Trial Outcomes & Findings for Weight Loss Treatment for Veterans With Binge Eating (NCT NCT03234881)

NCT ID: NCT03234881

Last Updated: 2025-07-09

Results Overview

The EDE-Q is the self-report version of the more intensive EDE interview. Research has documented that the EDE-Q performs well as a measure of change in treatment trials and has adequate convergence with the interview format. The EDE-Q generates the same frequency data for eating behaviors (binge eating and overeating) in the past 28 days, and the same four subscales reflecting eating disorder pathology. Score on a scale 0-6; higher=worse

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

109 participants

Primary outcome timeframe

Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Results posted on

2025-07-09

Participant Flow

Participant milestones

Participant milestones
Measure
MOVE!
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Overall Study
STARTED
56
53
Overall Study
COMPLETED
47
50
Overall Study
NOT COMPLETED
9
3

Reasons for withdrawal

Reasons for withdrawal
Measure
MOVE!
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Overall Study
Lost to Follow-up
9
3

Baseline Characteristics

Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Total
n=109 Participants
Total of all reporting groups
Age, Continuous
53.8 years
STANDARD_DEVIATION 13.5 • n=56 Participants
57.9 years
STANDARD_DEVIATION 10.5 • n=53 Participants
55.8 years
STANDARD_DEVIATION 12.3 • n=109 Participants
Sex/Gender, Customized
Sex/Gender · Female
11 Participants
n=56 Participants
16 Participants
n=53 Participants
27 Participants
n=109 Participants
Sex/Gender, Customized
Sex/Gender · Male
45 Participants
n=56 Participants
36 Participants
n=53 Participants
81 Participants
n=109 Participants
Sex/Gender, Customized
Sex/Gender · Other, not specified
0 Participants
n=56 Participants
1 Participants
n=53 Participants
1 Participants
n=109 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=56 Participants
5 Participants
n=53 Participants
13 Participants
n=109 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
48 Participants
n=56 Participants
48 Participants
n=53 Participants
96 Participants
n=109 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=56 Participants
0 Participants
n=53 Participants
0 Participants
n=109 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=55 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
1 Participants
n=53 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
1 Participants
n=108 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
Race/Ethnicity, Customized
Black
5 Participants
n=55 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
6 Participants
n=53 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
11 Participants
n=108 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
Race/Ethnicity, Customized
More than one race/race not listed
3 Participants
n=55 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
2 Participants
n=53 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
5 Participants
n=108 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
Race/Ethnicity, Customized
White
47 Participants
n=55 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
44 Participants
n=53 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
91 Participants
n=108 Participants • Number analyzed is reflective of the number of participants that completed the assessment. Numbers differ from total number of participants since one participant chose not to answer this question.
Education
>High School/High School
7 Participants
n=56 Participants
12 Participants
n=53 Participants
19 Participants
n=109 Participants
Education
Some College
27 Participants
n=56 Participants
16 Participants
n=53 Participants
43 Participants
n=109 Participants
Education
Completed College
17 Participants
n=56 Participants
14 Participants
n=53 Participants
31 Participants
n=109 Participants
Education
Graduate School
5 Participants
n=56 Participants
11 Participants
n=53 Participants
16 Participants
n=109 Participants
Married
28 Participants
n=56 Participants
29 Participants
n=53 Participants
57 Participants
n=109 Participants
Weight History
Baseline Weight
258 lbs
STANDARD_DEVIATION 50.2 • n=56 Participants
249 lbs
STANDARD_DEVIATION 54.0 • n=53 Participants
254 lbs
STANDARD_DEVIATION 52.0 • n=109 Participants
Weight History
Highest Adult Weight
278 lbs
STANDARD_DEVIATION 52.9 • n=56 Participants
266 lbs
STANDARD_DEVIATION 55.4 • n=53 Participants
272 lbs
STANDARD_DEVIATION 54.2 • n=109 Participants
Weight History
Lowest Adult Weight
170 lbs
STANDARD_DEVIATION 33.6 • n=56 Participants
167 lbs
STANDARD_DEVIATION 37.1 • n=53 Participants
168 lbs
STANDARD_DEVIATION 35.2 • n=109 Participants
Mental Health
Trauma (Positive PCL Criteria A)
40 Participants
n=56 Participants
40 Participants
n=53 Participants
80 Participants
n=109 Participants
Mental Health
Alcohol Use Disorder (Positive AUDIT-C)
14 Participants
n=56 Participants
10 Participants
n=53 Participants
24 Participants
n=109 Participants

PRIMARY outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed for each timepoint is reflected below. Note some participants were lost to follow-up at each timepoint.

