What to Eat for Lunch? A Pilot Study to Improve Healthier Eating at Work
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- Total number of calories
研究概览
简要总结
This pilot study will test the feasibility and potential effectiveness of a novel approach to improve food choices by employees about what to eat for lunch. The intervention involves the testing of an on-line pre-ordering food program with nutritional information linked to a hospital cafeteria. In this study, the investigators use positive reinforcement of feedback and price discounts during the intervention phase, and then withdraw those components in order to assess the potential for changes to be retained after the study is over.
The study draws on principles from the field of behavioral economics and behavioral change. The investigators test the effectiveness of the intervention with 30 employees (study participants) who are overweight or obese. Based on a recent screening of over 5600 Einstein employees, 66% of those screened were identified as either overweight or obese. There are 3 phases to the trial: baseline (P1), 4 week intervention, (P2) and tapering (intervention without reinforcement) (P3). Participants are randomized to one of two groups (intervention and wait-listed controls).
Our primary hypotheses are that:
- Participants will purchase lunches with fewer calories during the intervention compared to baseline.
- Participants will purchases lunches with fewer calories in the tapering phase compared to baseline.
Secondary hypotheses include that, compared with baseline, participants will order lunches with less fat. Changes in participant weight based on self selected goals, and in a measure of mindful eating will also be investigated. The investigators expect that participant adherence will be associated with improved outcomes compared to those who are less adherent.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Interested in improving their food choices as it relates to healthier eating and weight loss
- •Adult employee at large, urban hospital in Philadelphia at which study is being conducted
- •Eats at least 4 lunch meals a week at study cafeteria
- •BMI greater than or equal to 25.0 (based on standard classification).
- •Willingness to allow researchers to collect data about their lunch purchases
- •Willingness to "swipe" their employee card for lunch purchases during the study
- •Access to a computer at work
- •Capable of providing informed consent
- •Has a way of being contacted by telephone, email, fax, or receiving a text message
排除标准
- •Planning to terminate hospital employment within the next 4 months
- •Individuals unable to consent
- •Individuals who are not yet adults
- •Employees who are pregnant
- •Employees with hypertension, dyslipidemia or coronary artery disease whose medical therapy has changed in the past 3 months.
结局指标
主要结局
Total number of calories
时间窗: Participants are followed for a minimum of 12 weeks and the total calories from their lunchtime meals are recorded daily.
The average number of calories (Kcal) purchased for lunch.
次要结局
- Total number of calories from fat(Participants are followed for a minimum of 12 weeks and the total calories from fat in their lunchtime meals are recorded daily.)
- Participant adherence(Participants are followed for a minimum of 12 weeks)
- Participant body weight (kg)(Recorded at the time of recruitment into the study and again following the 8 week intervention)
- Hemoglobin A1c (HbA1c)(Measured at the time of recruitment into the study and again following the 8 week intervention)
- Cholesterol subfractions(Measured at the time of recruitment into the study and again following the 8 week intervention)
- Blood pressure (mmHg)(Measured at the time of recruitment into the study and again following the 8 week intervention)
- Mindful eating score on 28-item self-report measure(Recorded at the time of recruitment into the study and again following the 8 week intervention)
研究者
Etienne Phipps
Director Einstein Urban Health
Albert Einstein Healthcare Network