Pilot Testing a Novel Approach to Pediatric Obesity Treatment
Emotion Regulation Intervention to Improve Neural Responsiveness and Health
The goal of this clinical trial is to learn if an emotion regulation and self-monitoring intervention can help treat overweight and obesity in teens. The main question it aims to answer is:
- Does emotion regulation and self-monitoring help reduce biases in teens with overweight and obesity?
- Do changes in biases relate to changes in health functioning and health behavior?
Researchers will compare the intervention to the provision of educational handouts about overweight and obesity to see if the intervention is more effective.
Participants will:
- Complete self-report questionnaires, an fMRI scan, and have their blood drawn
- Received educational handouts or attend weekly telehealth group sessions weekly for four weeks and be asked to self-monitor their mood and behavior between sessions
- Return to complete the same questionnaires, fMRI and blood draw procedures
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Caroline Cummings, PhD
- Phone Number: 806-834-0931
- Email: carolicu@ttu.edu
Study Locations
-
-
Texas
-
Lubbock, Texas, United States, 79409
- Recruiting
- Texas Tech University
-
Contact:
- Caroline Cummings, PhD
- Phone Number: 806-834-0931
- Email: carolicu@ttu.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Being English-proficient
- Ages 11-14
- At or above the 85th BMI percentile based on age and sex norms
- Having access to WIFI or cellular data to attend the telehealth groups
- Living in a home in Lubbock County (TX) or surrounding areas.
Exclusion Criteria:
- Having a psychiatric or medical diagnosis that interferes with participation (e.g., significant developmental delay; pregnancy)
- Current enrollment in overweight/obesity treatment.
- Because the study will include entering an MRI scanner, additional standard exclusion criteria will be considered (e.g., having immovable medical devices with batteries, body piercings on the head/face, and having substantial visual impairment that cannot be corrected with staff-provided glasses)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Psychoeducation Control Group
Participants assigned to the psychoeducation control group will receive informational handouts about overweight and obesity, including current daily sleep, diet, and physical activity recommendations to prevent/treat overweight and obesity.
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Participants who are randomized to the control group will receive an online, one-time, self-led psychoeducation program with information about current daily sleep, diet, and physical activity recommendations (e.g., information about sleep hygiene, the food pyramid, and recommendations for 60 minutes of moderate-to-vigorous physical activity daily).
|
|
Experimental: Emotion Regulation and Self-Monitoring Program
Participants randomized to this condition will receive an active intervention which includes 4 weeks of an emotion regulation and self-monitoring program.
Participants will attend telehealth group sessions once weekly and be asked to self-monitor their mood and health behaviors daily between sessions.
|
Participants will attend telehealth group sessions once weekly and be asked to self-monitor their mood and health behaviors daily between sessions.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage BOLD (Blood Oxygenation Level Dependent) signal change
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in neuronal responsiveness to obesity-related cues
|
From enrollment to the end of treatment at week 5
|
|
Glucose tolerance per blood samples
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health indicators linked to overweight and obesity severity
|
From enrollment to the end of treatment at week 5
|
|
Triglycerides per blood samples
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health indicators linked to overweight and obesity severity
|
From enrollment to the end of treatment at week 5
|
|
Cholesterol per blood samples
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health indicators linked to overweight and obesity severity
|
From enrollment to the end of treatment at week 5
|
|
C peptide per blood samples
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health indicators linked to overweight and obesity severity
|
From enrollment to the end of treatment at week 5
|
|
Emotion regulation per Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) and Positive Affect (DERS-PA) versions
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in difficulties with positive and negative emotion regulation.
Sum scores and average scores for each measure and subscale are used, with higher scores indicating greater difficulties with each domain
|
From enrollment to the end of treatment at week 5
|
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Self-report disordered eating cognitions and behaviors per Eating Disorder Examination-Questionnaire
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health behavior.
Items are summed together and averaged, with higher scores indicating greater disordered eating cognitions and behaviors
|
From enrollment to the end of treatment at week 5
|
|
Self-report average daily minutes and intensity of physical activity per Patient-Reported Outcomes Measurement Information System (PROMIS) scale
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health behavior.
Items are summed together with higher scores indicating greater frequency and intensity of physical activity
|
From enrollment to the end of treatment at week 5
|
|
Self-report average daily minutes and intensity of physical activity per Physical Activity Questionnaire for Adolescents (PAQ-A)
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health behavior.
Items are summed together with higher scores indicating greater frequency and intensity of physical activity
|
From enrollment to the end of treatment at week 5
|
|
Self-report average daily minutes engaging in sedentary behavior per National Health and Nutrition Examination Survey (NHANES) items
Time Frame: From enrollment to the end of treatment at week 5
|
Used to index pre-post changes in health behavior.
Items are summed together with higher scores indicating more frequent sedentary behavior
|
From enrollment to the end of treatment at week 5
|
|
Self-report acceptability per face-valid questionnaire
Time Frame: From enrollment to the end of treatment at week 5
|
Sum scored, with higher score indication higher acceptability
|
From enrollment to the end of treatment at week 5
|
|
Percentage of sessions attended (by participant)
Time Frame: From enrollment to study completion, an average of 1 year
|
Used to index intervention feasibility
|
From enrollment to study completion, an average of 1 year
|
|
Number of participants enrolled
Time Frame: From enrollment to study completion, an average of 1 year
|
Used to index intervention feasibility
|
From enrollment to study completion, an average of 1 year
|
|
Rate of attrition
Time Frame: From enrollment to study completion, an average of 1 year
|
Used to index intervention feasibility
|
From enrollment to study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 25-0493
- U24DK132740 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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