Clinical trial NCT03744780: A One-Day ACT Workshop for Emotional Eating
Official title: A One-Day ACT Workshop for Emotional Eating
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Emotional Eating
Eating Behavior
Lead sponsor: McGill University
Sponsor class: OTHER
First posted: 2018-11-16
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All participants will be assigned to the same intervention.
Primary purpose: TREATMENT

Brief summary: Emotional eating is a behaviour that has been linked to weight concerns, mental health concerns, and disordered eating. Effective interventions have been developed to treat emotional eating, however these exist solely in the context of promoting weight loss. Emotional eating is not exclusive to those who struggle with weight and thus interventions are needed that target those who engage in emotional eating regardless of their weight status. The present study aims to do so through the implementation of a one day Acceptance and Commitment Therapy (ACT) workshop for emotional eaters.

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.

Emotional eating, however, is not exclusive to those who struggle with their weight. Many individuals maintain a normal weight despite engaging in emotional eating. These individuals still consume an excess of high calorie (for which they somehow eventually compensate), high fat, and high sugar foods as part of their emotional eating. Unhealthy dietary habits such as these have been shown to be associated with an increased risk of all-cause mortality, as well as health concerns including diabetes and cardiovascular disease. Individuals with normal weight are not eligible for ACT programs described above, despite the increased risk of health concerns associated with emotional eating.

The present study aims to test the feasibility and acceptability of a one-day ACT workshop to reduce emotional eating and improve health that is not focused on weight loss as its primary outcome, and rather targets all individuals who engage in emotional eating.

Eligibility criteria: Inclusion Criteria:

* Engaging in emotional eating as per a DEBQ-EE score of 3.25 or higher
* Being over the age of 18

Exclusion Criteria:

* Not meeting the DEBQ-EE 3.25 or higher inclusion criteria
* Being under the age of 18

Primary outcomes:
measure: Emotional Eating - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Emotional Eating - 3-months Post-Intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
Secondary outcomes:
measure: Distress Tolerance - 2-weeks Post-Intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Distress Tolerance - 3-months Post-Intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Food Craving Acceptance and Action - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Food Craving Acceptance and Action - 3-months Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Mindful Eating - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Mindful Eating - 3-months Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: ACT Values Application - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: ACT Values Application - 3-months Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Emotional Eating Frequency - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Emotional Eating Frequency - 3-months Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Ability to Stop Emotional Eating - 2-weeks Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Ability to Stop Emotional Eating - 3-months Post-intervention
timeFrame: Assessed from baseline to 2-weeks post-intervention and 3-months post-intervention
measure: Feasibility Data: Recruitment, Eligibility, Attendance, and Attrition Rates
timeFrame: Assessed throughout the duration of the study from the recruitment period to the completion of the workshops and follow-up questionnaires (i.e., over a 3-month period).
Other outcomes:
Locations:
city: Montreal
country: Canada
facility: McGill University
state: Quebec
Study officials:
affiliation: McGill University
name: Mallory Frayn, PhD (c)
role: PRINCIPAL_INVESTIGATOR
affiliation: McGill University
name: Bärbel Knäuper, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: Schwingshackl L, Schwedhelm C, Hoffmann G, Lampousi AM, Knuppel S, Iqbal K, Bechthold A, Schlesinger S, Boeing H. Food groups and risk of all-cause mortality: a systematic review and meta-analysis of prospective studies. Am J Clin Nutr. 2017 Jun;105(6):1462-1473. doi: 10.3945/ajcn.117.153148. Epub 2017 Apr 26.
citation: Sami W, Ansari T, Butt NS, Hamid MRA. Effect of diet on type 2 diabetes mellitus: A review. Int J Health Sci (Qassim). 2017 Apr-Jun;11(2):65-71.
citation: van Strien T, van de Laar FA, van Leeuwe JF, Lucassen PL, van den Hoogen HJ, Rutten GE, van Weel C. The dieting dilemma in patients with newly diagnosed type 2 diabetes: does dietary restraint predict weight gain 4 years after diagnosis? Health Psychol. 2007 Jan;26(1):105-12. doi: 10.1037/0278-6133.26.1.105.
citation: 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.