An Acceptance-Based Healthy Lifestyle Intervention for Diverse Adolescents

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age14-19
SponsorNemours Children's Clinic

About this trial

The goal of this clinical trial is to learn about cardiovascular disease risk among adolescent girls with overweight/obesity. The main questions this trial aims to answer are:

1. Does an acceptance-based healthy lifestyle intervention demonstrate more weight loss than a health education intervention? 2. Does an acceptance-based healthy lifestyle intervention show more improvements in participants' physiological, health-related, and psychological factors compared to a health education intervention?

Participants in this trial will:

1. Engage in treatment for 6-months, comprising of a mixture of in-person and remote group sessions, occurring at Drexel University or over a video-conferencing platform. 2. Complete various assessments. These include self-reported questionnaires, measures of weight, height, body composition, blood pressure, and blood lipids, and wearing of smart watches to measure sleep and physical activity.

Researchers will compare the acceptance-based and health education intervention groups to see if the acceptance-based treatment will indeed be effective in improving participants' health outcomes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Ages 14-19

Gender identification as girl

BMI percentile ≥ 85th percentile for sex-and-age

Disqualifiers

Experience of weight loss of ≥5% of body weight in the past 6 months for any reason except post-partum weight loss

Having recently begun or changed the dosage of any medication known to affect appetite or body composition within the last 3 months

Plans to move out of the area within the next year

Active cancer or cancer requiring treatment in the past 2 years (except non-melanoma skin cancer)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Acceptance-based Treatment (ABT)

    Behavioral

    Participants will be provided with psycho-education, skill-builders, and other coaching to promote weight loss and healthy lifestyle changes.

  • Health Education (HE) Comparison

    Behavioral

    Participants will be provided with psych-education and resources to promote weight loss and healthy lifestyle changes. They will not be provided with directives.

Treatment groups

148 Participants
are divided into 2 treatment groups
Group A: Acceptance-based Treatment (ABT)Experimental treatment 1 intervention
Group B: Health Education (HE) ComparisonSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

BMI z-score change

Compare ABT vs. HE on BMI z-score change at post-treatment (month 6). The investigators hypothesize a significantly greater decrease in BMI z-scores in the ABT relative to HE.

Time frame
Month 6

Secondary outcomes

1

Physiological - Adiposity

Compare change in percent body fat in ABT relative to HE

Time frame
Month 6, month 12, month 18
2

Physiological - Blood pressure

Compare change in diastolic and systolic blood pressure in ABT relative to HE

Time frame
Month 6, month 12, month 18
3

Physiological - Blood lipids

Compare change in total blood lipid levels in ABT relative to HE. HDL, LDL, and total cholesterol will each be examined.

Time frame
Month 6, month 12, month 18
4

Health-related behaviors - dietary intake

Compare change in dietary intake in ABT relative to HE. Dietary intake will be measured with a VioScreen Food Frequency Questionnaire.

Time frame
Month 6, month 12, month 18

Other outcomes

Sponsors and contacts

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