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Completed

NCT Number: NCT03273491

Self-Weighing: an Ecological Momentary Assessment

The primary objective of this study is to experimentally test the momentary and more distal psychological effects of daily self weighing as compared to an active control group.

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Key information

Age range

18 year–26 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

University of Delaware

Newark, Delaware, 19711, United States

About this study

Two significant public health problems, obesity and eating disorders, are prevalent during emerging adulthood, a unique stage of life between ages 18 and 25. Over half of emerging adults experience weight gain and/or disordered eating (e.g. overly restrictive dieting, binge eating); both of which contribute to obesity. Because many emerging adults attend college, the college community represents a viable population for implementing interventions to prevent weight gain, while not triggering disordered eating.

A promising strategy for preventing weight gain during college is daily self-weighing, an example of behavioral self-monitoring, an evidence-based strategy for weight control. Self-monitoring is fundamental to behavior change: feedback allows the user to evaluate progress in relation to a goal and modify behavior. Despite self-monitoring being recommended, some evidence suggests that self-monitoring strategies, self-weighing in particular, may have unintended psychological consequences; the concern being that negative mood states could precipitate disordered eating. Alternatively, other evidence suggests positive psychological outcomes related to daily self-weighing in young adults.

Technological advances have allowed for users to track personal health information in real time. Given that 60% of U.S. adults track weight, diet, or exercise, and 92% of adults aged 18-34 own a smartphone, electronic self-monitoring is feasible in this population. What is less known is individuals' psychological and behavioral response to self-monitoring. This original, important study will contribute to the fields of obesity and eating disorders and experimentally test the psychological effects of this daily weight-control intervention.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female
  • Between the ages of 18 and 26
  • UD student
  • Owns a smart phone
  • If participant does not currently have an eating disorder or has never had one in the past

Exclusion criteria

  • If participant currently has an eating disorder or has had one in the past
  • If participant answers "yes" to 3 or more items in SCOFF

Treatment and study plan

daily self-weighing

Behavioral

Participants are provided with a wifi-enabled scale and asked to weigh themselves daily, first thing in the morning.

daily temperature-taking

Behavioral

Participants are provided with a wifi-enabled thermometer and asked to take their temperature daily, first thing in the morning.

Primary outcomes

  1. psychological response to daily self-weighing

    Time frame: 3 Months

    • Daily self-weighing will result in significantly greater reactivity than daily-temperature-taking
    • There will be no significance in mood ratings between daily self-weighing and daily temperature-taking groups for EMA recordings later in the day.
    • The daily self-weighing group will report significantly more weight control behaviors at the end of the day as compared to the daily temperature-taking group.

Secondary outcomes

  1. Identify moderators of response to daily self-weighing in a college-aged female population

    Time frame: 3 Months

    • Participants with lower baseline dietary restraint scores will experience significantly greater success in preventing weight gain over 3 months in response to daily self-weighing as compared to daily temperature-taking, in comparison to those with higher baseline dietary restraint scores
    • Participants with higher baseline body satisfaction, lower body consciousness, and higher-self esteem will have significantly more favorable reactions to daily self-weighing, both in terms of momentary mood and prevention of weight gain over 3 months
    • Baseline weight status will moderate the effectiveness of daily self-weighing as a weight gain prevention tool, such that it will work significantly better for overweight patients.

Sponsors and collaborators

Lead sponsor

University of Delaware

Other

Registry information

Official study title

Self-weighing's Psychological Effects: a Randomized Controlled Trial Using Ecological Momentary Assessment

Acronym: SWEMA

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Sep 6, 2017
Registry last updated
Oct 4, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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