Study of the Validity of Using the MEQ to Measure Mindful Eating in Pregnant Women (MEQ)
Qualitative Evaluation of the Mindful Eating Questionnaire (MEQ) in Pregnant Women
調査の概要
状態
条件
詳細な説明
Pre-pregnancy maternal overweight/obesity and excess weight gain during pregnancy are associated with metabolic abnormalities in mothers and their offspring. Despite guidelines developed by the Institute of Medicine (IOM) for appropriate levels of gestational weight gain, more than 50% of overweight and obese pregnant women exceed the recommended amount of weight gain during pregnancy (CDC 2009). Updated guidelines from the Institute of Medicine (IOM) in 2009 suggest that individualized dietary counseling and regular physical activity are necessary for pregnant women to achieve appropriate levels of gestational weight gain (IOM and NRC 2009), yet few studies have examined weight management in overweight pregnant women and none were successful at increasing adherence to the IOM guidelines (Polley, Wing et al. 2002; Olson, Strawderman et al. 2004; Asbee, Jenkins et al. 2009; Shirazian, Monteith et al. 2010; Phelan, Phipps et al. 2011).
This project is a supplement to a parent study called Expecting Success: Personalized management of body weight during pregnancy (U01 DK094418-01 PIs: Leanne M. Redman, Ph.D. & Corby K. Martin, Ph.D.). The parent study will test the efficacy of two interventions at promoting appropriate levels of weight gain during pregnancy compared to each other and to a usual care control group. Appropriate levels of weight gain during pregnancy will be defined by the 2009 IOM gestational weight gain guidelines (CDC 2009). The two interventions include training on mindfulness surrounding eating, hunger, and satiety; hence, it is logical to test if changes in mindfulness differ between the two intervention groups and the usual care group. Moreover, it is possible that change in mindfulness will be associated with the study's outcome or different levels of gestational weight gain between the usual care group and the two intervention groups. Finally, changes in mindfulness could mediate the effect of the two interventions on gestational weight gain.
Despite the possible importance of mindfulness to the eating behavior and weight management of pregnant women, no measure has been validated to measure mindfulness in pregnant women. The Mindful Eating Questionnaire (MEQ) is a 28-item self-report instrument that measures five domains of mindful eating: disinhibition, awareness, external cues, emotional response, and distraction. Mindful eating refers to an unbiased awareness of sensations surrounding eating and although a preliminary study found the MEQ to be a valid measure of mindful eating in healthy adults, it has not been validated in pregnant women. A valid measure of mindful eating is required when an intervention is used to increase mindful eating in pregnant women and evaluate if the increase results in healthier eating habits and effective weight management. Indeed, effectively measuring mindful eating is central to evaluating: 1) if an intervention had the anticipated effect on mindful eating, 2) if increasing mindful eating resulted in changes to eating habits and body mass, and 3) if changes in mindful eating mediated treatment effects.
Relationship of the supplement to the parent grant: Mindfulness training is effective at helping people manage their eating habits, making mindfulness training a viable strategy to use with special populations who struggle with eating and weight management, including pregnant women. During the parent study, two personal weight-management interventions designed to meet the unique needs of pregnant women will be deployed and mindful eating techniques are part of these interventions. Although a preliminary study found the Mindful Eating Questionnaire (MEQ) to be valid in a convenience sample of generally healthy adults, it is not known if the MEQ is an appropriate and valid instrument for use with pregnant women, and the proposed project will answer this question. If the MEQ is valid for use with pregnant women, it can be used in the parent study, as well as other studies, to determine if the interventions are effectively at training participant to mindfully eat and if changes in mindful eating mediate intervention effects.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Louisiana
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Baton Rouge、Louisiana、アメリカ、70808
- Pennington Biomedical Research Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- 18-40 years of age, inclusive
- Overweight or obese at time of conception based on self-report (BMI ≥25 and <40 kg/m2)
- Willingness to participate in either the focus group or the individual interview
- Establish prenatal care by 12 weeks of gestation
- Fluent in the English language; AND
- Singleton pregnancy
Exclusion Criteria:
- Current multiple gestation
- Type I diabetes
- Self-reported gestational diabetes mellitus
- History or current psychotic disorder
- Current major depressive episode, bipolar disorder, or eating disorder
- HIV
- Current smoking, alcohol or drug use
- History of ≥ 3 miscarriages
- Current enrollment in Expecting Success (IRB#11024)
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
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All Participants
Participants will be asked to complete the MEQ, the Eating Inventory Questionnaire, The Mindful Attention Awareness Scale (MAAS), and the Neighborhood Environment Walkability Scale (NEWS).
