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The Effects of Intuitive Eating on Body Dissatisfaction and Dietary Restraint in College Females

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ClinicalTrials.gov Identifier: NCT03947008
Recruitment Status : Recruiting
First Posted : May 13, 2019
Last Update Posted : May 13, 2019
Sponsor:
Collaborator:
University of Delaware
Information provided by (Responsible Party):
Carly R Pacanowski, University of Delaware

Brief Summary:

College-aged women are at risk for eating disorders and disordered eating, which present serious health concerns. Two potent risk factors for eating disorders, body dissatisfaction and dietary restraint, are common among female college students.

Intuitive eating is a strategy in which instead of listening to the predominant 'diet culture' and focusing on things like calories and energy balance, individuals practice listening to their internal physiological signals to decide when and what to eat and when to stop. Based on current research, intuitive eating has been shown to foster body satisfaction and healthy eating attitudes among women.

The proposed pilot study will evaluate the feasibility and acceptability of an intuitive eating program for University of Delaware college women. In addition, this study will test the hypothesis that the intuitive eating program will reduce cognitive factors of body dissatisfaction and dietary restraint in females compared to a waitlisted group. Additionally, the investigators expect this reduction in dietary restraint to be associated with less disordered eating behavior. Exploratory aims include measuring engagement in disordered eating behaviors and changes in weight over the study period. This preliminary data will be used to estimate effect sizes for larger future trials.


Condition or disease Intervention/treatment Phase
Eating Behavior Body Image Dietary Habits Restricted Behavior Other: Intuitive Eating Program Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 24 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: The proposed pilot study will evaluate the feasibility and acceptability of an intuitive eating program for University of Delaware college women. A randomized controlled design will be used to study the effects of an intuitive eating intervention on body dissatisfaction and dietary restraint in young adult women, thereby reducing risk of eating disorders. There will be 2 arms of this study. The First Intuitive Eating Group (IE1) will act as the intervention group and receive the intervention first. The Second Intuitive Eating Group (IE2) will act as a waitlist group and receive the intervention the week immediately following the end of IE1's course.
Masking: None (Open Label)
Primary Purpose: Other
Official Title: The Effects of Intuitive Eating on Body Dissatisfaction and Dietary Restraint in College Females
Estimated Study Start Date : September 1, 2019
Estimated Primary Completion Date : November 3, 2019
Estimated Study Completion Date : November 3, 2019

Arm Intervention/treatment
Experimental: First Intuitive Eating Group (IE1)
IE1 will be the first group to participate in an intuitive eating program and will be required to attend five intuitive eating classes. The intuitive eating classes will be 60-minutes each week for 5 weeks. An initial assessment will be conducted during the first thirty minutes of the first intuitive eating class. A final assessment will be conducted during the last 30 minutes of the last intuitive eating class. This group will have an additional final assessment on the last day of the IE2's intuitive eating course. During the assessments, they will complete a questionnaire that will ask them about their body satisfaction and eating attitudes, and have their height and weight measured.
Other: Intuitive Eating Program

A 5-week Intuitive Eating Curriculum created by a Registered Dietitian, Kaylee Frazier, will be used. The creator of this curriculum was contacted for permission and the curriculum was modified for use with college women.

The goal of the program is to challenge and eventually shift participant's mindset from the traditional diet culture towards a way of eating that is driven by their unique bodily needs. Content will focus on training participant to listen to their internal body cues for hunger opposed to restricting or eliminating foods. A list of intuitive eating principles and ways to incorporate them into daily routines will be provided to the participants throughout the sessions, coupled with homework assignments, journaling, and exercises to be completed before subsequent sessions.


Experimental: Second Intuitive Eating Group (IE2)
IE2 will be the second group to will participate in an intuitive eating program and will be required to attend 5 intuitive eating classes. The classes will be 60-minutes each week for 5 weeks. An initial assessment will be conducted on the same day as IE1 but they will take the 5 week course once the first group completes the class. This group will have an additional initial assessment on the day they begin their curriculum. The initial assessment will occur during the first thirty minutes of the first intuitive eating class. A final assessment will be conducted during the last 30 minutes of the last intuitive eating class. During assessments, they will complete a questionnaire that will ask about body satisfaction and eating attitudes, and have their height and weight measured.
Other: Intuitive Eating Program

A 5-week Intuitive Eating Curriculum created by a Registered Dietitian, Kaylee Frazier, will be used. The creator of this curriculum was contacted for permission and the curriculum was modified for use with college women.

