Thank you for your interest in the study. The purpose of this study is to test a four-week program designed to help you feel better about your body and to prepare you to approach weight loss with a more positive body image.
Participation in the study would involve attending four group meetings lasting approximately 60 minutes. All of these meetings will be remote, through online video conferencing. Before the group meetings begin and after you have completed all four meetings, we will complete an assessment. We will send you a survey to complete before your first group meeting and again after your last group meeting with questionnaires about how you feel about your body and other factors that influence how you think about your body weight and shape. We will also help you download a secure Smartphone Application to your phone that will prompt you to answer questions about how you feel about your body 6 times daily during the 7 days prior to your first group meeting and during the 7 days after your last group meeting. We will also ask you to attend one additional group meeting within a month after your last group meeting. This meeting will also be conducted on the online platform and will include an interview with you and the other women in your group so we can ask you questions about how you felt about the intervention and to get your feedback. After completing the study procedures, you will receive resources and information to help begin your weight loss journey.
You will be compensated $25 for completing each assessment and the last group interview meeting. This is a total of $75. You will also receive $1 for every phone prompt you complete up to a total of $84.
Yes No Yes No
Home Phone (if not applicable, put N/A):
Can we leave a message on your home phone?
Work Phone (if not applicable, put N/A):
Can we leave a message on your work phone?
Best phone number to use?
How did you hear about this study?
Flyer Brochure Facebook Newspaper Advertisement Other
What was your biological sex at birth?
Select which of the following best describes your gender identity:
Male Female Gender-Nonconforming Non-Binary Other
Do you consider yourself to be:
Straight/Heterosexual Gay/Lesbian/Homosexual Bisexual Something else Prefer not to report
By "something else" do you mean:
Queer Pansexual Asexual Celibate Unsure Something else
In your own words, please describe what you mean by "something else"
Which of the following best describes your racial heritage? You may choose more than one.
American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White Other
Which of the following best describes your ethnic heritage?
Hispanic or Latino Not Hispanic or Latino
What is your current weight in pounds?
What is your height in inches?
Would you like to lose weight?
Are you currently trying to lose weight?
If you are thinking about joining a weight loss program, are you willing to wait or to agree not to join any formal weight loss programs during the two months you're enrolled in this study?
Have you lost weight recently?
If yes, how many pounds have you lost?
Have you ever had bariatric surgery or any other weight loss surgery?
Do you plan to have bariatric surgery or any other weight loss surgery?
When will the procedure take place?
Are you currently using any medications for weight loss?
Are you currently pregnant?
Are you currently breastfeeding?
Have you ever been diagnosed with an eating disorder?
Have you ever used extreme measures to control your weight such as use of laxatives, diuretics, self-induced vomiting, or extended periods of severe food restriction?
Do you have a physical disability or chronic condition that would impact your ability to exercise or lose weight?
Do you have any conditions that would make it challenging to sit through and pay attention to weekly classes or follow instructions?
Are you currently being treated for drug or alcohol abuse?
Is a doctor or health care provider currently treating you or prescribing medications for any psychological problems?
Have you ever been hospitalized for any psychological problems (Depression included)?
Was hospitalization within the last year?
Do you have a Smartphone?
Are you willing to allow us to download a Smartphone application onto your phone to collect data for the study?
Do you have a tablet, laptop computer or desktop computer that you could use to attend online group meetings?
Do you have internet service at your current residence?
Are you currently participating in any other research studies?
What does your participation in this study involve?
Are you able to attend weekly zoom meetings on Thursday from 5:30 to 6:30 pm EASTERN TIME starting in January?
Questions 1 to 12: please select the appropriate number. Remember that the questions only refer to the past four weeks....
Would you like us to contact you about other studies at the Weight Control and Diabetes Research Center that you may be eligible for in the future?
Save & Return Later