Trial Outcomes & Findings for Neuronal and Behavioral Effects of Implicit Priming in Obese Individuals (NCT NCT02347527)

NCT ID: NCT02347527

Last Updated: 2022-09-07

Results Overview

Food image ratings (high-calorie foods) change from baseline, measured within 10 minutes post-intervention. Food images are rated on "desire to eat" by visual analogue scale (0-100; higher scores mean greater desire to eat). Negative values indicate reduced scores post-intervention compared to baseline, with greater numbers indicating greater reduction.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

92 participants

Primary outcome timeframe

Baseline to within 10 minutes post-intervention

Results posted on

2022-09-07

Participant Flow

For the "Behavioral-Only" sample, participants were recruited via flyer advertisement in Aurora, CO, between May 2013 and March 2014. For the "MRI" sample, participants were recruited via email and flyer advertisement in Aurora, CO, between May 2015 and August 2019.

47 participants were in the "MRI sample" and 45 were in the "Behavioral-only sample," for a total of 92 unique study participants.

Participant milestones

Participant milestones
Measure
Active Implicit Priming (MRI Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the priming intervention during fMRI scanning. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. This group completed the priming intervention during fMRI scanning. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Overall Study
STARTED
25
22
23
22
Overall Study
Completed Intervention
24
21
23
22
Overall Study
Included in Analyses
22
19
22
20
Overall Study
COMPLETED
22
19
22
20
Overall Study
NOT COMPLETED
3
3
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Implicit Priming (MRI Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the priming intervention during fMRI scanning. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. This group completed the priming intervention during fMRI scanning. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Overall Study
MRI not completed due to technical difficulties
1
0
0
0
Overall Study
MRI stopped due to participant anxiety
0
1
0
0
Overall Study
Excluded from analyses due to excess movement during MRI scan
1
1
0
0
Overall Study
Excluded from analyses due to technical difficulties during the study visit
1
0
1
2
Overall Study
Excluded from analyses due to non-compliance with study procedures
0
1
0
0

Baseline Characteristics

Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Implicit Priming (MRI Sample)
n=22 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the intervention during fMRI scan. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
n=19 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. This group completed the intervention during fMRI scan. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
n=22 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
n=20 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Total
n=83 Participants
Total of all reporting groups
Age, Continuous
41.5 years
STANDARD_DEVIATION 14.4 • n=22 Participants
37.3 years
STANDARD_DEVIATION 13.6 • n=19 Participants
30.7 years
STANDARD_DEVIATION 6.0 • n=22 Participants
35.1 years
STANDARD_DEVIATION 11.88 • n=20 Participants
36.15 years
STANDARD_DEVIATION 4.5 • n=83 Participants
Sex: Female, Male
Female
18 Participants
n=22 Participants
10 Participants
n=19 Participants
14 Participants
n=22 Participants
12 Participants
n=20 Participants
54 Participants
n=83 Participants
Sex: Female, Male
Male
4 Participants
n=22 Participants
9 Participants
n=19 Participants
8 Participants
n=22 Participants
8 Participants
n=20 Participants
29 Participants
n=83 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=22 Participants
1 Participants
n=19 Participants
3 Participants
n=22 Participants
4 Participants
n=20 Participants
13 Participants
n=83 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=22 Participants
8 Participants
n=19 Participants
19 Participants
n=22 Participants
16 Participants
n=20 Participants
52 Participants
n=83 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
8 Participants
n=22 Participants
10 Participants
n=19 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
18 Participants
n=83 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
0 Participants
n=83 Participants
Race (NIH/OMB)
Asian
0 Participants
n=22 Participants
3 Participants
n=19 Participants
2 Participants
n=22 Participants
1 Participants
n=20 Participants
6 Participants
n=83 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
0 Participants
n=83 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=22 Participants
1 Participants
n=20 Participants
3 Participants
n=83 Participants
Race (NIH/OMB)
White
16 Participants
n=22 Participants
13 Participants
n=19 Participants
17 Participants
n=22 Participants
14 Participants
n=20 Participants
60 Participants
n=83 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
0 Participants
n=83 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=22 Participants
3 Participants
n=19 Participants
3 Participants
n=22 Participants
4 Participants
n=20 Participants
14 Participants
n=83 Participants
Region of Enrollment
United States
22 participants
n=22 Participants
19 participants
n=19 Participants
22 participants
n=22 Participants
20 participants
n=20 Participants
41 participants
n=83 Participants
BMI
30.8 kg/m2
STANDARD_DEVIATION 5.5 • n=22 Participants
28.8 kg/m2
STANDARD_DEVIATION 3.0 • n=19 Participants
22.5 kg/m2
STANDARD_DEVIATION 3.0 • n=22 Participants
24.2 kg/m2
STANDARD_DEVIATION 4.4 • n=20 Participants
29.8 kg/m2
STANDARD_DEVIATION 4.6 • n=83 Participants
Baseline food image ratings
62.2 units on a scale
STANDARD_DEVIATION 16.0 • n=19 Participants • Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).
52.5 units on a scale
STANDARD_DEVIATION 14.3 • n=17 Participants • Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).
54.8 units on a scale
STANDARD_DEVIATION 13.1 • n=22 Participants • Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).
50.2 units on a scale
STANDARD_DEVIATION 22.5 • n=20 Participants • Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).
55.1 units on a scale
STANDARD_DEVIATION 14.7 • n=78 Participants • Due to technical difficulties, food cue ratings were not collected for 5 participants in the MRI sample groups (sample size for this measure for the MRI sample groups: active, n = 19; control n = 17).