The goal of the program is to challenge and eventually shift participant's mindset from the traditional diet culture towards a way of eating that is driven by their unique bodily needs. Content will focus on training participant to listen to their internal body cues for hunger opposed to restricting or eliminating foods. A list of intuitive eating principles and ways to incorporate them into daily routines will be provided to the participants throughout the sessions, coupled with homework assignments, journaling, and exercises to be completed before subsequent sessions.





Primary Outcome Measures :
  1. Dietary Restraint [ Time Frame: 5 weeks ]

    Measured via a survey that uses questions from the following validated questionnaires:

    • Intuitive Eating Scale - 2

      • Measures tendency to follow physical hunger and fullness cues
      • *Total*score range = 5-115
      • Higher scores indicate greater levels of intuitive eating or its dimensions
    • Three-Factor Eating Questionnaire

      • Measures dietary restrain
      • Means are computed for three subscales and are transformed to a 0-100 scale score
      • Higher scores indicate greater cognitive restraint, uncontrolled, emotional eating
    • Polivy & Herman Restraint Scale

      • Measures dieting to achieve/maintain a desired weight
      • Items assess 2 subscales
      • Higher scores show more concern with body image
    • Dutch Eating Behavior Questionnaire

      • Assesses distinct eating behaviors in adults
      • Higher scores indicate greater endorsement of eating behavior

  2. Body Dissatisfaction: survey [ Time Frame: 5 weeks ]

    Body dissatisfaction will be measured via a survey. This survey uses questions from the validated Body Shape Questionnaire.

    ● Body Shape Questionnaire

    • 34-item self-report measure of the body shape preoccupations typical of bulimia nervosa and anorexia nervosa
    • Each item is scored 1(never) to 6(always)
    • The overall score is the total across the 34 items
    • Scores less than 80 = no concern with body shape
    • Scores 80-110 = mild concern with body shape
    • Scores 11-140 = moderate concern with body shape
    • Scores over 40 = marked concern with body shape

  3. Disordered Eating [ Time Frame: 5 weeks ]

    Measured via a survey that uses questions from the following validated questionnaires:

    • Intuitive Eating Scale - 2

      • Measures tendency to follow physical hunger and fullness cues
      • *Total*score range = 5-115
      • Higher scores indicate greater levels of intuitive eating or its dimensions
    • Three-Factor Eating Questionnaire

      • Measures dietary restrain
      • Means are computed for three subscales and are transformed to a 0-100 scale score
      • Higher scores indicate greater cognitive restraint, uncontrolled, emotional eating
    • Polivy & Herman Restraint Scale

      • Measures dieting to achieve/maintain a desired weight
      • Items assess 2 subscales
      • Higher scores show more concern with body image
    • Dutch Eating Behavior Questionnaire

      • Assesses distinct eating behaviors in adults
      • Higher scores indicate greater endorsement of eating behavior


Secondary Outcome Measures :
  1. Weight [ Time Frame: 5 weeks ]
    Weight will be measured using a research-grade body weight scale. There will be a measurement station run by trained anthropometrists. The station will be enclosed by a divider to ensure privacy. Weight will be taken in light clothing, with shoes removed, twice, and rounded to the nearest tenth of a kg.

  2. Height [ Time Frame: 5 weeks ]
    Height will be measured using a stadiometer. There will be a measurement station run by trained anthropometrists. The station will be enclosed by a divider to ensure privacy. Height will be taken twice, rounded to the nearest cm.



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Ages Eligible for Study:   18 Years to 26 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • The participant is between the age of 18-26;
  • University of Delaware student;
  • Willing and able to commit to the 5-week study at specified time;
  • Has a history of body dissatisfaction as indicated by high survey scores on body satisfaction and high scores on dietary restraint; and
  • Are not currently being treated for an eating disorder.

Exclusion Criteria:

  • Females who are currently diagnosed with and/or seeking treatment for an eating disorder.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03947008


Contacts
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Contact: Julia Katcher, BS (302) 670-7800 UDintuitiveeating@gmail.com

Locations
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United States, Delaware
University of Delaware Recruiting
Newark, Delaware, United States, 19711
Contact: Julia Katcher, BS         
Sponsors and Collaborators
Carly R Pacanowski
University of Delaware
Investigators
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Study Director: Carly Pacanowski, PhD Faculty Support

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Responsible Party: Carly R Pacanowski, Faculty Support, University of Delaware
ClinicalTrials.gov Identifier: NCT03947008     History of Changes
Other Study ID Numbers: 1346035-1
First Posted: May 13, 2019    Key Record Dates
Last Update Posted: May 13, 2019
Last Verified: May 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Carly R Pacanowski, University of Delaware:
intuitive eating
dietary restraint