Changing Eating Behavior Using Cognitive Training

NCT04450524 | Completed

• 1 other identifier: Phd Study 4
• Study Type: interventional
• Target: 135
• Locations: 1 country
• Sites: 2

Brief Summary

Obesity is a global health problem. New and more efficient interventions are needed to overcome this disease. This randomized clinical trial aims to evaluate the effectiveness of changing eating behavior using cognitive training. These types of interventions have the role of creating new routines (unconsciously processed), in terms of healthy eating behaviors.

Conditions

Obesity; Overweight; Weight Loss

Keywords

Obesity; Overweight; Weight loss; Hypnosis; Food Inhibition Training; Go No Go Task

Outcome Measures

Primary Outcomes (4)

• Change in Weight

  Weight in kg

  Baseline, pre-intervention; immediately after the intervention; 1 month; 6 month.

• Change in Eating behaviour 1 - Daily Snacking

  A self reported questionnaire of high calorie food frequency

  Baseline, pre-intervention; immediately after the intervention; 1 month; 6 month.

• Change in Eating behaviour 2 - Quantity of calories intake

  A self reported diary of food in two different day of the week (weekday and weekend day)

  Baseline, pre-intervention; in the week of the intervention; 1 month; 6 month.

• Change in Eating behaviour 3

  Self-reported Three Factor Eating Questionnaire. The scale measures three aspects of eating behavior: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). It has 21 items and the responses are on a four-point Likert scale ranging from 1 Definitely true to 4 Definitely false with three subscales one for each domain. Higher scores indicate greater CR, UE, or EE.

  Baseline, pre-intervention; immediately after the intervention;1 month; 6 month.

Secondary Outcomes (5)

• Change in Positive and Negative Affect

  Baseline, pre-intervention; during the intervention (after 2 days), immediately after the intervention;1 month; 6 month.

• Change in Motivation

  Baseline, pre-intervention; during the intervention (after 2 days), immediately after the intervention; 1 month; 6 month.

• Change in Self-Efficacy

  Baseline, pre-intervention; during the intervention (after 2 days), immediately after the intervention; 1 month; 6 month.

• Change in Eating Intentions

  Baseline, pre-intervention; during the intervention (after 2 days), immediately after the intervention; 1 month; 6 month.

• Change in Eating Preferences

  Baseline, pre-intervention; immediately after the intervention; 1 month; 6 month.

Other Outcomes (2)

• Behavioral Activation

  Baseline, pre-intervention.

• Specific to food irrationality

  Baseline, pre-intervention.

Study Arms (3)

Hypnosis

EXPERIMENTAL

Hypnosis formed from hypnotic induction (an adapted version from Harvard Group Scale of Hypnotic Susceptibility) together with hypnotic suggestions about a future where they will control their eating behaviors by choosing the low-calorie food instead of dense calorie one.

Behavioral: Hypnosis

Food Inhibition Training

EXPERIMENTAL

Participants will perform an online computer go-no-go task. They will be shown pictures of dense and low-calorie food together with neutral pictures, followed by the instruction to press or not a button when the pictures are framed in a bold frame (dense calorie food).

Behavioral: Food inhibition training

Control

PLACEBO COMPARATOR

Participants will perform an online computer go-no-go task. They will be shown pictures of dense and low-calorie food together with neutral pictures, followed by the instruction to press the button to indicate the position of the picture - left or right.

Behavioral: Control

Interventions

Hypnosis BEHAVIORAL

Participants received hypnotic induction with hypnotic suggestions for their eating behaviors.

Hypnosis

Food inhibition training BEHAVIORAL

Training the associations between foods and motor inhibition using a GO-NO-GO computer task.

Also known as: Food response inhibition training

Food Inhibition Training

Control BEHAVIORAL

A simple GO-NO-GO task

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults
• Persons who like high-calorie foods (self-report food preferences)
• Persons who have a medium to high score at the self-report daily snacking
• BMI\>25

You may not qualify if:

• Enrolled in a weight loss program
• Under 18 years
• Health problems that can affect weight loss
• Persons with clinical problems such as diabetes, cardiovascular disease, mental problems, persons who take medicines that can affect weight loss

Sponsors & Collaborators

• Babes-Bolyai University: lead

Study Sites (2)

Department of Clinical Psychology and Psychotherapy

Cluj-Napoca, Cluj, 400015, Romania

Location

Departement of Clinical Psychology and and Psychotherapy, Babes-Bolyai University

Cluj-Napoca, Cluj, 40015, Romania

Location

Related Publications (18)

• Adams RC, Lawrence NS, Verbruggen F, Chambers CD. Training response inhibition to reduce food consumption: Mechanisms, stimulus specificity and appropriate training protocols. Appetite. 2017 Feb 1;109:11-23. doi: 10.1016/j.appet.2016.11.014. Epub 2016 Nov 9.

  PMID: 27838443 BACKGROUND

• Haggard P, Cartledge P, Dafydd M, Oakley DA. Anomalous control: when 'free-will' is not conscious. Conscious Cogn. 2004 Sep;13(3):646-54. doi: 10.1016/j.concog.2004.06.001.

