Arterburn David, Garcia Robin, Rosenberg Dori, Johnson Eric, Mettert Kayne, Ng Janet, Brewer Judson
Health Research Institute Kaiser Permanente Washington Seattle Washington USA.
Bariatric Surgery Program Kaiser Permanente Washington Bellevue Washington USA.
Obes Sci Pract. 2025 Feb 12;11(1):e70052. doi: 10.1002/osp4.70052. eCollection 2025 Feb.
Few prior interventions for obesity have focused on reward-related eating. Researchers developed a mobile health mindfulness-based intervention, Eat Right Now (ERN), for improving reward related eating; ERN has not yet been feasibility tested as a weight loss intervention.
To obtain 6-month pilot and feasibility data in patients using the ERN intervention alone or with asynchronous coaching.
A 6-month, two-arm pilot and feasibility randomized trial was conducted involving 20 adults with a BMI ≥ 25 kg/m recruited from Kaiser Permanente Washington. Participants were randomized to ERN alone or ERN plus individualized coaching. Weight loss was assessed via a Wi-Fi-enabled digital scale.
Among the 20 randomized participants, 17 (85%) started the intervention and remained enrolled in six months. Among these, 82% (14/17) had weight data captured by a Wi-Fi scale and 70.5% (12/17) completed follow-up questionnaires at the 6-month time point. The coached ERN participants had 4.3% weight loss (95% confidence interval (CI): 2.3%, 6.3%) and uncoached participants had 3.6% weight loss (95% CI: 1.2%, 5.9%). Participants in both approaches reported reductions in reward-related eating.
This pilot randomized trial of ERN demonstrates the feasibility and acceptability of the intervention for the majority of both the coached and uncoached groups. Further efforts are needed to ensure high retention and data capture in future studies.
以往针对肥胖的干预措施很少关注与奖励相关的饮食。研究人员开发了一种基于移动健康正念的干预措施“立即正确饮食”（ERN），以改善与奖励相关的饮食；ERN作为一种减肥干预措施尚未进行可行性测试。
获取仅使用ERN干预或结合异步指导的患者6个月的试点和可行性数据。
进行了一项为期6个月的双臂试点和可行性随机试验，纳入了20名从华盛顿凯撒医疗集团招募的体重指数（BMI）≥25kg/m²的成年人。参与者被随机分为单独使用ERN组或ERN加个性化指导组。通过支持Wi-Fi的数字秤评估体重减轻情况。
在20名随机分组的参与者中，17名（85%）开始了干预并在6个月内持续参与。其中，82%（14/17）的体重数据由Wi-Fi秤记录，70.5%（12/17）在6个月时间点完成了随访问卷。接受指导的ERN参与者体重减轻了4.3%（95%置信区间（CI）：2.3%，6.3%），未接受指导的参与者体重减轻了3.6%（95%CI：1.2%，5.9%）。两种方法的参与者都报告与奖励相关的饮食有所减少。
这项ERN的试点随机试验证明了该干预措施在大多数接受指导和未接受指导的组中的可行性和可接受性。未来的研究需要进一步努力以确保高保留率和数据获取。
