Mental Contrasting Intervention Improves Workplace Physical Activity but Not Snacking in Small RCT
A randomized controlled trial evaluated a mental contrasting with implementation intentions intervention over 2 weeks in 73 employees (516 total days). Participants were assigned to a daily-assignment intervention group (receiving daily refreshers focusing on either physical activity or unhealthy snacking), a daily-choice intervention group (choosing which behavior to focus on daily), or a passive control group. For secondary outcomes, the intervention successfully improved accelerometer-assessed physical activity, with participants in the daily-choice group being more physically active than those in the daily-assignment group. However, the intervention was ineffective at reducing unhealthy snacking at work. Within-person daily refreshers provided no evidence of additional benefit. Safety and tolerability were not reported. Key limitations include the small sample size, short 2-week duration, and lack of reported effect sizes, absolute numbers, or statistical measures for the main results. Exploratory analyses suggested the intervention might be more effective in work environments with higher job stressors and among individuals with higher baseline unhealthy snacking, but these findings require confirmation. The RCT design allows for causal inference for between-group comparisons. Given the small scale and preliminary nature, these results should be interpreted cautiously.