Treating Binge Eating and Obesity Digitally in Black Women

Not Applicable

Not yet recruiting

Conditions: Binge-Eating Disorder
Obesity
Binge Eating
Weight Gain Prevention

Brief Summary: More than 30% of Black women with obesity binge eat. Binge eating may increase the risk for the development of metabolic syndrome and binge-eating-disorder (BED), which is associated with severe obesity. Though several effective treatments for binge eating exist, Black women have not fared well. Not only has their inclusion in treatment trials been limited, but when participating, they are more likely to drop out, and/or lose less weight, compared to their White counterparts. Furthermore, treatment for binge eating is often not available in primary care and community-based settings places where Black women are more likely to receive treatment for their eating and weight-related concerns. Currently, there is scant intervention research to treat binge eating in Black women. With the highest rates of obesity (57%) nationally, Black women are in need of culturally-relevant treatments for binge eating and weight gain prevention. Given the established relationship between frequent binge eating and subsequent weight gain, addressing binge eating among Black women with obesity is imperative.

Detailed Description: Aim 1. Modify and adapt a validated program to be a culturally-relevant digital health tool for binge eating and weight management for Black women (BMI \> 30 kg/m\^2) who binge eat.

Aim 1a. Identify the barriers and facilitators to detecting and treating binge eating in Black women with obesity, and identify strategies for optimizing digital health tools to engage and retain this population.

Aim 1b. Conduct usability testing with a group of stakeholders to guide content and design refinements; refine tool.

Aim 2. In a randomized clinical trial, examine the feasibility and preliminary efficacy of the digital health appetite awareness + behavioral weight program in primary care.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Centering Appetite Intervention, Then Attention- Control Group	Centering Appetite	Participants randomized to the attention-control group will participate remotely via a smartphone app and online lessons. The intervention will build participants' self-efficacy to reduce binge eating and to assist them in preventing weight gain.

Primary Outcome Measures

Name	Time	Method
Attendance: Percentage of Intervention Sessions Attended	6 months	Percentage of intervention sessions attended for the duration of the study by each participant.
Feasibility (Recruitment): Total Number of Eligible Adults Enrolled in the Study	3 month	Recruitment is defined as the number of potential eligible adults screened for the study versus the number of persons who enrolled in the study.
Retention: Percentage of Participants Retained in the Study	6 months	Percentage of eligible participants who were enrolled and retained in the study through the 6 months.

Secondary Outcome Measures

Name	Time	Method
Change from Baseline to Month 6 in weight regain	Baseline, 6 months	Participant body weight will be measured by trained research staff using calibrated digital scales, with participants in light indoor clothing, with pockets emptied and belts and shoes removed.
Change in number of Binge Eating Episodes from Baseline to Month 3	Baseline, 3 months	Participant binge eating episodes will be self-monitored via the digital health tool.
Change from Baseline to Month 3 in weight regain	Baseline, 3 months	Participant body weight will be measured by trained research staff using calibrated digital scales, with participants in light indoor clothing, with pockets emptied and belts and shoes removed.
Change in number of Binge Eating Episodes from Baseline to Month 6	Baseline, 6 months	Participant binge eating episodes will be self-monitored via the digital health tool.

Locations (1): UNC-Chapel Hill
🇺🇸
Chapel Hill, North Carolina, United States