosenbaum D, Han H, Geiselman P, Wyatt H, Hill J, Brill C, Bailer B, Miller IB, Stein R, Klein S, Foster GD. Change in food cravings, food preferences, and appetite during a low-carbohydrate and low-fat diet. Obesity (Silver Spring) 2011 Oct;19(10):1963–70. doi: 10.1038/oby.2011.62. doi: 10.1038/oby.2011.62.oby201162
    1. Beltrán-Sánchez H, Harhay M, Harhay M, McElligott S. Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. J Am Coll Cardiol. 2013 Aug 20;62(8):697–703. doi: 10.1016/j.jacc.2013.05.064. S0735-1097(13)02374-7
    1. Tabák A, Herder C, Rathmann W, Brunner E, Kivimäki M. Prediabetes: a high-risk state for diabetes development. Lancet. 2012 Jun;379(9833):2279–2290. doi: 10.1016/S0140-6736(12)60283-9.
    1. Mason A, Jhaveri K, Cohn M, Brewer J. Testing a mobile mindful eating intervention targeting craving-related eating: feasibility and proof of concept. J Behav Med. 2018 Apr;41(2):160–173. doi: 10.1007/s10865-017-9884-5.10.1007/s10865-017-9884-5
    1. Mason A, Epel E, Kristeller J, Moran P, Dallman M, Lustig R, Acree M, Bacchetti P, Laraia B, Hecht F, Daubenmier J. Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. J Behav Med. 2016 Apr;39(2):201–13. doi: 10.1007/s10865-015-9692-8. 10.1007/s10865-015-9692-8
    1. Kristeller J, Wolever R. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49–61. doi: 10.1080/10640266.2011.533605.931416057
    1. Tak S, Hendrieckx C, Nefs G, Nyklíček I, Speight J, Pouwer F. The association between types of eating behaviour and dispositional mindfulness in adults with diabetes. Results from Diabetes MILES. The Netherlands. Appetite. 2015 Apr;87:288–95. doi: 10.1016/j.appet.2015.01.006.S0195-6663(15)00015-X
    1. Cerrelli F, Manini R, Forlani G, Baraldi L, Melchionda N, Marchesini G. Eating behavior affects quality of life in type 2 diabetes mellitus. Eat Weight Disord. 2013 Oct 17;10(4):251–257. doi: 10.1007/BF03327492.
    1. Raymond K, Lovell GP. Food addiction symptomology, impulsivity, mood, and body mass index in people with type two diabetes. Appetite. 2015 Dec;95:383–9. doi: 10.1016/j.appet.2015.07.030.S0195-6663(15)00347-5
    1. Kabat-Zinn J, Hanh T. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House LLC; 2009.
    1. Forman E, Butryn M. A new look at the science of weight control: how acceptance and commitment strategies can address the challenge of self-regulation. Appetite. 2015 Jan;84:171–80. doi: 10.1016/j.appet.2014.10.004. S0195-6663(14)00474-7
    1. LabCorp. [2018-11-05]. .
    1. Shiffman S, Stone AA, Hufford Mr. Ecological Momentary Assessment. Annu Rev Clin Psychol. 2008 Apr;4(1):1–32. doi: 10.1146/annurev.clinpsy.3.022806.091415.
    1. Stojek M, MacKillop J. Relative reinforcing value of food and delayed reward discounting in obesity and disordered eating: a systematic review. Clin Psychol Rev. 2017 Jul;55:1–11. doi: 10.1016/j.cpr.2017.04.007.S0272-7358(16)30195-7
    1. Nederkoorn C, Houben K, Hofmann W, Roefs A, Jansen A. Control yourself or just eat what you like? Weight gain over a year is predicted by an interactive effect of response inhibition and implicit preference for snack foods. Health Psychol. 2010 Jul;29(4):389–93. doi: 10.1037/a0019921.2010-14873-011
    1. Nijs I, Muris P, Euser A, Franken I. Differences in attention to food and food intake between overweight/obese and normal-weight females under conditions of hunger and satiety. Appetite. 2010 Apr;54(2):243–54. doi: 10.1016/j.appet.2009.11.004.S0195-6663(09)00660-6
    1. Hallberg S, McKenzie A, Williams P, Bhanpuri N, Peters A, Campbell W, Hazbun T, Volk B, McCarter J, Phinney S, Volek JS. Effectiveness and safety of a novel care model for the management of type 2 diabetes at 1 year: an open-label, non-randomized, controlled study. Diabetes Ther. 2018 Apr;9(2):583–612. doi: 10.1007/s13300-018-0373-9. 10.1007/s13300-018-0373-9
    1. NIH National Cancer Institute: Dietary Assessment Primer. [2018-11-05]. Summary Tables: Recommendations on Potential Approaches to Dietary Assessment for Different Research Objectives Requiring Group-level Estimates .
    1. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385. doi: 10.2307/2136404.
