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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Participants will attend telehealth group sessions once weekly and be asked to self-monitor their mood and health behaviors daily between sessions.
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).
Texas Tech University
Lubbock, Texas, United States
RECRUITINGPercentage BOLD (Blood Oxygenation Level Dependent) signal change
Used to index pre-post changes in neuronal responsiveness to obesity-related cues
Time frame: From enrollment to the end of treatment at week 5
Glucose tolerance per blood samples
Used to index pre-post changes in health indicators linked to overweight and obesity severity
Time frame: From enrollment to the end of treatment at week 5
Triglycerides per blood samples
Used to index pre-post changes in health indicators linked to overweight and obesity severity
Time frame: From enrollment to the end of treatment at week 5
Cholesterol per blood samples
Used to index pre-post changes in health indicators linked to overweight and obesity severity
Time frame: From enrollment to the end of treatment at week 5
C peptide per blood samples
Used to index pre-post changes in health indicators linked to overweight and obesity severity
Time frame: 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
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
Time frame: From enrollment to the end of treatment at week 5
Self-report disordered eating cognitions and behaviors per Eating Disorder Examination-Questionnaire
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
Time frame: 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
Used to index pre-post changes in health behavior. Items are summed together with higher scores indicating greater frequency and intensity of physical activity
Time frame: 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)
Used to index pre-post changes in health behavior. Items are summed together with higher scores indicating greater frequency and intensity of physical activity
Time frame: 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
Used to index pre-post changes in health behavior. Items are summed together with higher scores indicating more frequent sedentary behavior
Time frame: From enrollment to the end of treatment at week 5
Self-report acceptability per face-valid questionnaire
Sum scored, with higher score indication higher acceptability
Time frame: From enrollment to the end of treatment at week 5
Percentage of sessions attended (by participant)
Used to index intervention feasibility
Time frame: From enrollment to study completion, an average of 1 year
Number of participants enrolled
Used to index intervention feasibility
Time frame: From enrollment to study completion, an average of 1 year
Rate of attrition
Used to index intervention feasibility
Time frame: From enrollment to study completion, an average of 1 year
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