Food Addiction Clinical Treatment Program

Patient Health Questionnaire (PHQ-9) with suicide question removed

a self-report measure consisting of 9 questions, each aligning with one of the DSM - IV criteria for depression. The Posttraumatic Stress Disorder Checklist (PCL-5) is a 20 item self-report measure that assesses the DSM-5 symptoms of PTSD and is a commonly used tool to screen subjects for PTSD 0-4 Minimal or no depression 5-9 Mild depression 10-14 Moderate 15-19 Moderately severe \> 20 Severe

Time frame: post 16-week intervention

Generalized Anxiety Disorder (GAD-7)

brief self-report assessment of anxiety. The measure consists of 7 items that quickly identify anxiety symptoms and severity - Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively

Time frame: pre 16-week intervention

Generalized Anxiety Disorder (GAD-7)

brief self-report assessment of anxiety. The measure consists of 7 items that quickly identify anxiety symptoms and severity - Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively

Time frame: post16-week intervention

Alcohol Use Disorder Identification Test (AUDIT)

a self-report measure assessing alcohol consumption, drinking behaviors, and alcohol-related problems. The 10-item scale is used as a screening tool - A score of 8 or more is associated with harmful or hazardous drinking, a score of 13 or more in women, and 15 or more in men, is likely to indicate alcohol dependence

Time frame: pre 16-week intervention

Alcohol Use Disorder Identification Test (AUDIT)

a self-report measure assessing alcohol consumption, drinking behaviors, and alcohol-related problems. The 10-item scale is used as a screening tool - A score of 8 or more is associated with harmful or hazardous drinking, a score of 13 or more in women, and 15 or more in men, is likely to indicate alcohol dependence

Time frame: post 16-week intervention

Cannabis Use Disorder Identification Test (CUDIT)

a self-report 8 item measure assessing various cannabis use behaviors - Scores can range from 1 to 32, with a cut-off score of 13 indicative of a DSM-IV diagnosis of CUD (dependence)

Time frame: pre 16-week intervention

Cannabis Use Disorder Identification Test (CUDIT)

a self-report 8 item measure assessing various cannabis use behaviors - Scores can range from 1 to 32, with a cut-off score of 13 indicative of a DSM-IV diagnosis of CUD (dependence)

Time frame: post 16-week intervention

Sense of Self-Efficacy Scale

a questionnaire that measures a participant's level of belief in his or her ability to take the necessary actions to accomplish a goal. It consists of 20 items that assess self-efficacy in the areas of decision-making, coping and social skills, and planning - The scale has a range of scores from 0-90. A higher number on the score represents a higher self-efficacy for exercise.

Time frame: pre 16-week intervention

Sense of Self-Efficacy Scale

a questionnaire that measures a participant's level of belief in his or her ability to take the necessary actions to accomplish a goal. It consists of 20 items that assess self-efficacy in the areas of decision-making, coping and social skills, and planning - The scale has a range of scores from 0-90. A higher number on the score represents a higher self-efficacy for exercise.

Time frame: post 16-week intervention

World Health Organization Quality of Life - BREF (WHOQOL-BREF)

is a self-report questionnaire assessing the individual's perceptions in the context of their culture and value systems, and their personal goals, standards, and concerns. It consists of 26 items measuring physical health, psychological health, social relationships, and environment - higher scores denote higher quality of life

Time frame: pre 16-week intervention

World Health Organization Quality of Life - BREF (WHOQOL-BREF)

is a self-report questionnaire assessing the individual's perceptions in the context of their culture and value systems, and their personal goals, standards, and concerns. It consists of 26 items measuring physical health, psychological health, social relationships, and environment - higher scores denote higher quality of life

Time frame: post 16-week intervention

Physical Fitness Assessment (height)

subject's height will be taken using a wall-mounted stadiometer and weight will be taken using a medical-grade scale.

Time frame: pre 16-week intervention

Physical Fitness Assessment (weight)

Weight will be measured using the TANITA scale.

