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Exploring the Relationship Between the How to Eat Intervention and Eating Competence Among Repeat Dieters
Cristen Harris1, Ellyn Satter2
1Food Systems, Nutrition, and Health Program and Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA 98195, USA.
The "How to Eat" program improved Eating Competence (EatC) and reduced eating disturbances in adults, including those with a history of dieting, without significant weight changes. This intervention shows promise for employee wellness settings.
Area of Science:
- Behavioral Science
- Nutrition Science
- Psychology
Background:
- The
- How to Eat
- intervention was designed to foster Eating Competence (EatC) and address disordered eating patterns stemming from chronic dietary restraint or repeated dieting attempts.
- The program was implemented over 12 years as an employee wellness initiative in two Midwestern US locations (hospital and university).
Purpose of the Study:
- To evaluate the effectiveness of the 10-session
- How to Eat
- intervention in improving Eating Competence (EatC) and reducing eating disturbances.
- To assess the intervention's impact on body weight among adult employees.
Main Methods:
- Adult employees from a hospital and a university voluntarily participated after screening.
- Pre- and post-intervention assessments included the Eating Competence (EatC) measure, the Eating Attitudes Test (EAT-26), and body weight.
- Data were collected over a 12-year period across two distinct worksite settings.
Main Results:
- Significant increases in EatC scores (p < 0.001) and decreases in EAT-26 scores (p < 0.001) were observed in both hospital and university settings.
- Participants in both settings showed strong effect sizes for changes in EatC and EAT-26 scores.
- Mean body weight remained within ±5% of pre-intervention levels at both sites, indicating no significant weight impact.
Conclusions:
- The
- How to Eat
- intervention is associated with clinically significant improvements in EatC and reductions in eating disturbances among individuals with a history of dieting.
- The findings support the efficacy of the intervention within employee wellness programs and suggest potential for broader application.
- Further research with diverse populations and additional outcome measures is warranted to confirm these positive results.
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