Evaluating Environmental Control (AVOID) and Inhibitory Control (RESIST) Strategies to Improve Weight Management Outcomes
Cedars-Sinai Medical Center
Summary
The proposed randomized controlled trial tests two self-regulatory approaches to improve intentional weight loss and diet quality in individuals with overweight or obesity: (1) an environmental control strategy (AVOID) and (2) an impulse control training strategy (RESIST).
Description
Evidence-based weight management programs are effective when individuals are able to consistently adhere to recommendations. However, a large proportion of treatment-seeking individuals do not experience clinically significant weight loss. Innovative strategies are needed to optimize behavior change in weight management interventions. The proposed randomized controlled trial tests two self-regulatory approaches to improve intentional weight loss and diet quality in individuals with overweight or obesity: (1) an environmental control strategy (AVOID) and (2) an impulse control training strategy…
Eligibility
- Age range
- 14+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria (Main participants): * Age 18 years or older * BMI between 25-45 kg/m2 * Read, write, and speak English with acceptable visual acuity * Has a household member (≥ 14 years) willing to complete three brief assessments over 12 months\* \*Only applies to individuals who indicate they are cohabitating with at least one eligible household member Inclusion Criteria (Household participants): * 14-years-old * Parent consent for children \<18-years-old * Willingness to complete assessments / measurements Exclusion Criteria (Main participants): * Currently enrolled in weight loss…
Interventions
- BehavioralHome food environment and grocery delivery (AVOID)
Participants (Arms 2 \& 4) will receive 6 months of coaching (Zoom and/or email/text) to modify their home food environment and alter cues to promote healthy food choices
- BehavioralInhibitory control training (RESIST)
Participants assigned to RESIST (Arms 3 \& 4) will receive 6 months of coaching (Zoom and/or email/text) and gamified inhibitory control training.
- BehavioralWW
Participants assigned to all arms will receive 6 months of coaching (Zoom and/or email/text) and commercially-available weight management program focusing on diet, physical activity and mindset skills.
Location
- Cedars-Sinai Medical CenterLos Angeles, California