Time frame: pre 16-week intervention

Physical Fitness Assessment (weight)

Weight will be measured using the TANITA scale.

Time frame: post 16-week intervention

Physical Fitness Assessment (body composition)

body composition will be measured using the TANITA scale. This measure provides information about a subject's body fat percentage, body water weight percentage, and lean muscle mass percentage.

Time frame: pre 16-week intervention

Physical Fitness Assessment (body composition)

body composition will be measured using the TANITA scale. This measure provides information about a subject's body fat percentage, body water weight percentage, and lean muscle mass percentage.

Time frame: post 16-week intervention

Resting Metabolic Rate

Resting Metabolic Rate (RMR) will be measured using the CardioCoach or ReeVue (KORR Medical Technologies, Salt Lake City, UT). An RMR measurement uses oxygen consumed at rest to determine a person's caloric requirements for weight loss or maintenance

Time frame: post 16-week intervention

4-meter timed walk test

The 4-meter timed walk test will be used to measure normal gait speed and provide an approximate measure of physical functioning and level of deconditioning. The subject will be instructed to walk at their normal pace through a hallway that has a 4-meter distance marked with tape on the floor

Time frame: pre 16-week intervention

chair rise test

The chair rise test is completed on a standard chair and provides information related to lower limb strength and agility. Subjects will be asked to stand up and sit down 5 times as fast as they can. Differences can be used descriptively but no definitive conclusions related to changes in fitness level can or will be made.

Time frame: pre 16-week intervention

chair rise test

The chair rise test is completed on a standard chair and provides information related to lower limb strength and agility. Subjects will be asked to stand up and sit down 5 times as fast as they can. Differences can be used descriptively but no definitive conclusions related to changes in fitness level can or will be made.

Time frame: post 16-week intervention

Hand use

An administrator capture whether or not the subject used their hands. (yes/no).

Time frame: pre 16-week intervention

Physical Fitness Assessment (height)

subject's height will be taken using a wall-mounted stadiometer and weight will be taken using a medical-grade scale.

Time frame: post 16-week intervention

Resting Metabolic Rate

Resting Metabolic Rate (RMR) will be measured using the CardioCoach or ReeVue (KORR Medical Technologies, Salt Lake City, UT). An RMR measurement uses oxygen consumed at rest to determine a person's caloric requirements for weight loss or maintenance

Time frame: pre 16-week intervention

4-meter timed walk test

The 4-meter timed walk test will be used to measure normal gait speed and provide an approximate measure of physical functioning and level of deconditioning. The subject will be instructed to walk at their normal pace through a hallway that has a 4-meter distance marked with tape on the floor

Time frame: post 16-week intervention

Hand use

An administrator capture whether or not the subject used their hands. (yes/no).

Time frame: post 16-week intervention

Hand Dynamometer assessment

provides a measure of upper body strength. The subject will be asked to squeeze as hard as he/she can and then relax. The average score of the three trials will be compared to the data norms. A dynamometer provides objective grip strength data. Males normally can generate about 46 kg of force, and females about 23 kg.

Time frame: pre 16-week intervention

Hand Dynamometer assessment

provides a measure of upper body strength. The subject will be asked to squeeze as hard as he/she can and then relax. The average score of the three trials will be compared to the data norms. A dynamometer provides objective grip strength data. Males normally can generate about 46 kg of force, and females about 23 kg.

Time frame: post 16-week intervention

level of physical activity over the past 7 days

Participants will also be asked 11 questions related to the frequency and amount of time spent in vigorous physical activity, moderate physical activity, walking, and sitting over the past 7 days.

Time frame: pre 16-week intervention

level of physical activity over the past 7 days

Participants will also be asked 11 questions related to the frequency and amount of time spent in vigorous physical activity, moderate physical activity, walking, and sitting over the past 7 days.

