An interventional study of Single-session acceptance-based online workshop targeting food cravings as predictors of loss of control and binge eating in pregnancy in Pregnancy Weight Gain, Eating Disorders and Perinatal Problems, sponsored by University at Albany. Status unknown. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-13.
Sponsored by University at Albany · Not applicable, Interventional, and Treatment
Pregnancy is a time of heightened risk for disordered eating behaviors, which have been linked to adverse health outcomes in gestation, delivery, and the postpartum. These adverse outcomes may at least in part be mediated by greater risk of deviation from recommended gestational weight gain trajectories, especially in those engaged in binge and loss of control eating. This study will explore the efficacy of a single-session, self-guided online acceptance-based intervention targeting food cravings as powerful and modifiable predictors of binge and LOC eating in pregnancy.
Pregnancy is a time of heightened risk for disordered eating behaviors, which have been linked to a range of adverse health outcomes in pregnancy, delivery, and the postpartum. These adverse outcomes may at least in part be mediated by greater rates of deviation from recommended weight gain trajectories, especially in those engaged in binge and loss of control eating. Food cravings are powerful triggers of binge and loss of control eating in non-pregnant populations with preliminary evidence linking cravings to disordered eating behaviors and greater weight gain in pregnancy as well. This study builds on preliminary evidence to suggest that acceptance-based approaches are effective in reducing the adverse impacts of cravings on behavior by exploring the efficacy of a single-session, self-guided online acceptance-based intervention targeting food cravings in pregnant participants as predictors of maladaptive eating behaviors and deviations from recommended gestational weight gain trajectories.
The efficacy of a single-session, self-guided online acceptance-based intervention targeting food cravings in pregnant participants will be examined in a randomized controlled trial. Pregnant individuals in the second trimester (n = 130) who endorse current cravings will be randomly assigned to the intervention or an untreated control group. The intervention group will participate in a single-session, self-guided online workshop imparting skills grounded in Acceptance and Commitment Therapy, including acceptance, defusion, and present-moment awareness. Both groups will complete comprehensive assessments at baseline, one-month follow-up, and at full-term. The results of this initial efficacy trial will inform the integration of acceptance-based self-guided health coaching targeting food cravings into routine prenatal care to prevent adverse outcomes associated with disordered eating behaviors in pregnancy.
123 studies on the registry are indexed under Gestational Weight Gain; 20 are open to participants now.
This study's planned enrollment of 130 is above the median of 108 across 103 interventional studies indexed under Gestational Weight Gain.
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Exclusion Criteria:
The intervention group will participate in a single-session, self-guided online intervention imparting skills grounded in Acceptance and Commitment Therapy. The one-hour workshop guides participants through evidence-based exercises, brief video clips, and reflection activities designed to clarify values and teach skills to foster acceptance, defusion, and present-moment awareness.
Behavioral: Single-session acceptance-based online workshop targeting food cravings as predictors of loss of control and binge eating in pregnancy
Participants in the control group will not receive any intervention; they will complete assessments on the same schedule as the intervention group (baseline, 1 month, at full term)
Participants in the intervention will learn acceptance-based strategies for reducing the adverse impact of food cravings on eating behaviors. Unlike control-based strategies, acceptance-based strategies do not attempt to change the content or frequency of thoughts; rather, they foster willingness to acknowledge and experience uncontrollable thoughts, urges, and emotions as what they are - nothing more, nothing less. Acceptance-based approaches have demonstrated efficacy in reducing the adverse impact of food cravings on eating behaviors in non-pregnant samples.
Prenatal Eating Behaviors Screening Tool
Eating disorder symptoms, including frequency of binge and loss-of-control eating
Time frame: From study entry in 2nd trimester of pregnancy through delivery
Gestational weight gain
Deviations from recommended gestational weight gain trajectories (in U.S. lbs)
Time frame: From study entry in 2nd trimester of pregnancy through delivery
Food Craving Questionnaire - Trait - Reduced
Frequency and intensity of food craving experiences
Time frame: From study entry in 2nd trimester of pregnancy through delivery
Food Craving Acceptance and Action Questionnaire
Acceptance of and willingness to experience food cravings
Time frame: Assessed at baseline and 1-month post-intervention
Obsessive Compulsive Eating Scale
Intrusive thoughts and urges related to a craved target
Time frame: Assessed at baseline and 1-month post-intervention
White Bear Suppression Inventory
Thought suppression
Time frame: Assessed at baseline and 1-month post-intervention
Detail and Flexibility Questionnaire
Cognitive flexibility
Time frame: Assessed at baseline and 1-month post-intervention
No study locations are listed for this record.
Plan to share: Undecided — Deidentified and aggregate data may be made available to other researchers upon reasonable request.
This study is status unknown, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.
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University at Albany