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Trial registered on ANZCTR
Registration number
ACTRN12622001322729
Ethics application status
Approved
Date submitted
5/10/2022
Date registered
12/10/2022
Date last updated
3/05/2023
Date data sharing statement initially provided
12/10/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Your Body Is Your Home: A School-Based Intuitive Eating Program for Early Adolescents
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Scientific title
Your Body Is Your Home: The Feasibility of a School-Based Intuitive Eating Program for Early Adolescents
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Secondary ID [1]
308046
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
disordered eating
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Condition category
Condition code
Mental Health
324806
324806
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0
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Eating disorders
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Public Health
324979
324979
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The present study aims to evaluate a brief intuitive eating intervention adapted for adolescents using a single-arm crossover-style design. A non-randomised control group will be used. Allocation will be done on a convenience basis; upon their recruitment schools can select to take part in the first half of the term or the second half of the term based on their own scheduling preferences. The intervention will be facilitated face-to-face in four school classrooms (2 intervention, 2 non-randomised control) by a certified intuitive eating counsellor. In total, there will be 5x 1 hour sessions delivered weekly for five weeks. No homework or out-of-hours learning will be required. The in-class lessons will cover key intuitive eating skills and emotional regulation, and self-care tools, adapted from the evidence-based intuitive eating model (Tribole & Resch, 1995) and designed to fit within Aotearoa New Zealand's Health & Physical Education (HPE) curriculum. They will be a conducted as a series of interactive activities, including lecture-style lessons, group discussions, small group/paired activities, and creative worksheets. Adherence will be measured using session attendance checklists. The facilitator will use a scripted guide in all sessions to ensure framework adherence. Students will be in classroom groups of approximately 30 and will be provided with a student workbook designed for the purposes of this study to consolidate student learning.
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Intervention code [1]
324550
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Prevention
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Comparator / control treatment
Non-randomised control groups will consist of two classrooms (group A) that will provide baseline data and have delayed access to the intervention. Group A classrooms will complete regular teacher-directed HPE lessons for the first five weeks of term (while active classroom conditions are completed) and then commence the intervention after two other classrooms (group B) have completed it. Teachers in group A will be asked to provide a brief overview of their lesson planning for the start of term so key differences can be identified between their lessons and the intervention content.
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Control group
Active
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Outcomes
Primary outcome [1]
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Intuitive eating assesed by the Early Adolescent Intuitive Eating Scale (IES-EA), an adaptation of the IES-2 (Tylka & Kroon Van Diest, 2013)
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Assessment method [1]
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Timepoint [1]
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Data will be collected at four time-points, using a crossover-style design. (1) Baseline (groups A & B), (2) five weeks after baseline (group A) or end of intervention (group B), (3) end of intervention (group A) and five weeks after intervention (group B), (4) four weeks after time-point 3 (groups A & B).
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Primary outcome [2]
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Positive body image and body satisfaction as measured by the Body Appreciation Scale (Avalos et al., 2005).
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Assessment method [2]
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Timepoint [2]
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Data will be collected at four time-points, using a crossover-style design. (1) Baseline (groups A & B), (2) six weeks after baseline (group A) or end of intervention (group B), (3) end of intervention (group A) and six weeks after intervention (group B), (4) four weeks after time-point 3 (groups A & B).
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Secondary outcome [1]
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Acceptability as measured by structured questions and a five-point Likert-type scale from 1 (strongly disagree) to 5 (strongly agree). Questions will index their attitudes towards the intervention as related to key components of feasibility research: accessibility and implementation, demand and practicality, and integration and expansion (Bowen et al., 2009).
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Assessment method [1]
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Timepoint [1]
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Secondary data will be collected at the end of the intervention (at the conclusion of the final session) for both Group A and Group B.
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Eligibility
Key inclusion criteria
Participants in this study are students and their teachers in English medium intermediate school settings. Schools are eligible for inclusion if they are located in the Auckland and Waikato regions of Aotearoa New Zealand and teach students aged 10-13 years.
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Minimum age
10
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria for data inclusion include the inability to understand English or read and respond for themselves.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
6/11/2022
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Actual
9/01/2023
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Date of last participant enrolment
Anticipated
6/01/2023
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Actual
6/02/2023
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Date of last data collection
Anticipated
28/04/2023
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Actual
27/04/2023
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Sample size
Target
100
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Accrual to date
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Final
120
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Recruitment outside Australia
Country [1]
25043
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New Zealand
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State/province [1]
25043
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Funding & Sponsors
Funding source category [1]
312303
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University
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Name [1]
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The University of Auckland
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Address [1]
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Department of General Practice & Primary Healthcare,
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country [1]
312303
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New Zealand
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Primary sponsor type
Individual
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Name
Katie Babbott
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Address
The University of Auckland
Department of General Practice and Primary Health Care
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Marion Roberts
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Address [1]
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The University of Auckland
Department of General Practice and Primary Health Care
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country [1]
313935
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
311672
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Auckland Health Research Ethics Committee
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Ethics committee address [1]
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Auckland Health Research Ethics Committee The University of Auckland Office of the Vice-Chancellor Private Bag 92019, Auckland 1142
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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26/09/2022
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Approval date [1]
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20/10/2022
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Ethics approval number [1]
311672
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AH24863
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Summary
Brief summary
Intuitive Eating (IE) is an approach to eating that is characterised by attunement to internal cues and the use of those cues as a guide for what, when, and how much to eat (Tribole & Resch, 2012; Tylka, 2006). IE posits that this attunement, a skill called interoceptive awareness, can foster an increased ability to adequately and compassionately meet one’s physical and psychological needs in a way that contributes to overall well-being. The IE framework endeavours to remove over-reliance on external cues, such as calorie tracking, and diet protocols, by encouraging an increased focus on internal cues. Cross-sectional research indicates that IE is a skill worth fostering, with considerable evidence for strong inverse relationships between IE and indices of disordered eating, including emotional eating, external eating, and binge-purge behaviours. Further, strong relationships with indicies of psychological health, including self-esteem, body image, and satisfaction with life have also been found (Lindaron et al, 2021).The IE framework is gaining popularity in health promotion in a variety of contexts (Boucher et al., 2016; Bush et al., 2014; Cole & Horacek, 2010), given longitudinal evidence that IE is protective against the development of disordered eating (Hazzard et al., 2021). The study seeks to explore whether or not a brief intuitive eating intervention may be an effective health promotion strategy for year 7 & 8 students in Aotearoa New Zealand. Key outcomes are feasibility and acceptability, so the research team is looking to gather feedback from both students and teachers to shape future iterations of the intervention which can be more robustly tested using a randomised controlled trial (RCT).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Marion Roberts
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Address
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The University of Auckland
Department of General Practice and Primary Health Care
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country
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New Zealand
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Phone
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+64 21509085
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Katie Babbott
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Address
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The University of Auckland
Department of General Practice and Primary Health Care
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country
121943
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New Zealand
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Phone
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+64 211745044
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Katie Babbott
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Address
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The University of Auckland
Department of General Practice and Primary Health Care
Faculty of Medical and Health Sciences
Building 507, Level 3
85 Park Rd
Grafton
Auckland 1023
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Country
121944
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New Zealand
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Phone
121944
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+64 211745044
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Fax
121944
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Email
121944
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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