A Study to Determine the Effectiveness of a Self-regulation Program to Treat Pediatric Obesity
NCT ID: NCT01442142
Last Updated: 2017-09-08
Study Results
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Basic Information
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COMPLETED
NA
236 participants
INTERVENTIONAL
2008-05-31
2010-11-30
Brief Summary
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The primary aim of this proposed study is to evaluate the efficacy and compare the effectiveness of Cue Responsivity and Sensitivity Training (CRST) or Children's Appetite Awareness Training (CAAT) in decreasing eating in the absence of hunger (EAH) in overweight children. Following this first intervention, a second intervention to determine the efficacy of a combination program (combined CAAT \& CRST) will be implemented.
The secondary aim of this study is to evaluate change in the following related measures for both children and adults who participated in CRST, CAAT, and the combination program: BMI for age, food intake, perceptions of control over eating, and self-efficacy in managing high-risk food situations.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Appetitie Awareness
Parents and kids assigned to this group with learn about appetite awareness and to appropriately respond to their "hunger meter."
CAAT: Appetite Awareness
Participants in this Children's Appetite Awareness Training (CAAT) group learn to get in touch with the internal cues of hunger - aka the "hunger meter" - and practice skills to get back in touch with these internal cues of true hunger and fullness. Sessions occur once a week for 8 weeks.
Cue Reactivity and Sensitivity Training
Parents and kids in this group learn about how external cues can lead to overeating and how to better respond to these cues.
CRST: Volcravo
Participants in this Cue Reactivity and Sensitivity Training (CRST) group learn about how external cues can affect when and how much we eat (aka "volcravo - the craving volcano"). Over 8 weekly sessions, they practice skills to ride out the cravings external cues can cause.
Combined CAAT/CRST
In this 14 week intervention combining Children's Appetite Awareness Training (CAAT) and Cue Reactivity and Sensitivity Training (CRST), parents and kids learn about both internal hunger cues and external cues that can cause one to overeat. Skills to learn the internal hunger cues and better responses to external cues are taught.
Combined CAAT and CRST program
Participants meet weekly for 14 weeks to learn about both Children's Appetite Awareness Training (CAAT) and Cue Reactivity and Sensitivity Training (CRST) - i.e. appetite awareness and external cues that affect food intake.
Control
Between baseline and the post-intervention data collection point, no intervention is given. Participants are given a take home binder of intervention materials at that second data collection point; they have the option of reviewing the material prior to the final follow-up data collection point.
No interventions assigned to this group
Interventions
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CAAT: Appetite Awareness
Participants in this Children's Appetite Awareness Training (CAAT) group learn to get in touch with the internal cues of hunger - aka the "hunger meter" - and practice skills to get back in touch with these internal cues of true hunger and fullness. Sessions occur once a week for 8 weeks.
CRST: Volcravo
Participants in this Cue Reactivity and Sensitivity Training (CRST) group learn about how external cues can affect when and how much we eat (aka "volcravo - the craving volcano"). Over 8 weekly sessions, they practice skills to ride out the cravings external cues can cause.
Combined CAAT and CRST program
Participants meet weekly for 14 weeks to learn about both Children's Appetite Awareness Training (CAAT) and Cue Reactivity and Sensitivity Training (CRST) - i.e. appetite awareness and external cues that affect food intake.
Eligibility Criteria
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Inclusion Criteria
* child consumes 10%+ of daily caloric need during Eating in the absence of hunger (EAH) assessment
* child between the age of 8-12 at the time of the first data collection visit
Exclusion Criteria
* history of eating disorder
* food allergies
* unavailable on days of intervention meetings
* current participation in a weight loss or maintenance program
* presence of any medical condition affecting weight or growth
* presence of any physical, emotional, or behavioral disability that would prevent participant from taking part in the weekly study visits or the three data collection visits.
8 Years
12 Years
ALL
Yes
Sponsors
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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
NIH
University of Minnesota
OTHER
Responsible Party
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Principal Investigators
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Kerri Boutelle, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Minnesota, now Univ of CA, San Diego
Lisa J Harnack, DrPH
Role: PRINCIPAL_INVESTIGATOR
University of Minnesota
Carol Peterson, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Minnesota
Locations
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University of Minnesota
Minneapolis, Minnesota, United States
Countries
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References
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Boutelle KN, Zucker N, Peterson CB, Rydell S, Carlson J, Harnack LJ. An intervention based on Schachter's externality theory for overweight children: the regulation of cues pilot. J Pediatr Psychol. 2014 May;39(4):405-17. doi: 10.1093/jpepsy/jst142. Epub 2014 Jan 23.
Other Identifiers
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AHC FRD 06-32
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
AHC FRD 06-32
Identifier Type: -
Identifier Source: org_study_id
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