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WithdrawnNCT05581095Updated May 7, 2026

Empowering Mindfulness, Body Respect, and Compassionate Eating Among Women Who Binge Eat During Pregnancy

An interventional study of Mindful Eating Self-Help Program and Mindful Eating Smartphone Application (Am I Hungry? Virtual Coach) in Pregnancy and Binge Eating, sponsored by University of North Carolina, Charlotte. Withdrawn at 1 site in United States. Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-07.

Sponsored by University of North Carolina, Charlotte · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Insufficient enrollment - currently revisiting and updating study eligibility criteria - plan to shift the project to focus on the postpartum period
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Primary Study Aims:

  1. To evaluate the feasibility, acceptability, and preliminary efficacy of a 10-week mindful eating self-help program for women who binge eat during pregnancy. Primary efficacy targets will include measures of mindful eating and binge eating. Secondary efficacy targets will involve measures of body image and well-being.
  2. To evaluate the incremental utility of adding use of a companion mindful eating smart phone application for enhancing the acceptability and preliminary efficacy of the program.
  3. To gain insights into ways in which this program may be better tailored to the experiences of pregnancy for future program adaptation and refinement.
Read the detailed description

Research suggests that binge eating during pregnancy may adversely impact maternal-child health and well-being. For example, clinical evidence cites binge eating as a risk factor for increased gestational weight gain, cesarean delivery, giving birth to infants who are large for gestational age (LGA), and is associated with additional maternal susceptibility for cardiometabolic dysregulation and its complications at this critical maturational period . Nevertheless, surprisingly despite the growth in epidemiological investigations of eating disorders during pregnancy, no studies to date have specifically evaluated a behavioral intervention during pregnancy to address binge eating concerns within this population. Therefore, there is significant need to address this gap in order to develop, evaluate, and disseminate evidence-based behavioral interventions for women struggling with binge eating during pregnancy. One growing area of scholarship is implementing self-help approaches as a means of increasing availability to evidence-based behavioral health interventions for individuals who may not otherwise be able to access these treatments. At the same time, interventions that incorporate mindful eating have recently shown promise as an effective intervention for reducing binge eating and overeating in a wide range of clinical and community samples. These interventions most often conducted over a period ranging between 6-20 weeks of varying formats (e.g., group, in-person versus combination with remote support, etc.), and intensities (e.g., weekly versus bi-weekly, etc.), typically introduce participants to the concepts of mindfulness, provide opportunities to engage in mindfulness meditation practices, apply mindfulness skills to the process of eating via eating-related meditations and other similar exercises including appetite awareness training and encourage between-session home practice. The Am I Hungry? Mindful Eating Program for Binge Eating was used as a model for the present study. In the original pilot investigation a sample of women with binge eating disorder engaged in a 10-week group mindful eating-based treatment program. Results indicated significant reductions in binge eating severity and psychological distress by the final assessment period which were sustained at 1-year follow-up. We have adapted this approach in order to evaluate it in a guided self-help format with and without access to a companion smartphone application and among other things to directly assess not only changes in binge eating but also those related to more adaptive eating processes such as mindful and intuitive eating styles.

02

Conditions studied

  • Pregnancy
  • Binge Eating

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03

In context

Bulimia

319 studies on the registry are indexed under Bulimia; 53 are open to participants now.

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Lead sponsor

University of North Carolina, Charlotte is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • female (assigned sex at birth)
  • able to read and write in English
  • between the ages of 18-40
  • lives in the United States
  • between 13-16 weeks pregnant (gestation) with a singleton
  • owns an iPhone or iPad
  • reports engaging in recurrent binge eating (i.e., reporting engaging in at least 1 binge eating episode per week for the last 28 days according to the EDE-Qi)
  • has access to a computer or tablet with Internet
  • being regularly followed by a healthcare provider during their pregnancy

Exclusion criteria

Exclusion Criteria:

