mental contrasting with implementation intentions for Obesity

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY, New York, NY
Obesity
mental contrasting with implementation intentions - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a strategy to increase motivation for weight loss can be used in primary care to help Veterans lose weight.

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Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether mental contrasting with implementation intentions will improve 1 primary outcome and 5 secondary outcomes in patients with Obesity. Measurement will happen over the course of baseline, 6 and 12 months.

Month 12
Change in Self Reported Physical Activity
MOVE! Attendance change
Physical Activity--Weekly minutes of Moderate to Vigorous Physical Activity (MVPA)
Waist Circumference change
Weight Change
Month 12
Healthy Eating Index change

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

Telephone Delivered MOVE!
1 of 2
Mental Contrasting with Implementation Intentions (WOOP) plus MOVE!
1 of 2
Active Control
Experimental Treatment

This trial requires 366 total participants across 2 different treatment groups

This trial involves 2 different treatments. Mental Contrasting With Implementation Intentions is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Mental Contrasting with Implementation Intentions (WOOP) plus MOVE!At the baseline visit, a lay educator will teach the WOOP technique in-person using protocols adapted from our prior work.12 After, to support WOOP practice, the lay educator will schedule and provide 3 follow-up telephone check-ins with the Veteran
Telephone Delivered MOVE!During the baseline visit, Veterans randomized to the control arm will receive only the standard information about MOVE!, diet, and physical activity delivered by the same lay educators. They will not learn the WOOP technique nor receive telephone follow up as detailed below. While we considered having an attention control with the same amount of contact, we decided that the study would be more pragmatic and findings would be more relevant to real-world practice if the control arm followed standard patient education and referral strategies. Data collection during study visits will be at the same timepoints in both arms.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 6 and 12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 6 and 12 months for reporting.

Closest Location

Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY - New York, NY

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The study found that there was a high willingness to enroll in the MOVE! program, with more than nine out of 10 survey respondents indicating they were likely or very likely to enroll. show original
Individuals aged 18 to 70 who are interested in improving their physical activity levels are eligible to participate in MOVE!. show original
People with a BMI of 30kg/m2 or a BMI of 25kg/m2 with obesity-associated condition are considered to be obese. show original
At least one prior PCP visit in the past year, access to a telephone, the ability to travel to Manhattan VA for in-person evaluations at baseline, 6 and 12 months. show original
The study found that the participants who desired to lose weight had an average score of 4.7 out of 10 on the desire to lose weight scale. show original

Patient Q&A Section

What causes obesity?

"Most people do not know that environmental factors and eating habits contribute to the risk for obesity. While genetics have been known for many decades, the role of environmental factors has not gotten much attention until recently. The development of obesity is most closely associated with lifestyle choices and the environment. Weight loss does not mean overeating. Rather, it's overeating which does not lead to weight loss." - Anonymous Online Contributor

Unverified Answer

Can obesity be cured?

"Obesity cannot be cured by dietary and aerobic exercise treatments as currently used. For those who are seriously obese, the best long-term therapy is bariatric surgery." - Anonymous Online Contributor

Unverified Answer

What are common treatments for obesity?

"The treatments for obesity vary by country and region. People of all ages should limit consumption of foods high in fat, sugar, and salt; take physical exercise to lose weight; eat plenty of vegetables and fruits; not drink alcohol; drink moderately; and eat more healthy foods.\n" - Anonymous Online Contributor

Unverified Answer

How many people get obesity a year in the United States?

"A substantial proportion of American children and adolescents are at risk for obesity before they become 20 years of age. The prevalence of obesity will increase in the upcoming decades if no successful intervention is put in place. The number of people getting obesity a year fluctuates a bit in our country, ranging from 9 to 15 million. The number of overweight Americans is growing in the United States very fast—over 50 million of them are too fat by now. Overcoming and managing obesity will help the society to become healthier." - Anonymous Online Contributor

Unverified Answer

What are the signs of obesity?

"A diagnosis of obesity is made on the basis of body mass index (BMI) ≥ 30 kg/m(2). Obesity is a chronic condition and its impact on health is not limited to weight gain. Oftentimes, the patient may be overweight or obese from birth.\n" - Anonymous Online Contributor

Unverified Answer

What is obesity?

"Obesity is a strong and direct causal risk factor for chronic non-communicable diseases such as DM and CVD, and accounts for about a third of total CVD morbidity in the general population of developing countries, and 30% in the developed ones. There is an urgent need to raise public awareness and raise the profile of obesity and its associated chronic non-communicable diseases." - Anonymous Online Contributor

Unverified Answer

What does mental contrasting with implementation intentions usually treat?

"Mental contrasting seems more effective than implementation intentions, particularly for those working. The mental contrasting intervention is particularly good for those who have difficulty seeing the problem, i.e. those who work with those in need. It also works good for those who have trouble seeing their own problem, i.e. teachers and managers. Mental contrasting is also helpful for those who have difficulty putting their thoughts into a verbal or written expression, i.e." - Anonymous Online Contributor

Unverified Answer

Does obesity run in families?

"This is the major discovery of the study. Although this does not clarify the etiology of obesity, one can see from the results that familial factors play a significant role in the etiology of this disease and that obese people are more likely to be severely afflicted than people who are normal weight." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving mental contrasting with implementation intentions?

"Results suggest that MCT and IR were efficacious. MCT appears to have benefit in reducing body shape dissatisfaction, and that IR has the greatest effect on weight-related cognitions. MCT appears to hold promise as a treatment for some individuals, but further study focusing on the optimum dosage of MCT and the characteristics and personality traits of the optimal participants before and during the trial is needed." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of obesity?

"This analysis shows that in spite of the dramatic increase in obesity over recent decades there is no simple or one-word answer to the question of what causes obesity but rather a multifaceted picture. Obesity has a wide distribution in the population which makes it a reflection of a complex combination of risk factors. The impact of diet plays an important part in the increased rate of obesity." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for obesity?

"Clinical trials are being done for weight loss in obese children and adolescents, but very few studies are being done in adults. It is difficult to use a randomized controlled trial as a primary research method since there is so much heterogeneity and confounding. Also for the public to understand an intervention it should be accompanied by communication that is understandable to the general public. Clinical trials should carefully consider the cost effectiveness of the research project and the burden of medical care on patients and their families. The main focus should be to help develop appropriate treatment strategies." - Anonymous Online Contributor

Unverified Answer

Has mental contrasting with implementation intentions proven to be more effective than a placebo?

"This randomised controlled trial provides no evidence to support the use of mental contrasted with implementation intentions to alter weight loss intention after an interval of 4 weeks." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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