Obesity

A Randomized Effectiveness Trial of a Dissonance‐Based Dual Obesity and Eating Disorder Prevention Program

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Project Health produced greater body fat loss/weight gain prevention effects than control participants. However, it only produced marginally greater reductions in eating disorder symptoms, in contrast to past trials. Evaluative conditioning enhanced the body fat loss effects of the food response/attention training element of Project Health.

Study context

Population
Young adults (M age = 19.4; 76% female; 58% White)
Participants
138 adults
Comparison
Project Health vs educational video control
Methodological detailseffectiveness trial
  • Effectiveness trial

Primary result

As reported in the abstract

Change in body fat · posttest and 6-month follow-up

d

−0.23

posttest

d

−0.53

6-month follow-up

Further findings

Change in eating disorder symptoms, Project Health vs educational video control · posttest and 6-month follow-up

Intervention effect at posttest, nonsignificant
d = −0.14
Intervention effect at 6-month follow-up, significant
d = −0.33

Body fat loss, adding evaluative conditioning to food response/attention training (exploratory) · posttest and 6-month follow-up

Significantly enhanced body fat loss effects at posttest
d = −0.36
Not significantly enhanced at 6-month follow-up
d = −0.13
  • Exploratory test

Eating disorder symptom reduction, adding evaluative conditioning to food response/attention training (exploratory) · posttest and 6-month follow-up

Significant effects by posttest
d = −0.37
Not significant at 6-month follow-up
d = 0.18
  • Exploratory test

Original publication

A Randomized Effectiveness Trial of a Dissonance‐Based Dual Obesity and Eating Disorder Prevention Program. Diabetes Obes Metab. Published 24 April 2026. doi:10.1111/dom.70775

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