Targeting Binge Eating to Prevent Weight Gain in College Students

针对暴饮暴食以防止大学生体重增加

• 批准号: 8288526
• 负责人: RUTH Striegel Weissman
• 金额: $ 49.23万
• 依托单位: WESLEYAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8288526
• 关键词: 12 year old; Academic Research Enhancement Awards; Address; Adherence; Affect; Aftercare; Age; Behavior; Behavioral; Binge Eating; Clinical Trials; Cognitive Therapy; Communities; Complex; Control Groups; Counseling; Data; Development; Eating; Eating Disorders; Electronics; Energy Intake; Enrollment; Environment; Ethnic Origin; Evidence based intervention; Gender; Goals; Health behavior; Height; Home environment; Hyperphagia; Individual; Intervention; Interview; Life; Life Style; Longevity; Manuals; Manuscripts; Measures; Modality; Obesity; Participant; Pattern; Policies; Population; Population Study; Preparation; Prevalence; Prevention; Prevention Research; Prevention program; Printing; Procedures; Professional counselor; Public Health; Race; Randomized; Randomized Clinical Trials; Recruitment Activity; Recurrence; Reporting; Research; Research Design; Research Ethics; Research Priority; Research Technics; Research Training; Risk; Risk Factors; Schools; Statistical Methods; Strategic Planning; Students; Subgroup; Supervision; Training Programs; Training and Education; United States; United States National Institutes of Health; Weight; Weight Gain; Wit; Woman; Work; age group; base; clinically significant; college; effective therapy; efficacy testing; evidence base; experience; follow-up; high risk; implementation research; innovation; interest; men; modifiable risk; obesity prevention; peer; prevent; primary outcome; programs; response; satisfaction; secondary outcome; self help; social; success; therapy design; undergraduate student; university student; uptake; weight gain prevention; young adult

DESCRIPTION (provided by applicant): Obesity is a major public health concern. Because obesity is widely prevalent, leads to a myriad of personal and social burdens and, once developed, is difficult to treat, experts emphasize the need for prevention. Among the recommended strategies enumerated in the NIH Strategic Plan for Obesity Research are interventions that target developmental periods of high risk and seek to modify known risk factors for obesity development. Young adulthood represents a developmental period of special risk for weight gain and obesity. Binge eating (overeating with loss of control) is an important modifiable risk factor for obesity development. Binge eating is common in young adults across gender and race/ethnicity groups: about 10% report binge eating at least 1/week. Nationally, about 40% (> 12 million) of 18- to 24- years-olds attend college, making colleges an opportune environment for reaching at-risk individuals. Consistent with the goals of the R15 mechanism, this application proposes to a) gather pilot data about the feasibility, acceptability, and efficac of an evidence-based, peer-guided self-help (PGSH) program targeting binge eating to prevent student weight gain; b) develop research and intervention materials that are suited in content and delivery to the college lifestyle; and c) provide meaningful research involvement for undergraduates. To achieve these aims, we propose a randomized clinical trial testing the efficacy of an eight-session PGSH program targeting binge eating regarding two primary outcomes (cessation of binge eating and change in BMI since randomization) and several secondary outcomes at post-treatment and a six- month follow-up. We plan to recruit men and women from a community college (50%) and a four-year college for randomizing 132 students who report recurrent binge eating into PGSH or pure self-help treatment. Primary outcomes will be measured with rigorous interview (binge eating) and objective (BMI) measures. Program materials will be adapted to reflect an integration of strategies from the obesity and eating disorder fields regarding healthy eating. Upper-class undergraduates will undergo rigorous research training and serve as peer assessors or guides on the study. As an initial step toward our longer-term interest in dissemination/implementation research, this proof of concept study also will examine fidelity of the peer-administered intervention and participants' satisfaction wit PGSH. The innovation derives from applying a proven binge eating treatment to a new target, weight gain prevention; adapting the treatment to peer guidance, a mode of delivery conducive to uptake and broad implementation across campuses; tailoring program content to address unhealthy eating patterns common among college students; and including community college students, a population largely ignored in prior obesity prevention research. Our study will advance public health by creating an evidence-based, targeted, and scalable, highly disseminable obesity prevention program and by educating undergraduate students in health behavior research and evidence based interventions. PUBLIC HEALTH RELEVANCE: This research generates feasibility, acceptability and efficacy data for a peer-guided self-help program targeting binge eating, a modifiable risk factor for obesity development, to prevent weight gain in college students. Young adults are a high risk group for excess weight gain and binge eating is common in this age group (~10%). Annually, over 12 million 18 to 24-year-olds attend college, making colleges an ideal environment for reaching large numbers of at-risk individuals. The proposed work advances public health by developing and evaluating a new strategy for targeted prevention of obesity in young adults who binge eat, a group especially likely to experience rapid and significant weight gain.

