NCT05233046

Brief Summary

Mindfulness, seemingly a simple concept, research shows that the impact of mindfulness on the overall wellness of an individual can be helpful (5). Research supports that mindfulness leads to reduced stress, enhanced performance, better focus, and improved approach (7). Areas of mindfulnessare mindful eating,movement and meditation. Application of mindfulness tools in these areas can be beneficial to health outcomes and to create a happier more efficient work environment (9). Mindful eating shows to improve diet quality and attitudes toward food and eating. Individuals better understand physical hunger/fullness cues, improve nutrient density, weight control,digestion,systolic blood pressure, and stress(2). Disordered eating behaviors have also shown to improve(3). Mindless eating, such as eating while being on the phone, driving, or watching television can have the opposite effect and can be linked to more emotional hunger cues. Combining mindful eating with diet therapy can lead to healthier food choices and a more positive feeling towards eating and body image, reducing stress and improving the overall wellness of an individual (4). Aspire's experience shows that aspects of teacher's wellness is worsening with ,media reporting more and more employees resigning from their positions every day (wccb,2021). Teachers have voiced their need for more support with their wellbeing. As a result, Aspire Nutrition is targeting school employees through a newly developed mindfulness program titled Nourish Carolina. This program will be focused on improving the overall wellness of participants Participants are enrolled in the study for 12 weeks. All participants will have weekly nutritional counseling and bi-weekly mental health counseling. Study group will have nutrition and mental health counseling with mindfulness activities and control group will receive nutrition and mental health sessions without mindfulness activities. There is a program curriculum so that mental health and nutrition mindfulness activities compliment eachother The mindfulness lessons for study group are divided into 6 nutrition and 6 mental health sessions,for 15 minutes during the session. Positive outcomes could include improved workplace performance as a result of enhancing school employees overall wellness and quality of life by reducing stress levels, improving diet quality, and improving mental health.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
500

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2022

Shorter than P25 for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 21, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

February 2, 2022

Completed
8 days until next milestone

First Posted

Study publicly available on registry

February 10, 2022

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2022

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2022

Completed
Last Updated

February 10, 2022

Status Verified

January 1, 2022

Enrollment Period

3 months

First QC Date

December 21, 2021

Last Update Submit

January 31, 2022

Conditions

Keywords

dietnutritioncounselingmental healthphysical healthworkstress

Outcome Measures

Primary Outcomes (2)

  • Impact on relationship to food from Mindfulness Program, Nourish Carolina - Comparison of study group with Control Group, using IES2 and clinical reports from nutrition sessions

    Measured using Intuitive Eating Scale - 2 (IES2) to assess individual's change with their relationship with food. IES2 is widely used and accepted measure developed by Tracy L Tylka Ph D. with Ohio State University. Data collected will be measured as a scale for questionnaires. The scoring procedure is outlined at the bottom of the IES2 and is calculated as a whole number. Standard Clinical Templates in Simple Practice for note taking during session provide subjective and objective observations for nutrition sessions both control and study group.

    IES2 at end of the study -12 weeks. Standard Clinical Templates in Simple Practice for note taking during session provide subjective and objective observations for nutrition sessions both control and study group.

  • Impact on Percieved Wellness from Mindfulness program , Nourish Carolia - Comparison of Study Group with Control Group using BIS2, RAND36, and Clinical reports from treatment sessions, mental health and nutrition

    Body Image Scale-2 (BIS 2)scoring procedure for the BIS2 will be reflected as a relative scale of all the participants. Perceived wellness is measured by RAND 36 Item Health Survey. The RAND-36 survey is widely accepted and consists of 36 items that assess eight health concepts: physical functioning, role limitations caused by physical health problems, role limitations caused by emotional problems, social functioning, emotional well-being, energy/fatigue, pain, and general health perceptions. Physical and mental health summary scores are also derived from the eight RAND-36 scales. provides information on what a clinically important difference is for the RAND-36 scales, and provides guidance for summarizing the RAND-36 in a single number.Standard clinical templates recorded and stored in Simple Practice for note taking during session provide subjective and objective observations for nutrition sessions both control and study group in nutrition and mental health sessions

    These measurements are assessed at the end of the study -12 weeks. Weekly nutrition and biweekly mental health notes for nutrition sessions both control and treatment groups

Secondary Outcomes (14)

  • Impact of Mindfulness Program on Meals per day

    Assessed at the end of the study -12 weeks.

