Piloting an Intervention to Address Weight Bias Internalization to Improve Adolescent Weight Management Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 17
- 试验地点
- 2
- 主要终点
- Total score on an adapted version of the Acceptability of Intervention Measure (AIM)
研究概览
简要总结
Weight stigma and weight bias internalization (WBI) are common among adolescents at higher weight statuses. WBI is associated with negative physical and mental health outcomes. The current study aims to test intervention for weight stigma and WBI in conjunction with an evidence-based adolescent weight management program. Adolescents (ages 13-17) will participate in a 20-week program tailored to improve WBI and weight-related health behaviors in tandem. Primary outcomes are feasibility and acceptability of the developed intervention, assessed following the 20-week intervention.
详细描述
The overall goal of this project is to examine the impact of intervening on weight bias internalization (WBI) in conjunction with evidence-based adolescent behavioral weight management (BWM) and to assess reduction in key mechanisms of stress resulting from weight stigma (i.e., biological markers of stress and inflammation, dysregulated eating behaviors) and subsequent impact on weight loss interference resulting from WBI. An open trial with 16 adolescents (2 cohorts; 8/group) will be conducted to test initial acceptability and feasibility of the 20-week WBI+BWM intervention in an open trial. Quantitative and qualitative feedback concerning acceptability and feasibility will be solicited to refine the intervention. Participants are adolescents (ages 13-17 years old) at higher weight status (BMI percentile at or equal to the 95th percentile) will participate in a 20-session weekly intervention focused on weight bias internalization and healthy weight management strategies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •speak English
- •13-17 years of age
- •BMI at or above >95th%ile for age and sex
- •have at least one caregiver available to provide consent and participate in sessions
- •agree to study participation
排除标准
- •Cognitive impairment or developmental delay impairing participation in a group setting
- •Current participation in a weight management program or recent weight loss of 5% of body weight or more
- •Medical condition known to impact weight or that would otherwise prevent participation
结局指标
主要结局
Total score on an adapted version of the Acceptability of Intervention Measure (AIM)
时间窗: Post-Treatment (5 months)
Intervention acceptability refers to the extent to which the WBI+BWC intervention is agreeable, palatable, or satisfactory to adolescents engaging in the treatment. We adapted the validated Acceptability of Intervention Measure (AIM) to assess adolescent acceptance related to treatment components following each intervention session. Total scores range from 10-50, with higher scores indicative of higher levels of intervention acceptability.
In depth qualitative feedback from teens regarding intervention acceptability and feasibility
时间窗: Post-Treatment (5 months)
Intervention acceptability refers to the extent to which the WBI+BWC intervention is agreeable, palatable, or satisfactory to adolescents engaging in the treatment. Adolescents will participate in individual qualitative interviews to gather in depth information concerning acceptability and feasibility. Findings will be used to tailor treatment delivery and content to optimize acceptability and appropriateness of the treatment for adolescents.
Attendance rates at intervention sessions
时间窗: Post-Treatment (5 months)
Feasibility includes the extent to which adolescents are able to utilize the intervention components offered. Attendance at group sessions will be used to measure feasibility, with the minimal benchmark set at 75%.
Retention rate for intervention sessions
时间窗: Post-Treatment (5 months)
Feasibility includes the extent to which adolescents are able to utilize the intervention components offered. Retention, as measured by the drop-out rate for the intervention program, will be used to measure feasibility, with the minimal benchmark set at 80%.
次要结局
- Total score on the Modified Weight Bias Internalization Scale (WBIS-M)(Baseline, Post-Treatment (5 months))
- Total score on the Weight Self-Stigma Questionnaire (WSSQ)(Baseline, Post-Treatment (5 months))
- Total score on the weight-related teasing sub-scale of the Perception of Teasing Scale (POTS)(Baseline, Post-Treatment (5 months))
- Total score on the competency-related teasing subscale of the Perception of Teasing Scale (POTS)(Baseline, Post-Treatment (5 months))
- Anthropometrics(Baseline, Post-Treatment (5 months))