  • reports current smoking or substance abuse
  • reports elevated depression (i.e., a score of 13 or higher on the EPDS)
  • reports current suicidal ideation (assessed on the EPDS)
  • reports anorexia, purging or compensatory behavior (both assessed on the EDE-Qi)
  • reports a history of being hospitalized for mental health treatment in the last 6 months
  • reports use of medications that are taken to affect appetite or metabolism (e.g., insulin)
  • is currently in therapy for treating binge eating
  • reports serious cardiovascular morbidity (e.g., hypertension)
  • reports uncontrolled or untreated thyroid disease
  • reports a history of 3 or more miscarriages, weakened cervix, or persistent bleeding during the first 12 weeks of pregnancy
  • reports being unable to commit to participate fully in the 10-week program (i.e., read from the self-help book weekly, utilize the smartphone application daily, submit weekly logs of their experiences)
  • individuals seeking a dieting approach to weight management during pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Mindful Eating Self-Help Book Only

    Participants will be invited to read about and practice a variety of mindful eating-related strategies over the course of 10 weeks based on Dr. Michelle May \& Dr. Kari Anderson's self-help book entitled, "Eat What You Love, Love What You Eat for Binge Eating". Participants will also be asked to complete a weekly electronic log describing their experiences with the weekly mindfulness-based practices.

    Behavioral: Mindful Eating Self-Help Program

  • Experimental
    Mindful Eating Self-Help Book + Smartphone App

    Participants will be invited to read about and practice a variety of mindful eating-related strategies over the course of 10 weeks based on Dr. Michelle May \& Dr. Kari Anderson's self-help book entitled, "Eat What You Love, Love What You Eat for Binge Eating". In addition, participants will be asked to use the companion Am I Hungry? Mindful Eating Virtual Coach smartphone application three times daily. Participants will also be asked to complete a weekly electronic log describing their experiences with the weekly mindfulness-based practices.

    Behavioral: Mindful Eating Self-Help Program · Behavioral: Mindful Eating Smartphone Application (Am I Hungry? Virtual Coach)

Interventions

  • BehavioralMindful Eating Self-Help Program

    10-week exposure to mindful eating principles and practices outlined in the Eat What You Love, Love What You Eat for Binge Eating book

  • BehavioralMindful Eating Smartphone Application (Am I Hungry? Virtual Coach)

    10-week exposure to using a mindful eating mobile phone application daily.

06

What researchers measure

Primary outcomes

  1. Enrollment

    percent enrollment within 6 months of opening recruitment

    Time frame: 6 months after opening enrollment

  2. Attrition

    percent of participants who dropped out

    Time frame: throughout the 10-week program

  3. Program Satisfaction

    participant satisfaction questionnaire

    Time frame: after week 10

  4. App Usability

    app usability questionnaire

    Time frame: after week 10

  5. Mindful Eating

    Mindful Eating Inventory (MEI)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

  6. Binge Eating

    Eating Disorders Examination-Questionnaire with Instructions (EDE-Qi)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

  7. Intuitive Eating

    Intuitive Eating Scale-2 (IES-2)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

Secondary outcomes

  1. Body Image

    Body Image in Pregnancy Scale (BIPS)

    Time frame: baseline, after week 5 (midpoint), after week 10 (post-program)

  2. General Well-being

    General Well-being: Warwick-Edinburgh Mental Well-being Scale (WEMWBS)

    Time frame: baseline, after week 5 (midpoint), after week 10 (post-program)

  3. COVID-19-related Well-being

    Perinatal COVID-19-related Well-being (COPE-IU)

    Time frame: baseline, after week 5 (midpoint), after week 10 (post-program)

  4. Mindful Self-Care

    Mindful Self-Care Scale (MSCS)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

  5. Weight Bias Internalization

    Weight Bias Internalization Scale-Modified (WBIS-M)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

  6. Physical Activity

    International Physical Activity Questionnaire-Short Form (IPAQ-SF)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

  7. Depression

    Edinburgh Postnatal Depression Scale (EPDS)

    Time frame: baseline, after week 5 (midpoint), after week 10 (immediate post)

07

Study locations

1 site
  • UNC Charlotte
    Charlotte, North Carolina 28223, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05581095
Lead sponsor
University of North Carolina, Charlotte
Responsible party
Jennifer B. Webb, Ph.D. (Associate Professor, University of North Carolina, Charlotte) — Principal investigator
First posted
Oct 14, 2022
Start date
Feb 11, 2024
Primary completion
Mar 10, 2024
Completion
Mar 10, 2024
Last update
May 7, 2026

Study contacts

Jennifer B Webb, PhD
principal investigator · UNC Charlotte
V Gil-Rivas, PhD
principal investigator · UNC Charlotte

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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