  • Imact of Mindfulness Program on Snacks per day

    Assessed 12 weeks.

  • Impact of Mindfulness Program on Food Choices

    Assessed at 12 weeks.

  • Impact of Mindfulness Program on Food Rules

    Assessed at 12 weeks.

  • Impact of Mindfulness Program on emotional eating

    Assessed at 12 weeks.

  • +9 more secondary outcomes

Study Arms (2)

Impact of Nourish Carolina - Control Group

EXPERIMENTAL

Group A - nutrition (one time/week) and mental health counseling (biweekly) for 12 weeks

Behavioral: Nutrition and Mental health counseling

Impact of Nourish Carolina - Study Group

EXPERIMENTAL

Group B - nutrition ( one time/week) and mental health counseling (biweekly)with Nourish Carolina for 12 weeks

Behavioral: Nutrition and Mental health counseling with Nourish Carolina

Interventions

Nutrition and Mental health counseling with a standardized format included in each session

Impact of Nourish Carolina - Control Group

Nutrition and Mental health counseling with a standardized format included in each session combined with the intervention of a 12 week immersion of mindfulness based program ,Nourish Carolina, on CMS , school district employees. Nourish Carolina inlcudes, detailed lessons and descriptions with a caledar that includes mindful eating tips, activities, meditations recipes and videos. The program has monthly themes of mindfulness,gratitude and giving

Impact of Nourish Carolina - Study Group

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • School staff members - including all grade levels and positions of elementary, middle and high schools of North Carolina
  • Must be able to attend virtual sessions scheduled visits.
  • Must be 21 years old

You may not qualify if:

  • Not an school district employee
  • Can not attend virtual session scheduled visits
  • An individual who would require a LAR

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (10)

  • Shapiro SL, Carlson LE, Astin JA, Freedman B. Mechanisms of mindfulness. J Clin Psychol. 2006 Mar;62(3):373-86. doi: 10.1002/jclp.20237.

    PMID: 16385481BACKGROUND
  • Adams T, Bezner J, Steinhardt M. The conceptualization and measurement of perceived wellness: integrating balance across and within dimensions. Am J Health Promot. 1997 Jan-Feb;11(3):208-18. doi: 10.4278/0890-1171-11.3.208.

    PMID: 10165100BACKGROUND
  • Sharma, Praveen Kumar, and Rajeev Kumra. "Relationship between Mindfulness, Depression, Anxiety and Stress: Mediating Role of Self-Efficacy." Personality and Individual Differences, vol. 186, 2022, p. 111363., https://doi.org/10.1016/j.paid.2021.111363.

    BACKGROUND
  • Sala M, Vanzhula I, Roos CR, Levinson CA. Mindfulness and Eating Disorders: A Network Analysis. Behav Ther. 2022 Mar;53(2):224-239. doi: 10.1016/j.beth.2021.07.002. Epub 2021 Aug 5.

    PMID: 35227400BACKGROUND
  • Alamout MM, Rahmanian M, Aghamohammadi V, Mohammadi E, Nasiri K. Effectiveness of mindfulness based cognitive therapy on weight loss, improvement of hypertension and attentional bias to eating cues in overweight people. Int J Nurs Sci. 2019 Dec 27;7(1):35-40. doi: 10.1016/j.ijnss.2019.12.010. eCollection 2020 Jan 10.

    PMID: 32099857BACKGROUND
  • Wilson RE, Marshall RD, Murakami JM, Latner JD. Brief non-dieting intervention increases intuitive eating and reduces dieting intention, body image dissatisfaction, and anti-fat attitudes: A randomized controlled trial. Appetite. 2020 May 1;148:104556. doi: 10.1016/j.appet.2019.104556. Epub 2020 Jan 1.