  PMID: 15336254 BACKGROUND

• Haggard P. Human volition: towards a neuroscience of will. Nat Rev Neurosci. 2008 Dec;9(12):934-46. doi: 10.1038/nrn2497.

  PMID: 19020512 BACKGROUND

• Houben K, Jansen A. Training inhibitory control. A recipe for resisting sweet temptations. Appetite. 2011 Apr;56(2):345-9. doi: 10.1016/j.appet.2010.12.017. Epub 2010 Dec 24.

  PMID: 21185896 BACKGROUND

• Houben K, Jansen A. Chocolate equals stop. Chocolate-specific inhibition training reduces chocolate intake and go associations with chocolate. Appetite. 2015 Apr;87:318-23. doi: 10.1016/j.appet.2015.01.005. Epub 2015 Jan 13.

  PMID: 25596041 BACKGROUND

• Jones A, Hardman CA, Lawrence N, Field M. Cognitive training as a potential treatment for overweight and obesity: A critical review of the evidence. Appetite. 2018 May 1;124:50-67. doi: 10.1016/j.appet.2017.05.032. Epub 2017 May 22.

  PMID: 28546010 BACKGROUND

• Kirsch I, Lynn SJ. Hypnotic involuntariness and the automaticity of everyday life. Am J Clin Hypn. 1997 Jul;40(1):329-48. doi: 10.1080/00029157.1997.10403402.

  PMID: 9265803 BACKGROUND

• Lawrence NS, O'Sullivan J, Parslow D, Javaid M, Adams RC, Chambers CD, Kos K, Verbruggen F. Training response inhibition to food is associated with weight loss and reduced energy intake. Appetite. 2015 Dec;95:17-28. doi: 10.1016/j.appet.2015.06.009. Epub 2015 Jun 29.

  PMID: 26122756 BACKGROUND

• Oakley DA, Halligan PW. Hypnotic suggestion and cognitive neuroscience. Trends Cogn Sci. 2009 Jun;13(6):264-70. doi: 10.1016/j.tics.2009.03.004. Epub 2009 May 8.

  PMID: 19428287 BACKGROUND

• Shallice T. Dual functions of consciousness. Psychol Rev. 1972 Sep;79(5):383-93. doi: 10.1037/h0033135. No abstract available.

  PMID: 5076868 BACKGROUND

• Stice E, Lawrence NS, Kemps E, Veling H. Training motor responses to food: A novel treatment for obesity targeting implicit processes. Clin Psychol Rev. 2016 Nov;49:16-27. doi: 10.1016/j.cpr.2016.06.005. Epub 2016 Jul 21.

  PMID: 27498406 BACKGROUND

• Strack F, Deutsch R. Reflective and impulsive determinants of social behavior. Pers Soc Psychol Rev. 2004;8(3):220-47. doi: 10.1207/s15327957pspr0803_1.

  PMID: 15454347 BACKGROUND

• Turton R, Nazar BP, Burgess EE, Lawrence NS, Cardi V, Treasure J, Hirsch CR. To Go or Not to Go: A Proof of Concept Study Testing Food-Specific Inhibition Training for Women with Eating and Weight Disorders. Eur Eat Disord Rev. 2018 Jan;26(1):11-21. doi: 10.1002/erv.2566. Epub 2017 Nov 3.

  PMID: 29098749 BACKGROUND

• Beck, I., Smits, D. J., Claes, L., Vandereycken, W., & Bijttebier, P. (2009). Psychometric evaluation of the behavioral inhibition/behavioral activation system scales and the sensitivity to punishment and sensitivity to reward questionnaire in a sample of eating disordered patients. Personality and Individual Differences, 47(5), 407-412

  BACKGROUND

• Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales. Journal of personality and social psychology, 67(2), 319

  BACKGROUND

• Giel KE, Speer E, Schag K, Leehr EJ, Zipfel S. Effects of a food-specific inhibition training in individuals with binge eating disorder-findings from a randomized controlled proof-of-concept study. Eat Weight Disord. 2017 Jun;22(2):345-351. doi: 10.1007/s40519-017-0371-3. Epub 2017 Mar 7.

  PMID: 28271453 BACKGROUND

• Hofmann, W., Friese, M., & Wiers, R. W. (2008). Impulsive versus reflective influences on health behavior: A theoretical framework and empirical review. Health Psychology Review, 2(2), 111-137

  BACKGROUND

• Norman, D. A., & Shallice, T. (1986). Attention to action. In Consciousness and self-regulation (pp. 1-18). Springer, Boston, MA.

  BACKGROUND

MeSH Terms

Conditions

Obesity; Overweight; Weight Loss

Interventions

Hypnosis

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Body Weight Changes

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Loana T Comsa, Phd Student

  Babes-Bolyai University Cluj-Napoca

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The participants will not know in which group they belong: intervention or control.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 22, 2020
• First Posted: June 29, 2020
• Study Start: August 15, 2020
• Primary Completion: January 31, 2021
• Study Completion: January 31, 2021
• Last Updated: August 23, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

RO (2)