描述（由申请人提供）：肥胖是一个主要的公共卫生问题。由于肥胖广泛流行，导致无数的个人和社会负担，一旦发展，很难治疗，专家强调需要预防。在NIH肥胖研究战略计划中列举的建议策略中，有针对高风险发育期的干预措施，并寻求改变已知的肥胖发展风险因素。青年期是体重增加和肥胖的特殊风险的发育期。暴饮暴食（暴饮暴食，失去控制）是肥胖发展的一个重要的可改变的风险因素。暴饮暴食在不同性别和种族/民族的年轻人中很常见：大约10%的人报告暴饮暴食至少每周1次。在全国范围内，大约40%（> 1200万）的18至24岁的人上大学，使大学成为接触高危人群的有利环境。与R15机制的目标相一致，本申请提出：a）收集关于针对暴饮暴食以防止学生体重增加的循证、同伴引导自助（PGSH）计划的可行性、可接受性和有效性的试点数据; B）开发内容和交付适合大学生活方式的研究和干预材料;以及c）为本科生提供有意义的研究参与。为了实现这些目标，我们提出了一项随机临床试验，旨在测试针对暴饮暴食的八次PGSH计划在两个主要结局（自随机化以来暴饮暴食的停止和BMI的变化）以及治疗后和6个月随访时的几个次要结局方面的疗效。我们计划从一所社区大学（50%）和一所四年制大学招募男性和女性，随机抽取132名报告经常暴饮暴食的学生进行PGSH或纯自助治疗。主要结局将通过严格的访谈（暴饮暴食）和客观（BMI）指标进行测量。计划材料将进行调整，以反映肥胖和饮食失调领域关于健康饮食的战略整合。高年级的本科生将接受严格的研究培训，并担任同行评审或指导研究。作为我们对传播/实施研究的长期兴趣的第一步，这项概念验证研究还将检查同侪管理干预的保真度和参与者对PGSH的满意度。这项创新源于将一种经过验证的暴食治疗应用于一个新的目标，即预防体重增加;使治疗适应同伴指导，这是一种有利于在校园内吸收和广泛实施的模式;定制计划内容，以解决大学生中常见的不健康饮食模式;包括社区大学生，这是一个在以前的肥胖预防研究中基本上被忽视的人群。我们的研究将通过创建一个基于证据的，有针对性的，可扩展的，高度传播的肥胖预防计划，并通过教育本科生健康行为研究和基于证据的干预措施来促进公共卫生。 公共卫生关系：这项研究产生了可行性，可接受性和有效性的数据，为同行指导的自助计划，针对暴饮暴食，肥胖发展的一个可改变的风险因素，以防止体重增加的大学生。年轻人是体重过度增加的高危人群，在这个年龄组中暴饮暴食很常见（约10%）。每年有超过1200万18至24岁的人上大学，使大学成为接触大量高危人群的理想环境。这项拟议的工作通过开发和评估一种新的策略来促进公共卫生，该策略用于有针对性地预防暴饮暴食的年轻人肥胖，这是一个特别可能经历快速和显着体重增加的群体。