    PMID: 31901439BACKGROUND
  • Oliver A, Hooper S, Lau R, Hutchinson A. Effect of a multidisciplinary rehabilitation program for patients receiving weight management interventions on eating behaviours and health-related quality of life. Obes Res Clin Pract. 2021 May-Jun;15(3):268-274. doi: 10.1016/j.orcp.2021.03.006. Epub 2021 Mar 15.

    PMID: 33736958BACKGROUND
  • Godde JU, Yuan TY, Kakinami L, Cohen TR. Intuitive eating and its association with psychosocial health in adults: A cross-sectional study in a representative Canadian sample. Appetite. 2022 Jan 1;168:105782. doi: 10.1016/j.appet.2021.105782. Epub 2021 Nov 3.

    PMID: 34740711BACKGROUND
  • Cancelliere C, Cassidy JD, Ammendolia C, Cote P. Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BMC Public Health. 2011 May 26;11:395. doi: 10.1186/1471-2458-11-395.

    PMID: 21615940BACKGROUND
  • Penalvo JL, Sagastume D, Mertens E, Uzhova I, Smith J, Wu JHY, Bishop E, Onopa J, Shi P, Micha R, Mozaffarian D. Effectiveness of workplace wellness programmes for dietary habits, overweight, and cardiometabolic health: a systematic review and meta-analysis. Lancet Public Health. 2021 Sep;6(9):e648-e660. doi: 10.1016/S2468-2667(21)00140-7.

    PMID: 34454642BACKGROUND

Related Links

MeSH Terms

Conditions

Feeding BehaviorMental FatigueStress, PsychologicalMalnutritionNutrition DisordersFood AddictionFeeding and Eating DisordersPsychological Well-Being

Interventions

Nutritional Status

Condition Hierarchy (Ancestors)

Behavior, AnimalBehaviorFatigueSigns and SymptomsPathological Conditions, Signs and SymptomsBehavioral SymptomsNutritional and Metabolic DiseasesBehavior, AddictiveCompulsive BehaviorImpulsive BehaviorMental DisordersSigns and Symptoms, DigestivePersonal Satisfaction

Intervention Hierarchy (Ancestors)

Nutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaHealth StatusDemographyPopulation Characteristics

Study Officials

  • Kaylee Patrick, RD/LDN

    Aspire Nutrition Owner

    PRINCIPAL INVESTIGATOR
  • Cyrilla E Purnell, MPH, RD

    Program Management and Development

    STUDY DIRECTOR

Central Study Contacts

Kaylee Patrick, RD/LDN

CONTACT

Cyrilla E Purnell, MPH, RD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
The participants will know only that they have been selected for a study but not what group they are in or what the study is investigating. The administrators of the study will know what clients have been assigned the study and what participants are in the control group.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Couseling sessions provided by RDs and licensed board certified mental health professionals are trained with standard protocol and evaluated individually. Training protocol includes handbook and virtual instruction with motivational interviewing techniques like using open-ended questions. Both study and control group a counseled with standard protocol that includes weekly nutrition services and biweekly mental health services. Study group receives counseling sessions combined with Nourish Carolina program. Control group won't be taught mindfulness-based concepts. Standardized focus includes all participants are presented essential nutrition concepts. Also, nutrition and mental health mindfulness sessions will be coordinated and will compliment each other. Each week designed so that the mindful based mini-exercises outlined in Nourish Carolina will have the same theme for both nutrition and mental health sessions.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 21, 2021

First Posted

February 10, 2022

Study Start

February 2, 2022

Primary Completion

May 15, 2022

Study Completion

September 15, 2022

Last Updated

February 10, 2022

Record last verified: 2022-01

Data Sharing

IPD Sharing
Will share

The information will be made available to other researchers on the Aspire Nutrition website and will be presented at the FENCE nutrition conference next year if application is accepted

Shared Documents
STUDY PROTOCOL, ICF, CSR
Time Frame
The data will be made available October 15, 2022
Access Criteria
All inquries will be allowed access
More information