The EDE-Q is the self-report version of the more intensive EDE interview. Research has documented that the EDE-Q performs well as a measure of change in treatment trials and has adequate convergence with the interview format. The EDE-Q generates the same frequency data for eating behaviors (binge eating and overeating) in the past 28 days, and the same four subscales reflecting eating disorder pathology. Score on a scale 0-6; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Eating Disorder Examination-Self-report Questionnaire (EDE-Q)
Baseline
3.18 score on a scale
Standard Error 0.16
2.89 score on a scale
Standard Error 0.19
Change in Eating Disorder Examination-Self-report Questionnaire (EDE-Q)
3 Months
2.81 score on a scale
Standard Error 0.17
2.13 score on a scale
Standard Error 0.17
Change in Eating Disorder Examination-Self-report Questionnaire (EDE-Q)
9 Months
2.57 score on a scale
Standard Error 0.16
2.00 score on a scale
Standard Error 0.19
Change in Eating Disorder Examination-Self-report Questionnaire (EDE-Q)
15 Months
2.50 score on a scale
Standard Error 0.16
1.77 score on a scale
Standard Error 0.19

PRIMARY outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed for each timepoint is reflected below. Note some participants were lost to follow-up at each timepoint.

The EDE is a clinician administered interview that is considered to be the gold standard for diagnosing eating disorders and assessing binge frequency. Number of binges; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Binge Episodes From Eating Disorder Examination Interview
Baseline
21.23 Number of binges
Standard Deviation 19.03
21.75 Number of binges
Standard Deviation 18.42
Change in Binge Episodes From Eating Disorder Examination Interview
3 Months
7.02 Number of binges
Standard Deviation 8.62
3.64 Number of binges
Standard Deviation 6.09
Change in Binge Episodes From Eating Disorder Examination Interview
9 Months
6.02 Number of binges
Standard Deviation 7.3
5.38 Number of binges
Standard Deviation 9.44
Change in Binge Episodes From Eating Disorder Examination Interview
15 Months
8.15 Number of binges
Standard Deviation 10.77
6.98 Number of binges
Standard Deviation 9.52

SECONDARY outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The PHQ-9 is a 9-item version, is a self-report measure for the symptoms of depression. Score on scale from 0-27; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Patient Health Questionnaire-9 (PHQ-9)
Baseline
9.44 score on a scale
Standard Error 1.09
8.41 score on a scale
Standard Error 0.94
Change in Patient Health Questionnaire-9 (PHQ-9)
3 Months
7.89 score on a scale
Standard Error 5.19
5.38 score on a scale
Standard Error 0.73
Change in Patient Health Questionnaire-9 (PHQ-9)
9 Months
7.95 score on a scale
Standard Error 5.08
6.92 score on a scale
Standard Error 1.00
Change in Patient Health Questionnaire-9 (PHQ-9)
15 Months
7.47 score on a scale
Standard Error 0.91
7.97 score on a scale
Standard Error 5.04

SECONDARY outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of Post Traumatic Stress Disorder (PTSD). Score on scale from 0-80; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in PTSD Checklist (PCL-5)
Baseline
37.48 score on a scale
Standard Error 3.76
31.27 score on a scale
Standard Error 4.11
Change in PTSD Checklist (PCL-5)
3 Months
27.67 score on a scale
Standard Error 2.85
22.62 score on a scale
Standard Error 3.00
Change in PTSD Checklist (PCL-5)
9 Months
29.29 score on a scale
Standard Error 3.36
28.46 score on a scale
Standard Error 3.60
Change in PTSD Checklist (PCL-5)
15 Months
27.05 score on a scale
Standard Error 3.57
23.85 score on a scale
Standard Error 3.67