    1. Kroenke K, Strine T, Spitzer R, Williams J, Berry J, Mokdad A. The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2009 Apr;114(1-3):163–73. doi: 10.1016/j.jad.2008.06.026.S0165-0327(08)00282-6
    1. Epel E, Tomiyama A, Mason A, Laraia B, Hartman W, Ready K, Acree M, Adam T, St Jeor S, Kessler D. The reward-based eating drive scale: a self-report index of reward-based eating. PLoS One. 2014;9(6):e101350. doi: 10.1371/journal.pone.0101350. PONE-D-13-46626
    1. Meule A, Hermann T, Kübler A. A short version of the Food Cravings Questionnaire-Trait: the FCQ-T-reduced. Front Psychol. 2014;5(190):190. doi: 10.3389/fpsyg.2014.00190. doi: 10.3389/fpsyg.2014.00190.
    1. Tsenkova Vera, Boylan Jenifer Morozink, Ryff Carol. Stress eating and health. Findings from MIDUS, a national study of US adults. Appetite. 2013 Oct;69:151–5. doi: 10.1016/j.appet.2013.05.020. S0195-6663(13)00211-0
    1. Burgess E, Turan B, Lokken K, Morse A, Boggiano M. Profiling motives behind hedonic eating. Preliminary validation of the Palatable Eating Motives Scale. Appetite. 2014 Jan;72:66–72. doi: 10.1016/j.appet.2013.09.016.S0195-6663(13)00398-X
    1. Epel E, Jimenez S, Brownell K, Stroud L, Stoney C, Niaura R. Are stress eaters at risk for the metabolic syndrome? Ann N Y Acad Sci. 2004 Dec;1032(1):208–10. doi: 10.1196/annals.1314.022.1032/1/208
    1. Ames G, Heckman M, Grothe K, Clark M. Eating self-efficacy: development of a short-form WEL. Eat Behav. 2012 Dec;13(4):375–8. doi: 10.1016/j.eatbeh.2012.03.013.S1471-0153(12)00044-X
    1. Latner J, Mond J, Kelly M, Haynes S, Hay P. The loss of control over eating scale: development and psychometric evaluation. Int J Eat Disord. 2014 Sep;47(6):647–59. doi: 10.1002/eat.22296.
    1. Juarascio A, Forman E, Timko CA, Butryn M, Goodwin C. The development and validation of the food craving acceptance and action questionnaire (FAAQ) Eat Behav. 2011 Aug;12(3):182–7. doi: 10.1016/j.eatbeh.2011.04.008.S1471-0153(11)00043-2
    1. Fredrickson BL, Tugade MM, Waugh CE, Larkin GR. What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. J Pers Soc Psychol. 2003 Feb;84(2):365–376. doi: 10.1037//0022-3514.84.2.365.
    1. van Strien T, Frijters J, Bergers G, Defares P. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord. 1986 Feb;5(2):295–315. doi: 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>;2-T.
    1. Tran U, Glück TM, Nader I. Investigating the Five Facet Mindfulness Questionnaire (FFMQ): construction of a short form and evidence of a two-factor higher order structure of mindfulness. J Clin Psychol. 2013 Sep;69(9):951–65. doi: 10.1002/jclp.21996.
    1. Cella David, Riley William, Stone Arthur, Rothrock Nan, Reeve Bryce, Yount Susan, Amtmann Dagmar, Bode Rita, Buysse Daniel, Choi Seung, Cook Karon, Devellis Robert, DeWalt Darren, Fries James F, Gershon Richard, Hahn Elizabeth A, Lai Jin-Shei, Pilkonis Paul, Revicki Dennis, Rose Matthias, Weinfurt Kevin, Hays Ron, PROMIS Cooperative Group The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010 Nov;63(11):1179–94. doi: 10.1016/j.jclinepi.2010.04.011. S0895-4356(10)00173-3
    1. Raes F, Pommier E, Neff K, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011;18(3):250–5. doi: 10.1002/cpp.702.
    1. Daubenmier J. The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating. Psychol Women Q. 2016 Nov 25;29(2):207–219. doi: 10.1111/j.1471-6402.2005.00183.x.
    1. Koffarnus M, Bickel W. A 5-trial adjusting delay discounting task: accurate discount rates in less than one minute. Exp Clin Psychopharmacol. 2014 Jun;22(3):222–8. doi: 10.1037/a0035973. 2014-12160-001
    1. Fillmore M, Rush C, Hays L. Acute effects of cocaine in two models of inhibitory control: implications of non-linear dose effects. Addiction. 2006 Sep;101(9):1323–32. doi: 10.1111/j.1360-0443.2006.01522.x.ADD1522
    1. Channon S, Hayward A. The effect of short-term fasting on processing of food cues in normal subjects. Int J Eat Disord. 1990 Jul;9(4):447–452. doi: 10.1002/1098-108X(199007)9:4<447::AID-EAT2260090411>;2-0.
