Addressing Emotional and Cognitive Factors in Behavioral Weight Loss Treatment

Not Applicable

Completed

• Conditions: Obesity; Overweight
• Interventions: Behavioral: Affective and Cognitive Skills Training

• Registration Number: NCT00533052
• Lead Sponsor: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Brief Summary

Behavioral weight loss, the current treatment of choice for moderate obesity, achieves impressive short term results, however, weight regain following treatment is a major problem. Over 50% of participants in behavioral weight loss programs report difficulty with internal antecedents to unhealthy weight control behaviors and this difficulty is associated with weight regain following treatment. Current treatment approaches do not adequately address these antecedents. The aim of this series of studies is to develop, implement, and evaluate a behavioral weight loss program modified to provide participants with skills to deal effectively with affective and cognitive difficulties. The study targets men and women with BMI of 27-40 who self-report difficulty with emotional and/or cognitive antecedents to unhealthy weight control behaviors. The study is an uncontrolled pilot study in 20 participants to initially assess acceptability and efficacy of the innovative treatment. The long-term goal of this research is to improve the weight loss maintenance outcomes of behavioral weight loss programs by addressing affective and cognitive antecedents to unhealthy weight control behaviors.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2007-09-20
• Study First Submitted QC: 2007-09-20
• Study First Posted: 2007-09-21
• Study Start: 2007-10
• Primary Completion: 2008-07
• Study Completion: 2008-07
• Status Verified: 2018-03
• Last Update Submitted: 2018-03-12
• Last Update Posted: 2018-03-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 21

Inclusion Criteria

• Age between 21 and 70 years
• Body mass index between 27 and 40
• Score 5 or above on the internal disinhibition scale of the Eating Inventory

Exclusion Criteria

• Are currently participating in a weight loss program and/or are taking a weight loss medication or lost greater than or equal to 5% of body weight during the past six months
• Are pregnant, lactating, less than 6 months postpartum or plan to become pregnant during the time frame of the investigation
• Report a heart condition, chest pain during periods of activity or rest, or loss of consciousness on the Physical Activity Readiness Questionnaire (PAR-Q). Individuals endorsing joint problems, prescription medication usage, or other medical conditions that could limit exercise will be required to obtain written physician consent to participate.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Affective and Cognitive Skills Training	Affective and Cognitive Skills Training	Standard Behavioral Weight Loss Treatment Plus Affective and Cognitive Skills Training

Primary Outcome Measures

Name	Time	Method
Body Mass Index	6 months

Secondary Outcome Measures

Name	Time	Method
Internal disinhibition as measured by the Eating Inventory	6 months	The internal disinhibition subscale of the Eating Inventory ranges from 0 to 8, with high values indicating more disinhibition.
Treatment acceptability based on qualitative feedback	6 months
Attendance data	6 months

Trial Locations

Locations (1)

The Miriam Hospital; 🇺🇸 Providence, Rhode Island, United States