DBT to Enhance Health Behaviour Change for Adolescents Living With Obesity
- Conditions
- PreventionType2Diabetes
- Interventions
- Behavioral: Dialectical behavioral therapyBehavioral: Lifestyle
- Registration Number
- NCT05338944
- Lead Sponsor
- University of Manitoba
- Brief Summary
This research is being conducted to evaluate emotion-focused therapy that incorporates elements of mindfulness, distress tolerance, and relationship support. The investigators want to learn if this therapy, called Dialectical Behavioral Therapy (DBT) will help improve quality of life and weight management in youth at risk for type 2 diabetes. Individuals will be randomly assigned to weekly group based session in one of 3 intervention arms; lifestyle + DBT, lifestyle alone, or a control arm.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 6
- 14-17 years old
- BMI z-score >1.6
- signs of mild-moderate depression (PHQ-9 score 5-19)
- willing and able to comply with study procedures
- more than one health co-morbidity
- being treated with medication for obesity
- taking steroids
- currently being treated for atypical antipsychotics
- have an orthopedic injury or chronic illness that would prevent them from performing the intervention
- experienced weight loss or enrolled in weight loss program in the six months prior to the study
- self reported history of alcoholism or drug abuse
- history of self-harm or suicide attempts in the past 12 months
- currently enrolled in psychotherapy or DBT
- parents do not approve of you participating
- unable/unwilling to give assent/consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description DBT + lifestyle Dialectical behavioral therapy Participants will receive 90 minutes of dialectical behavioral therapy and 60 minutes of lifestyle sessions each week for 16 weeks. Lifestyle alone Lifestyle Participants will receive 2 lifestyle sessions per week, one 90 minutes in length and the other 60 minutes for 16 weeks. DBT + lifestyle Lifestyle Participants will receive 90 minutes of dialectical behavioral therapy and 60 minutes of lifestyle sessions each week for 16 weeks.
- Primary Outcome Measures
Name Time Method Enrollment rates 6 weeks defined as the number of adolescents/families who consent to participate and are randomized to one of the arms of the study
Adherence to the intervention 16 weeks defined as the percentage of prescribed sessions that adolescents/families attend during the trial
Retention for follow up measurements one week at week 16 and week 32 defined as the number of adolescents who complete follow up measurements at 16 weeks and 32 weeks
- Secondary Outcome Measures
Name Time Method DBT skills training 2 weeks at 16 weeks How appropriate is DBT skills training for adolescents and their families? Collected from focus groups and feedback forms.
Feedback 2 weeks at 16 weeks What other outcomes should we consider measuring? Collected from focus groups and feedback forms.
Delivery of behavioral intervention 2 weeks at 16 weeks What are the preferred intervention attributes for delivering a behavioral intervention? Collected from focus groups and feedback forms.
Barriers for lifestyle change 2 weeks at 16 weeks What are the barriers for lifestyle change for adolescents. Collected through focus groups and photovoice participation at 16 weeks.
DBT benefits and challenges 2 weeks at 16 weeks What are the perceived benefits and challenges associated with DBT-enhanced intensive lifestyle therapy? Collected from focus groups and feedback forms.
Patient centered 2 weeks at 16 weeks How patient-centered are the proposed tools for assessing mental health co-morbidities and self-regulation? Collected from focus groups and feedback forms.
Trial Locations
- Locations (3)
University of Manitoba
🇨🇦Winnipeg, Manitoba, Canada
McMaster University
🇨🇦Hamilton, Ontario, Canada
University of Calgary
🇨🇦Calgary, Alberta, Canada