SECONDARY outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The WE-QoL is an 8-item self-report instrument for measurement of the impact weight and eating has on quality-of-life outcomes. Score on scale from 0-4; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Weight and Eating Quality of Life (WE-QoL)
3 Months
1.29 score on a scale
Standard Error 0.16
1.12 score on a scale
Standard Error 0.14
Weight and Eating Quality of Life (WE-QoL)
Baseline
1.58 score on a scale
Standard Error 0.12
1.50 score on a scale
Standard Error 0.14
Weight and Eating Quality of Life (WE-QoL)
9 Months
1.33 score on a scale
Standard Error 0.16
1.05 score on a scale
Standard Error 0.16
Weight and Eating Quality of Life (WE-QoL)
15 Months
1.18 score on a scale
Standard Error 0.17
1.01 score on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The EuroQol-5D is a 5-item self-report instrument for measurement of quality of life outcomes that has specifically been used in weight loss trials with Veterans. The EuroQoL-5D also includes the Visual Analogue Scale (VAS) which is a measure of overall self-rated health status on a 100-point scale. Units on a scale (0-100); higher=better

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in European Quality of Life (EuroQoL-5D)
Baseline
56.8 units on a scale
Standard Error 2.64
52.8 units on a scale
Standard Error 2.94
Change in European Quality of Life (EuroQoL-5D)
3 Months
63 units on a scale
Standard Error 2.73
69.05 units on a scale
Standard Error 2.57
Change in European Quality of Life (EuroQoL-5D)
9 Months
66.35 units on a scale
Standard Error 2.88
68.07 units on a scale
Standard Error 2.72
Change in European Quality of Life (EuroQoL-5D)
15 Months
66.27 units on a scale
Standard Error 3.29
63.54 units on a scale
Standard Error 3.22

SECONDARY outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The NEQ is a 14-item self-report instrument for the measurement of Night Eating Syndrome (NES). A total score of greater than or equal to 25 indicates NES. Score on scale 0-52; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Night Eating Questionnaire (NEQ)
Baseline
21.06 score on a scale
Standard Error 1.24
21.25 score on a scale
Standard Error 1.37
Night Eating Questionnaire (NEQ)
3 Months
18.89 score on a scale
Standard Error 1.29
15.70 score on a scale
Standard Error 1.27
Night Eating Questionnaire (NEQ)
9 Months
17.89 score on a scale
Standard Error 1.18
16.98 score on a scale
Standard Error 1.27
Night Eating Questionnaire (NEQ)
15 Months
18.06 score on a scale
Standard Error 1.20
16.90 score on a scale
Standard Error 1.07

SECONDARY outcome

Timeframe: 3 month post-treatment

CBT session attendance will be determined by the number of clinician-led individual sessions attended throughout the treatment.

Outcome measures

Outcome measures
Measure
MOVE!
n=50 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
CBT Session Attendance (Treatment Dose)
7.75 number of sessions
Interval 0.0 to 9.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

BMI will be calculated based upon self-reported height and weight. A BMI of 25.0-29.9 indicates overweight, and 30.0 above indicates obesity. Kg/m 2; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in BMI
9 Months
36.55 kg/m^2
Standard Error 1.25
34.23 kg/m^2
Standard Error 0.89
Change in BMI
Baseline
38.17 kg/m^2
Standard Error 1.20
35.58 kg/m^2
Standard Error 0.94
Change in BMI
3 Months
37.24 kg/m^2
Standard Error 1.24
34.52 kg/m^2
Standard Error 0.96
Change in BMI
6 Months
36.58 kg/m^2
Standard Error 1.28
34.21 kg/m^2
Standard Error 0.91

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The WCSS is a self-report instrument that assesses the use of specific weight loss behaviors. The measure has been shown to be valid, reliable and predictive of weight loss. Score on a scale 0-4; higher=better

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Weight Control Strategies Scale (WCSS)
Baseline
1.49 score on a scale
Standard Error 0.08
1.62 score on a scale
Standard Error 0.09
Change in Weight Control Strategies Scale (WCSS)
3 Months
1.81 score on a scale
Standard Error 0.1
2.18 score on a scale
Standard Error 0.1
Change in Weight Control Strategies Scale (WCSS)
9 Months
1.77 score on a scale
Standard Error 0.1
1.83 score on a scale
Standard Error 0.1
Change in Weight Control Strategies Scale (WCSS)
15 Months
1.8 score on a scale
Standard Error 0.1
1.71 score on a scale
Standard Error 0.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

The Godin is a 4-item, reliable self-report measure of physical activity that assesses the frequencies of strenuous, moderate and mild exercise and has been validated against accelerometers. Units on a scale 0-119; higher=better

