- Title
- A three-arm randomised controlled trial of a telehealth intervention targeting improvement in addictive eating for Australian adults (the TRACE program).
- Creator
- Skinner, Janelle A.; Leary, Mark; Wood, Lisa G.; Colyvas, Kim; Collins, Clare E.; Burrows, Tracy L.; Whatnall, Megan; Collins, Rebecca A.; Pursey, Kirrilly M.; Verdejo-Garcia, Antonio; Hay, Philipa J.; Baker, Amanda L.; Hides, Leanne; Paxton, Susan J.
- Relation
- Appetite Vol. 195, Issue 1 April 2024, no. 107211
- Publisher Link
- http://dx.doi.org/10.1016/j.appet.2024.107211
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2024
- Description
- There is a substantial research base for addictive eating with development of interventions. The current 3-arm RCT aimed to investigate the efficacy of the TRACE (Targeted Research for Addictive and Compulsive Eating) program to decrease addictive eating symptoms and improve mental health. Participants (18-85 yrs) endorsing ≥3 addictive eating symptoms were randomly allocated to 1) active intervention, 2) passive intervention, or 3) control group. Primary outcome was change in addictive eating symptoms 3-months post-baseline measured by the Yale Food Addiction Scale. Depression, anxiety and stress were also assessed. A total of 175 individuals were randomised. Using Linear Mixed Models, from baseline to 3-months, there was significant improvement in symptom scores in all groups with mean decrease of 4.7 (95% CI: -5.8, -3.6; p < 0.001), 3.8 (95% CI: -5.2, -2.4; p < 0.001) and 1.5 (95% CI: -2.6, -0.4; p = 0.01) respectively. Compared with the control group, participants in the active intervention were five times more likely to achieve a clinically significant change in symptom scores. There was a significant reduction in depression scores in the active and passive intervention groups, but not control group [-2.9 (95% CI: -4.5, -1.3); -2.3 (95% CI: -4.3, -0.3); 0.5 (95% CI: -1.1, 2.1), respectively]; a significant reduction in stress scores within the active group, but not passive intervention or control groups [-1.3 (95% CI: -2.2, -0.5); -1.0 (95% CI: -2.1, 0.1); 0.4 (95% CI: -0.5, 1.2), respectively]; and the reduction in anxiety scores over time was similar for all groups. A dietitian-led telehealth intervention for addictive eating in adults was more effective than a passive or control condition in reducing addictive eating scores from baseline to 6 months. Trial registration: Australia New Zealand Clinical Trial Registry ACTRN12621001079831.
- Subject
- addictive eating; food addiction; Yale Food Addiction scale; mental health; depression; anxiety
- Identifier
- http://hdl.handle.net/1959.13/1497335
- Identifier
- uon:54318
- Identifier
- ISSN:0195-6663
- Rights
- x
- Language
- eng
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