Clinical trial NCT01777711: Exploring Beliefs and Behaviors About Weight Loss in Couples
Official title: Exploring Beliefs and Behaviors About Weight Loss in Couples
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obesity
Keywords: mental contrasting
weight loss
obese couples
obesity
overweight
planning
health
diet
exercise
physical activity
goal
goal-setting
Lead sponsor: Duke University
Sponsor class: OTHER
First posted: 2013-01-29
Enrollment: 140
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study explores among couples in which both members are obese how the use of mental contrasting along with implementation intentions influence intentions and behavior related to weight loss (eating healthy and exercise), actual weight loss, as well as potential reasons (i.e., mediators) why these changes may occur (e.g., social support, changes in beliefs about weight loss, confidence in being able to eat healthy and diet).

Detailed description: This study explores among couples in which both members are obese how the use of mental contrasting along with implementation intentions influence intentions and behaviors related to weight loss (eating healthy and exercise), actual weight loss, as well as potential reasons (i.e., mediators) why these changes may occur (e.g., social support, changes in beliefs about weight loss, confidence in being able to eat healthy and diet). In mental contrasting procedures, people first imagine a desired future (e.g., eating healthy) and then reflect on the current negative reality (e.g., I snack too much). This process makes people aware of changes needed in the present to obtain future positive outcomes, and thus aids in increasing goal commitment and goal pursuit. In implementation intention procedures, individuals form "if-then" statements about how they will enact their goals in their everyday lives. Implementation intentions are highly effective at helping individuals achieve health behavior change. Recent studies suggest that the combined use of mental contrasting and implementation intentions produce more behavior change than either technique alone (e.g., diet) In this study, investigators test whether these procedures vary in their effectiveness when couple members are instructed to focus on themselves versus the relationship, the latter intended to instill a communal coping mindset (i.e., that losing weight is an issue that needs to be addressed as a couple enacted through mutually cooperative behaviors).

Eligibility criteria: Inclusion Criteria:

* Married couples or couples living as married
* living in the same household for at least six months
* both members of couple are obese (BMI \> 30).
* must be 18 years or older
* can read and write in English

Primary outcomes:
measure: weight loss
timeFrame: one month
Secondary outcomes:
measure: dietary changes
timeFrame: one month
measure: number of minutes of physical activity
timeFrame: one month
Other outcomes:
Locations:
city: Durham
country: United States
facility: Duke University Medical Center
state: North Carolina
Study officials:
affiliation: Duke University School of Nursing
name: Isaac Lipkus, PhD
role: PRINCIPAL_INVESTIGATOR
References: