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Practical Awareness-Based Strategies for Eating (PASE): A Pilot and Feasibility Randomized Trial.
David Arterburn1, Robin Garcia1, Dori Rosenberg1
1Health Research Institute Kaiser Permanente Washington Seattle Washington USA.
Obesity Science & Practice
|February 14, 2025
Summary
This study shows the Eat Right Now (ERN) mindfulness intervention is feasible for weight loss, with both coached and uncoached groups reducing reward eating. High retention and data capture are key for future obesity interventions.
Area of Science:
- Behavioral Science
- Digital Health
- Obesity Research
Background:
- Few obesity interventions target reward-related eating behaviors.
- The mobile health mindfulness-based intervention Eat Right Now (ERN) was developed to address reward eating.
- ERN's feasibility as a weight loss intervention requires testing.
Purpose of the Study:
- To gather 6-month pilot and feasibility data on the ERN intervention.
- To compare ERN used alone versus ERN with asynchronous coaching for weight loss.
- To assess the impact of ERN on reward-related eating.
Main Methods:
- A 6-month, two-arm pilot randomized trial.
- 20 adults with BMI ≥ 25 kg/m² were randomized to ERN alone or ERN plus coaching.
- Weight loss was measured using Wi-Fi-enabled digital scales.
Main Results:
- 17 out of 20 participants (85%) completed the 6-month intervention.
- Coached ERN participants achieved 4.3% weight loss; uncoached participants achieved 3.6% weight loss.
- Participants in both groups reported decreased reward-related eating.
Conclusions:
- The ERN intervention is feasible and acceptable for most participants, with or without coaching.
- The study demonstrates potential for ERN in weight management and reducing reward eating.
- Future research should focus on improving participant retention and data capture rates.
