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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Acceptance-based Treatment (ABT)
BehavioralParticipants will be provided with psycho-education, skill-builders, and other coaching to promote weight loss and healthy lifestyle changes.
Health Education (HE) Comparison
BehavioralParticipants 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Physiological - Adiposity
Compare change in percent body fat in ABT relative to HE
Physiological - Blood pressure
Compare change in diastolic and systolic blood pressure in ABT relative to HE
Physiological - Blood lipids
Compare change in total blood lipid levels in ABT relative to HE. HDL, LDL, and total cholesterol will each be examined.
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.
Sponsors and contacts
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