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Godin Leisure Time Exercise Questionnaire (Godin)
Baseline
21.36 score on a scale
Standard Error 3.45
26.93 score on a scale
Standard Error 3.82
Change in Godin Leisure Time Exercise Questionnaire (Godin)
3 Months
27.91 score on a scale
Standard Error 4.43
32.49 score on a scale
Standard Error 3.51
Change in Godin Leisure Time Exercise Questionnaire (Godin)
9 Months
30 score on a scale
Standard Error 3.68
25.19 score on a scale
Standard Error 4.20
Change in Godin Leisure Time Exercise Questionnaire (Godin)
15 Months
28.46 score on a scale
Standard Error 3.75
25.95 score on a scale
Standard Error 3.78

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 months post treatment

Treatment satisfaction will be measured with a number of questions to measure participants' experience as a participant on a range from strongly disagree to strongly agree (e.g., "I increased my ability to manage my binge eating" and "How likely are you to recommend this treatment to other Veterans?"). Score on a scale 0-48; higher=better

Outcome measures

Outcome measures
Measure
MOVE!
n=47 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=50 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Treatment Satisfaction
34.43 score on a scale
Standard Error 1.39
40.94 score on a scale
Standard Error 0.77

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

All weights were taken by self-report at each timepoint.

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Change in Weight
Baseline
253.83 lbs
Standard Error 9.32
235.11 lbs
Standard Error 7.41
Change in Weight
3 Months
247.67 lbs
Standard Error 9.43
227.87 lbs
Standard Error 7.12
Change in Weight
9 Months
243.59 lbs
Standard Error 9.96
225.94 lbs
Standard Error 7.06
Change in Weight
15 Months
243.24 lbs
Standard Error 9.67
226.33 lbs
Standard Error 7.11

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

A self-administered scale used to assess features of loss of control over eating. Score on a scale 0-4; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Loss of Control Overeating Scale (LOCES)
Baseline
2.64 score on a scale
Standard Error 0.18
2.21 score on a scale
Standard Error 0.18
Loss of Control Overeating Scale (LOCES)
3 Months
1.70 score on a scale
Standard Error 0.20
1.14 score on a scale
Standard Error 0.17
Loss of Control Overeating Scale (LOCES)
9 Months
1.62 score on a scale
Standard Error 0.17
1.11 score on a scale
Standard Error 0.17
Loss of Control Overeating Scale (LOCES)
15 Months
1.58 score on a scale
Standard Error 0.21
1.17 score on a scale
Standard Error 0.19

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre Treatment, 3 month post treatment, 9 month post treatment, 15 month post treatment

Population: Number analyzed is reflective of the number of participants that completed the assessment at each timepoint. Numbers differ from each timepoint due to those that were lost to follow-up.

A self-administered scale used to assess the features of food addiction. Units on a scale 0-11; higher=worse

Outcome measures

Outcome measures
Measure
MOVE!
n=56 Participants
Weight management delivered as Treatment-as-Usual MOVE!: Participants randomized to the MOVE!(or TeleMOVE!) arm only. MOVE! is 16 weeks of 60-minute weekly groups that are led by a physical therapist, dietician, and/or clinical health psychologist. Clinicians utilize materials available online and encourage the use, but do not require or provide food diaries. TeleMOVE! is a 90-day program utilizing technology to provide home-based messaging focusing on health education and as needed clinician contact. \*TeleMOVE! was added as an option since many in-person MOVE! programs were on pause due to the pandemic.
MOVE!+CBT
n=53 Participants
Weight management delivered as Treatment-as-Usual plus use of a short duration, low-intensity CBT for recurrent binge eating. MOVE!+CBT: Participants randomized to the MOVE!+CBT arm will attend the 16 weeks of 60-minute weekly MOVE! or 90-days of the TeleMOVE! Treatment groups, along with up to 10 clinician-led individual sessions over a 3-month period. Participants will also be given a patient treatment manual to read at home, food diaries that will be expected to be completed on a daily basis, and gradually increase daily physical activity.
Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)
Baseline
4.73 units on a scale
Standard Error 0.46
4.28 units on a scale
Standard Error 0.52
Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)
3 Months
3.02 units on a scale
Standard Error 0.37
2.35 units on a scale
Standard Error 0.35
Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)
9 Months
2.75 units on a scale
Standard Error 0.47
2.96 units on a scale
Standard Error 0.46
Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)
15 Months
2.53 units on a scale
Standard Error 0.45
2.49 units on a scale
Standard Error 0.44

Adverse Events

MOVE!

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

MOVE!+CBT

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

Robin Masheb, PhD

VA Connecticut Healthcare System

Phone: 203-932-5711

Results disclosure agreements

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