Overweight and Obesity Clinical Trial
Official title:
FReedom From Emotional Eating: Weight Loss Program
The current study was a pilot study examining a novel treatment for weight loss and emotional eating. The intervention is a group-based approach, and it includes a focus on teaching emotion regulation skills from Dialectical Behavioral Therapy and traditional behavioral weight loss techniques. The goal of the study was to develop and refine the treatment protocol. Additional goals of the study were to evaluate feasibility and acceptability, to see whether the intervention could be administered and whether participants like the treatment and believe it helps them. Changes in weight and emotional eating from baseline to post-treatment will also be measured.
Background: The current study was a preliminary investigation of Live FREE, a pilot study of
a treatment that included a combination of Dialectical Behavioral Therapy (DBT) and
Behavioral Weight Loss (BWL) techniques for overweight/obese adult emotional eaters. Live
FREE was based on the premise that impaired emotion regulation skills promote emotional
eating behavior and lead to weight gain. Consistent with the ORBIT model (Czajkowski et al.,
2015) of behavioral treatment development, the primary study aim was to refine the treatment
protocol.
Methods: Adults with overweight/obesity who self-identified as emotional eaters were enrolled
in Live FREE. Participants completed assessments at baseline, post-treatment, and at a
6-month follow-up. The intervention delivered 10-weeks of emotion regulation skills training
followed by 6-weeks of BWL treatment in a group-based format. Groups were co-led by a
licensed clinical psychologist and a doctoral student. Feasibility and acceptability will be
examined by calculating rate of enrollment into the study and session attendance. ANOVA will
be used to examine changes in primary and secondary outcome variables (weight, emotional
eating) over time. Effect sizes (Cohen's d) will be calculated to examine the magnitude of
change observed in these outcomes using standard interpretation guidelines ( d=0.2 be
considered a 'small' effect size, 0.5 represents a 'medium' effect size and 0.8 a 'large'
effect size).
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