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Feasibility and Preliminary Efficacy of an Online Cardiovascular Disease Prevention Randomised Controlled Trial Targeting Addictive and Compulsive Overeating Among Australian Young Adults

Leary MA, Skinner JA, Hutchesson MJ, Teychenne M, Whatnall MC, Hay PJ, Burrows TL

Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025

53 participants

Abstract

Background: Cardiovascular disease (CVD) is a major cause of mortality and morbidity. The number of young adults with at least one CVD risk factor has increased over the past two decades. Evidence suggests that addictive eating behaviours cluster with other CVD risk behaviours, including poor diet, lack of physical activity and poor sleep quality. The primary aim of this pilot study is to determine the feasibility (adherence to the programme), acceptability and engagement of an innovative intervention comprising of five telehealth sessions ranging from 20 to 45 min with an Accredited Practising Dietitian over 8 weeks aimed at improving CVD risk factors in young Australian adults aged 18-35 years with addictive eating behaviours.

Methods: A total of 53 young adults with ≥ 3 symptoms of addictive eating assessed via the Yale Food Addiction Scale 2.0 and a body mass index > 18.5 kg/m2 were recruited. Adherence to the programme was assessed through the number of participants completing the telehealth sessions. Acceptability (including overall satisfaction, appropriateness and effectiveness of recruitment materials) was assessed via semi-structured phone interviews with participants upon study completion. Engagement with the programme website was assessed with Wix Analytics and comprised of website access and webpage dwell time. Changes in dietary intake, food addiction symptoms, physical activity, sleep quality, mental health (depression, anxiety and stress), and CVD blood…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 53 participants or records.

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