    1. Epstein L, Dearing K, Roba L. A questionnaire approach to measuring the relative reinforcing efficacy of snack foods. Eat Behav. 2010 Apr;11(2):67–73. doi: 10.1016/j.eatbeh.2009.09.006. S1471-0153(09)00107-X
    1. Johansson Linda, Ghaderi Ata, Andersson Gerhard. The role of sensitivity to external food cues in attentional allocation to food words on dot probe and Stroop tasks. Eat Behav. 2004 Jul;5(3):261–71. doi: 10.1016/j.eatbeh.2004.01.005.S147101530400008X
    1. Saslow LR, Mason AE, Kim S, Goldman V, Ploutz-Snyder R, Bayandorian H, Daubenmier J, Hecht FM, Moskowitz JT. An online intervention comparing a very low-carbohydrate ketogenic diet and lifestyle recommendations versus a plate method diet in overweight individuals with type 2 diabetes: a randomized controlled trial. J Med Internet Res. 2017 Feb 13;19(2):e36. doi: 10.2196/jmir.5806. v19i2e36
    1. Trumbo P, Schlicker S, Yates A, Poos M, Food and Nutrition Board of the Institute of Medicine‚ The National Academies Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc. 2002 Nov;102(11):1621–30.S0002-8223(02)90346-9
    1. Sainsbury E, Kizirian N, Partridge S, Gill T, Colagiuri S, Gibson A. Effect of dietary carbohydrate restriction on glycemic control in adults with diabetes: a systematic review and meta-analysis. Diabetes Res Clin Pract. 2018 May;139:239–252. doi: 10.1016/j.diabres.2018.02.026.S0168-8227(17)31171-3
    1. van Zuuren EJ, Fedorowicz Z, Kuijpers T, Pijl H. Effects of low-carbohydrate-compared with low-fat-diet interventions on metabolic control in people with type 2 diabetes: a systematic review including GRADE assessments. Am J Clin Nutr. 2018 Aug 01;108(2):300–331. doi: 10.1093/ajcn/nqy096.5051863
    1. National Cancer Institute. CTEP: Cancer Therapy Evaluation Program: Common Terminology Criteria for Adverse Events (CTCAE) .
    1. Vittinghoff E, Glidden D, Shiboski S, McCulloch C. Regression Methods in Biostatistics: Linear, Logistic, Survival, and Repeated Measures Models. New York, NY: Springer-Verlag New York, LLC; 2011.
    1. Siddiqui O, Hung HM, O'Neill R. MMRM vs. LOCF: a comprehensive comparison based on simulation study and 25 NDA datasets. J Biopharm Stat. 2009;19(2):227–46. doi: 10.1080/10543400802609797.908658805
    1. Godfrey K, Gallo L, Afari N. Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med. 2015 Apr;38(2):348–62. doi: 10.1007/s10865-014-9610-5.
    1. Katterman S, Kleinman B, Hood M, Nackers L, Corsica J. Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eat Behav. 2014 Apr;15(2):197–204. doi: 10.1016/j.eatbeh.2014.01.005.S1471-0153(14)00019-1
    1. O'Reilly GA, Cook L, Spruijt-Metz D, Black D. Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obes Rev. 2014 Jun;15(6):453–61. doi: 10.1111/obr.12156.
    1. Weingarten H, Elston D. Food cravings in a college population. Appetite. 1991 Dec;17(3):167–175. doi: 10.1016/0195-6663(91)90019-O.
    1. Watson N, Dyer K, Buckley J, Brinkworth G, Coates A, Parfitt G, Howe P, Noakes M, Murphy K. Reductions in food cravings are similar with low-fat weight loss diets differing in protein and carbohydrate in overweight and obese adults with type 2 diabetes: a randomized clinical trial. Nutr Res. 2018 Sep;57:56–66. doi: 10.1016/j.nutres.2018.05.005.S0271-5317(17)31083-7
    1. Forman EM, Schumacher LM, Crosby R, Manasse SM, Goldstein SP, Butryn ML, Wyckoff EP, Graham TJ. Ecological momentary assessment of dietary lapses across behavioral weight loss treatment: characteristics, predictors, and relationships with weight change. Ann Behav Med. 2017 Oct;51(5):741–753. doi: 10.1007/s12160-017-9897-x.10.1007/s12160-017-9897-x
    1. NIH Office of Strategic Coordination - The Common Fund. [2018-11-05]. Science of Behavior Change .
    1. Czajkowski SM, Powell LH, Adler N, Naar-King S, Reynolds KD, Hunter CM, Laraia B, Olster DH, Perna FM, Peterson JC, Epel E, Boyington JE, Charlson ME. From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol. 2015 Oct;34(10):971–82. doi: 10.1037/hea0000161. 2015-03938-001
    1. Perrin A. Pew Research Center. 2017. Jun 28, [2018-11-05]. 10 facts about smartphones as the iPhone turns 10
    1. Heron K, Smyth J. Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. Br J Health Psychol. 2010 Feb;15(Pt 1):1–39. doi: 10.1348/135910709X466063. bjhp696
    1. Conner TS, Mehl MR. Emerging trends in the social and behavioral sciences: an interdisciplinary, searchable, and linkable resource. Wiley Online Library: John Wiley & Sons, Inc; 2015. Ambulatory Assessment: Methods for Studying Everyday Life.

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