Participants will then be asked to sequentially respond to each of the 28 items and the response choices from the MEQ and briefly discuss their reaction to the items and response choices.
Finally, participants will either participate in a focus group or an individual cognitive interview, giving them the opportunity to elaborate on their responses to the MEQ.
The first 11 participants completed focus groups and the remaining 29 participants completed individual cognitive interviews.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Test-Retest Reliability of the Mindful Eating Questionnaire (MEQ)
時間枠:SV and V1; minimum of 24 hours between visits, maximum of 5 months between visits
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Participants were given the Mindful Eating Questionnaire (MEQ) at their screening visit and study visit in an effort to establish test-retest reliability.
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SV and V1; minimum of 24 hours between visits, maximum of 5 months between visits
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To Determine the Internal Validity of Each of the MEQ's Subscales, we Calculated Cronbach's a
時間枠:V1
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Cronbach's alpha is a measure of internal consistency, that is, how closely related a set of items are as a group.
It is considered to be a measure of scale reliability.
Alpha coefficients generally range from 0 to 1, with a higher score indicating greater reliability of a scale.
However, a "high" value for alpha does not imply that the measure is unidimensional.
Technically speaking, Cronbach's alpha is not a statistical test - it is a coefficient of reliability (or consistency).
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V1
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Convergent Validity of the Mindful Eating Questionnaire Compared to the Eating Inventory (EI) Restraint Subscale
時間枠:V1
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The convergent validity of the Mindful Eating Questionnaire was assessed using the Eating Inventory (EI) subscales (restraint, disinhibition, hunger) by calculating Pearson correlation coefficients.
Below are the results for the comparison of the Mindful Eating Questionnaire's subscales to the Eating Inventory restraint subscale.
Correlations were run with and without the External Cues subscale (ECS) since it was found not to be internally consistent.
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V1
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Convergent Validity of the Mindful Eating Questionnaire Subscales to the Eating Inventory Disinhibition Subscale
時間枠:V1
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The convergent validity of the Mindful Eating Questionnaire was assessed using the Eating Inventory subscales by calculating the Pearson correlation coefficients.
Below are the results for the comparison of the Mindful Eating Questionnaire's subscales to the Eating Inventory Subscale of Disinhibition.
Correlations were run with and without the External Cues subscale since it was found not to be internally consistent.
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V1
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Convergent Validity of the MEQ Subscales Compared to the EI Hunger Subscale
時間枠:V1
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The convergent validity of the Mindful Eating Questionnaire was assessed using the Eating Inventory subscales of restraint, disinhibition and hunger by calculating the Pearson correlation coefficients.
Below are the results for the comparison of the Mindful Eating Questionnaire's subscales to the Eating Inventory Subscale of Hunger.
Correlations were run with and without the External Cues subscale since it was found not to be internally consistent.
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V1
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Correlation of the MEQ Subscales to the MAAS
時間枠:V1
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The convergent validity of the MEQ was also assessed by calculating the pearson correlation between the MEQ subscales and the Mindful Attention Awareness Scale (MAAS).
Correlations were run with and without the External Cues subscale since it was found not to be internally consistent.
**Indicates correlation significant at the .01
level
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V1
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協力者と研究者
出版物と役立つリンク
便利なリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- PBRC 12013
- U01DK094418 (米国 NIH グラント/契約)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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