Time frame: post 16-week intervention

Barratt's Impulsivity Scale (BIS-11), Inhibitory Control subscale

a self-report questionnaire assessing the personality trait of impulsiveness. The scale includes 30 items covering attention, motor, and non-planning impulsiveness; only the Inhibitory Control subscale will be used for the purpose of this study - on a scale of "1" to "4": 1) rarely/never, 2) occasionally, 3) often, and 4) almost always/always

Time frame: pre 16-week intervention

Urgency, Premeditation, Perseverance, and Sensation Seeking (UPPS) Impulsive Behavior Scale

a self-report questionnaire assessing the personality trait of impulsiveness. The 45-item scale measures premediation, urgency, sensation-seeking, and perseverance; only the urgency subscale will be used for the purpose of the study - The Scale is not considered a measure of trait impulsivity, rather, the scales reflect distinct personality traits that lead to impulsive-type behavior. Participants are asked to consider acts/incidents during the last 6 months when rating their behavior and attitudes on a 4-point scale, in which 1-Agree strongly, 2-Agree some, 3-Disagree some, 4-Disagree strongly.The UPPS-P Negative Urgency scale (this is the only subscale on the UPPS we will be using) is a 12-item Likert-type scale to measure one's tendency to act rashly in response to intense negative mood states. It is a continuous scale, with higher scores meaning more negative urgency.

Time frame: pre 16-week intervention

Posttraumatic Stress Disorder Checklist (PCL-5)

is a 20 item self-report measure that assesses the DSM-5 symptoms of PTSD and is a commonly used tool to screen subjects for PTSD. Subjects rate each item from 1 ("not at all") to 5 ("extremely") to indicate the degree to which they have been bothered by that particular symptom over the past month.0 = Not at all 1 = A little bit 2 = Moderately 3 = Quite a bit 4 = Extremely Tally up score, total possible score range is 0-80. Score of \>31 is considered significant for possible PTSD, \<31 is considered non-significant for possible PTSD

Time frame: pre 16-week intervention

Weight Control History

Participants will also be asked questions related to their history of attempting to control their weight, including their weight at age 18, weight approximately 1 year ago, whether or not they have attempted to lose weight in the past year, and information related to their past 3 attempts at weight loss. Gathering this data for descriptive purposes, there is no "outcome," form of scoring, or analysis that will take place with this information.

Time frame: pre 16-week intervention

Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)

an abbreviated, 13-item version of the Yale Food Addiction Scale 2.0 (YFAS 2.0). The mYFAS 2.0 has one question to assess each of the 11 DSM-5 diagnostic criteria for substance-use disorders, plus 2 questions to assess clinically significant distress and impairment. The modified versions of the YFAS perform similarly on psychometric indicators as the full versions of the scale and are useful brief assessment tool for food addiction.

Time frame: week 1 post start of study

Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)

an abbreviated, 13-item version of the Yale Food Addiction Scale 2.0 (YFAS 2.0). The mYFAS 2.0 has one question to assess each of the 11 DSM-5 diagnostic criteria for substance-use disorders, plus 2 questions to assess clinically significant distress and impairment. The modified versions of the YFAS perform similarly on psychometric indicators as the full versions of the scale and are useful brief assessment tool for food addiction.

Time frame: week 5 post start of study

Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)

an abbreviated, 13-item version of the Yale Food Addiction Scale 2.0 (YFAS 2.0). The mYFAS 2.0 has one question to assess each of the 11 DSM-5 diagnostic criteria for substance-use disorders, plus 2 questions to assess clinically significant distress and impairment. The modified versions of the YFAS perform similarly on psychometric indicators as the full versions of the scale and are useful brief assessment tool for food addiction.

Time frame: week 9 post start of study

Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0)

an abbreviated, 13-item version of the Yale Food Addiction Scale 2.0 (YFAS 2.0). The mYFAS 2.0 has one question to assess each of the 11 DSM-5 diagnostic criteria for substance-use disorders, plus 2 questions to assess clinically significant distress and impairment. The modified versions of the YFAS perform similarly on psychometric indicators as the full versions of the scale and are useful brief assessment tool for food addiction.

Time frame: week 15 post start of study