Pilot Trial of the Move Healthier Group
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Objective physical activity
研究概览
简要总结
The researchers are developing a new exercise-focused group and are interested in studying whether this group helps people increase their exercise without increasing risk for disordered eating behaviors.
详细描述
Individuals seeking weight loss are often encouraged to increase their exercise engagement as a health-promoting behavior. However, exercise engagement is often connected directly to caloric intake within weight loss interventions, so it is likely that individuals seeking weight loss are engaging in some level of compensatory exercise even in the absence of other disordered eating symptoms. Compensatory exercise is defined as exercising to "offset" or "make up for" calories consumed with the intent of controlling one's body weight or shape. The researchers are developing a new group to promote healthy exercise and are interested in studying whether this group helps people increase their exercise without increasing risk for compensatory exercise or other disordered eating behaviors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Seen for weight loss treatment at DHMC Weight Center within the past year
- •Speak, read, & write English fluently
- •Age 18 or older
- •Appropriate for group visits (as assessed by referring provider)
排除标准
- •Meets DSM-5 criteria for an eating disorder based on behavior frequencies reported on baseline EDE-Q
- •Report contraindications for unsupervised physical activity on the PAR-Q, or have not been medically cleared by an MD for participation.
研究组 & 干预措施
Move Healthier Group Intervention Arm
This group-based intervention aims to promote healthy exercise without increasing risk for compensatory exercise or other disordered eating behaviors. Participants will attend 8 weekly 90-minute group intervention sessions via telehealth software.
干预措施: Move Healthier Intervention (Behavioral)
结局指标
主要结局
Objective physical activity
时间窗: From enrollment to the end of treatment at 12 weeks
Objective physical activity will be measures as the total number of minutes per week of physical activity measured via Fitbit device worn during waking hours. The Fitbit data will yield a total count of the number of minutes of moderate-to-vigorous physical activity for each week during the intervention period, with higher counts indicating greater levels of activity.
Self-reported physical activity
时间窗: From enrollment to the end of treatment at 12 weeks
Participants will also complete self-report measures of physical activity, including the International Physical Activity Questionnaire (IPAQ) and IPAQ-short form at group sessions and study assessments. The IPAQ asks patients to report on their total physical activity engagement over the past 7 days by light, moderate, and vigorous activity categories. The IPAQ yields a total count of the number of minutes of moderate-to-vigorous physical activity over the past week, with higher minutes indicating more activity.
Eating disorder symptoms
时间窗: Baseline and post-intervention (week 12)
ED symptoms will be assessed via the Eating Disorder Examination Questionnaire (EDE-Q 6.0), which asks about ED symptoms over the past month (28 days). Compensatory exercise engagement will be assessed via an item asking, "Over the past 28 days, how many times have you exercised to "make up for" a binge-eating episode, and compulsive exercise will be assessed using the item "...how many times have you felt driven/compelled to exercise?" EDE-Q items are averages to calculate a total score ranging from 0-6, with higher scores indicating higher levels of eating pathology.
次要结局
- Weight bias internalization(baseline and post-intervention (week 12))
- intervention acceptability(post-intervention (week 12))
- intervention feasibility(post-intervention (week 12))
研究者
Elizabeth.W.Lampe
Clinical Psychology Fellow, Weight Center
Dartmouth-Hitchcock Medical Center