An evidence-based gamified mHealth intervention for overweight young adults with maladaptive eating habits: study protocol for a randomized controlled trial

Autor: Ana Cosmoiu, Liviu A. Fodor, Ioana R. Podina, Rareș Boian
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Health Knowledge
Attitudes
Practice
Time Factors
Emotions
Medicine (miscellaneous)
Overweight
law.invention
Study Protocol
Habits
0302 clinical medicine
Cognition
Randomized controlled trial
Clinical Protocols
law
Adaptation
Psychological
Pharmacology (medical)
030212 general & internal medicine
Bulimia
mHealth
Craving
education.field_of_study
lcsh:R5-920
Evidence-Based Medicine
digestive
oral
and skin physiology
Age Factors
Emotional eating
Gamification
Mobile Applications
Telemedicine
Treatment Outcome
Research Design
medicine.symptom
lcsh:Medicine (General)
Clinical psychology
Population
CBT
03 medical and health sciences
Intervention (counseling)
Weight Loss
medicine
Humans
education
Exercise
Maladaptive
030109 nutrition & dietetics
Binge eating
Cognitive Behavioral Therapy
business.industry
Romania
Feeding Behavior
Self Care
Mood
Video Games
business
Cell Phone
Young adults
Zdroj: Trials
Trials, Vol 18, Iss 1, Pp 1-14 (2017)
ISSN: 1745-6215
Popis: Background Cognitive behavior therapy (CBT) is the first-line of treatment for overweight and obesity patients whose problems originate in maladaptive eating habits (e.g., emotional eating). However, in-person CBT is currently difficult to access by large segments of the population. The proposed SIGMA intervention (i.e., the Self-help, Integrated, and Gamified Mobile-phone Application) is a mHealth intervention based on CBT principles. It specifically targets overweight young adults with underlying maladaptive behaviors and cognitions regarding food. The SIGMA app was designed as a serious game and intended to work as a standalone app for weight maintenance or alongside a calorie-restrictive diet for weight loss. It uses a complex and novel scoring system that allows points earned within the game to be supplemented by points earned during outdoor activities with the help of an embedded pedometer. Methods/design The efficacy of the SIGMA mHealth intervention will be investigated within a randomized, placebo-controlled trial. The intervention will be set to last 2 months with a 3-month follow-up. Selected participants will be young overweight adults with non-clinical maladaptive eating habits embodied by food cravings, binge eating, and emotional eating. The primary outcomes will be represented by changes in (1) self-reported maladaptive thoughts related to eating and body weight, (2) self-reported maladaptive eating behaviors in the range of urgent food cravings, emotional eating or binge eating, (3) as well as biased attentional processing of food items as indexed by reaction times. Secondary outcomes will be represented by changes in weight, Body Mass Index, general mood, and physical activity as indexed by the number of steps per day. Discussion Through an evidence-based cognitive behavioral approach and a user-friendly game interface, the SIGMA intervention offers a significant contribution to the development of a cost-effective and preventive self-help tool for young overweight adults with maladaptive eating habits. Trial registration ISRCTN, ID: 70907354. Registered on 6 February 2017. The ISRCTN registration is in line with the World Health Organization Trial Registration Data Set. The present paper represents the original version of the protocol. Any changes to the protocol will be communicated to ISRCTN. Electronic supplementary material The online version of this article (doi:10.1186/s13063-017-2340-6) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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