Journaling and Weight Loss

Study Overview
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Brief Summary
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This is a pilot study to evaluate the effect of keeping a 'gratitude journal' on the outcome of a weight loss program. All the subjects will be enrolled in the Lifesteps weight management program. The experimental group will maintain a gratitude journal and the control group will maintain a 'neutral' journal.

Detailed Description
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Subjects who are referred to the Preventive Cardiology Program for weight management will be enrolled in the study after obtaining informed consent. Subjects are enrolled into the program in groups of 10 to 12 every 6 weeks. Alternate groups will be will assigned to the two types of journaling. Each group will be given specific instructions related to the form of journaling assigned. These instructions will be in addition to the usual care prescribed in the Lifesteps® program. In the intervention group, patients will be introduced to gratitude journaling at the beginning of the 12 week class series and asked to journal each day. They will turn in their gratitude journal weekly. At the beginning of each weekly class, five minutes will be spent discussing the journaling. The control groups will not receive the information on gratitude journaling, but instead will be asked to complete a neutral journal in which they will journal in a general manner regarding their experiences participating in the Lifesteps® weight management program. These will also be collected weekly. At the beginning of class, five minutes will be spent discussing the journaling. There will be one consent form for the two groups. The instruction (either gratitude journaling or neutral journaling) that will be given to the subjects will reflect the group to which they have been randomized. Both types of journals will be reviewed initially, at mid-point and final by the psychologist (Robert Emmons) to verify the quality of reporting. Routine tests- Weekly weights Study Tests: Pre/post depression: Beck Depression Inventory II; Pre/post Locus of Control: Multidimensional Health Locus of Control Scale; Pre/post SF 36 Quality of Life Questionnaire; Pre/post Gratitude Questionnaire

Official Title
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Journaling and Weight Loss

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Gratitude Journaling
* Behavioral: Neutral Journaling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: BMI>25 >18 years of age Exclusion Criteria: Severe psychiatric diagnosis which in the opinion of the PI would compromise participation in the study. Addiction to alcohol and drugs

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Gratitude Journaling | Behavioral: Gratitude Journaling<br>* Participants will be asked to write down 5 things every day for which they are grateful.<br>|
| Placebo Comparator: 2<br>Neutral Journaling | Behavioral: Neutral Journaling<br>* Participants will be asked to write down 5 things every day that they noticed about being involved in a weight loss program.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight loss |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life |  | 3 months | 
| Class attendance |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obesity