Logo image
A Pilot Randomized Controlled Trial of an Acceptance-Based Therapy Intervention for Adolescent Girls
Conference poster   Open access   Peer reviewed

A Pilot Randomized Controlled Trial of an Acceptance-Based Therapy Intervention for Adolescent Girls

Faith Newsome, Michelle Cardel, Xiaofei Chi, Alexandra Lee, Darci Miller, David Janicke, Matthew Gurka, Meghan Butryn and Stephanie Manasse
Obesity (Silver Spring, Md.), v 30(S1), pp 155-156
21 Nov 2022
url
https://doi.org/10.1002/oby.23626View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Teenagers Clinical Trials Quality of Life
Background: Acceptance-based therapy (ABT) is a behavioral intervention that is effective for weight loss in adults. Among adolescents, ABT is effective for conditions like chronic pain and anorexia and has been deemed feasible and acceptable for adolescent weight loss. Assessing the potential effectiveness of ABT for adolescent weight loss is warranted. This pilot randomized controlled trial (RCT) assessed the effects of an adolescent tailored ABT intervention on weight, quality of life (QOL), psychological flexibility, and depression. Methods: In a 6-month trial, participants were randomized to the ABT intervention, consisting of fifteen, 90-minute virtual group sessions, or the enhanced care group, where they received 15 healthy lifestyle handouts and met with a dietitian twice. Participants in the intervention group were encouraged to self-monitor food, physical activity, psychosocial factors, and weight. Results: There were a total of 40 participants, (n=20) in the intervention group and (n=20) in the enhanced care group. The mean age was 15.8 ± 1.5 and the mean baseline BMI was 33.7 ± 6.7 kg/m2. Most participants (77.5%) identified as White. There were small effects observed in psychological flexibility (d= -0.3, 95% CI: (-0.6, -0.1)) and the 95th BMI percentile (d= -0.2, 95% CI: (-0.4, -0.02)) in the intervention group. In both groups, there were no effects in change scores observed in healthy eating index, quality of life, depression, perceived stress, or anxiety sensitivity. There was no evidence of an intervention effect between groups. Conclusions: In this pilot RCT, ABT was not more effective for weight loss than enhanced care. Given that all previous ABT weight studies were conducted in-person, and this study was conducted virtually during COVID, future research is needed to explore the potential effectiveness of ABT among adolescents in-person and how virtual studies can be optimized.

Metrics

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
Logo image