PRIMARY outcome

Timeframe: Baseline to within 10 minutes post-intervention

Food image ratings (high-calorie foods) change from baseline, measured within 10 minutes post-intervention. Food images are rated on "desire to eat" by visual analogue scale (0-100; higher scores mean greater desire to eat). Negative values indicate reduced scores post-intervention compared to baseline, with greater numbers indicating greater reduction.

Outcome measures

Outcome measures
Measure
Active Implicit Priming (MRI Sample)
n=19 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the intervention during an fMRI scan. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
n=17 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes.This group completed the intervention during an fMRI scan. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
n=22 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
n=20 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Change in Food Image Ratings
-5.1 Score change from baseline
Standard Error 2.5
-.3 Score change from baseline
Standard Error 2.2
-6.8 Score change from baseline
Standard Error 1.3
-2.7 Score change from baseline
Standard Error 1.4

PRIMARY outcome

Timeframe: Baseline to post-intervention

Neuronal response while viewing visual food cues will be measured using functional magnetic resonance imaging (fMRI). Primary outcome was insula response change from baseline, as measured within 20 minutes after the intervention. A bilateral region of interest (ROI) for the insula was defined anatomically, with mean difference from baseline to post-intervention (% BOLD signal change) calculated across all voxels for that ROI. A positive number indicates a reduced response (with higher numbers indicating greater change) and a negative number indicates an increased response.

Outcome measures

Outcome measures
Measure
Active Implicit Priming (MRI Sample)
n=21 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the intervention during an fMRI scan. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
n=19 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes.This group completed the intervention during an fMRI scan. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Neuronal Response to Food Cues
0.21 % BOLD signal change from baseline
Standard Deviation 0.45
-0.07 % BOLD signal change from baseline
Standard Deviation .34

SECONDARY outcome

Timeframe: 1 hour post-intervention

Food intake during ad-lib lunch (kcals)

Outcome measures

Outcome measures
Measure
Active Implicit Priming (MRI Sample)
n=19 Participants
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. This group completed the intervention during an fMRI scan. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (MRI Sample)
n=17 Participants
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes.This group completed the intervention during an fMRI scan. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Active Implicit Priming (Behavioral-only Sample)
Participants completed active implicit priming, in which food images were implicitly primed (i.e., below conscious awareness) with images of positive or negative affect. Active Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of positive or negative valence.
Control Implicit Priming (Behavioral-only Sample)
Participants completed a control implicit priming intervention, which matched the active intervention, but with neutral stimuli as primes. Control Implicit Priming: A 10-minute implicit priming intervention, associating food images with images of neutral valence.
Food Intake
959.03 kcals
Standard Deviation 343.53
860.38 kcals
Standard Deviation 361.99

Adverse Events

Active Implicit Priming (MRI Sample)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Implicit Priming (MRI Sample)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active Implicit Priming (Behavioral-only Sample)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Implicit Priming (Behavioral-only Sample)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kristina Legget

University of Colorado School of Medicine

Phone: 3037245809

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place