About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Over 18 years of age with pre-diabetes,
Have an (A1c between 5.7%-6.4%),
BMI ≥ 30 kg/m²,
have and regularly use a Bluetooth-enabled smartphone,
Disqualifiers
currently pregnant,
Are currently taking or have taken within the prior 3 months (12 weeks) a GLP-1,
in substance abuse treatment,
involved in another weight reduction program,
Trial design
Parallel
Treatments tested in this trial
Centering Appetite
BehavioralA digital treatment of Appetite Awareness Treatment (AAT) and behavioral weight loss treatment (BWL) over 6 months, delivered remotely using Zoom. The goal of AAT is to enable participants to be able to relearn their stomach's hunger signals and begin to obey and monitor functions of satiety. AAT has been successful in helping participants diagnosed with Binge Eating Disorder (BED) and bulimia nervosa reduce binge eating, overeating, urges to eat in response to non-appetite stimuli, and prevent weight gain.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility (Recruitment): Total Number of Eligible Adults Enrolled in the Study
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
Percentage of eligible participants who were enrolled and retained in the study through the 6 months.
Attendance: Percentage of Intervention Sessions Attended
Percentage of intervention sessions attended for the duration of the study by each participant.
Secondary outcomes
Change from Baseline to Month 4 in weight regain
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 from Baseline to Month 6 in weight regain
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 4
Participant binge eating episodes will be self-monitored via the digital health tool.
Change in number of Binge Eating Episodes from Baseline to Month 6
Participant binge eating episodes will be self-monitored via the digital health tool.
Sponsors and contacts
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University of North Carolina, Chapel Hill
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
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