Trial Outcomes & Findings for A Trial to Test an Acceptance-based Therapy Program Among Adolescent Girls With Overweight/Obesity (NCT NCT04484831)

NCT ID: NCT04484831

Last Updated: 2023-10-12

Results Overview

Changes in weight relative to the BMI at the 95th percentile based on sex-and-age (as a difference in percentage units and/or a difference in BMI units) will be evaluated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

Baseline; Month 6

Results posted on

2023-10-12

Participant Flow

43 participants completed the informed consent process. 40 continued on to randomization and baseline measurements.

Participant milestones

Participant milestones
Measure
ABT Weight Loss Intervention
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
19
20
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
ABT Weight Loss Intervention
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Information provided details the mean age of the combined sample, the intervention group, and the control group.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ABT Weight Loss Intervention
n=20 Participants
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
n=20 Participants
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
15.50 Years
STANDARD_DEVIATION 1.54 • n=93 Participants • Information provided details the mean age of the combined sample, the intervention group, and the control group.
16.05 Years
STANDARD_DEVIATION 1.54 • n=4 Participants • Information provided details the mean age of the combined sample, the intervention group, and the control group.
15.78 Years
STANDARD_DEVIATION 1.54 • n=27 Participants • Information provided details the mean age of the combined sample, the intervention group, and the control group.
Sex: Female, Male
Female
20 Participants
n=93 Participants
20 Participants
n=4 Participants
40 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=93 Participants
17 Participants
n=4 Participants
36 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race
White
14 Participants
n=93 Participants
17 Participants
n=4 Participants
31 Participants
n=27 Participants
Race
Black
4 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
Race
Other
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Highest Parental Education
Some High School/High School Diploma/GED
2 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
Highest Parental Education
Some college/Associate degree
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Highest Parental Education
Completed Tech or Vocational School/College Graduate
3 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
Highest Parental Education
Graduate or professional degree
10 Participants
n=93 Participants
8 Participants
n=4 Participants
18 Participants
n=27 Participants
BMI
32.66 kg/m^2
STANDARD_DEVIATION 5.53 • n=93 Participants
34.68 kg/m^2
STANDARD_DEVIATION 7.73 • n=4 Participants
33.67 kg/m^2
STANDARD_DEVIATION 6.71 • n=27 Participants

PRIMARY outcome

Timeframe: Baseline; Month 6

Changes in weight relative to the BMI at the 95th percentile based on sex-and-age (as a difference in percentage units and/or a difference in BMI units) will be evaluated.

Outcome measures

Outcome measures
Measure
ABT Weight Loss Intervention
n=19 Participants
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
n=20 Participants
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
BMI Change, 95th BMI Percentile (%)
-1.11 Change in the 95th BMI percentile %
Standard Deviation 5.93
-0.08 Change in the 95th BMI percentile %
Standard Deviation 8.05

SECONDARY outcome

Timeframe: Baseline; Month 6

Measurements of quality of life (using the valid Pediatric Quality of Life Inventory assessment: scores 0-100) will be conducted. Higher scores indicate better health-related quality of life.

Outcome measures

Outcome measures
Measure
ABT Weight Loss Intervention
n=19 Participants
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
n=20 Participants
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Change in Quality of Life
2.94 score on a scale
Standard Error 10.86
3.12 score on a scale
Standard Error 11.15

SECONDARY outcome

Timeframe: Baseline; Month 6

Depression is measured with the Beck Depression Inventory- II (BDI-II). The BDI-II measures the severity of depression. Each item is assessed on a 4-point ordinal categorical scale (0-3 points) that is specific to the question subject matter being addressed (e.g. sadness, self-criticalness, loss of pleasure, etc), and then answer choices are summed to generate a total score. The BDI-II is reliable and valid in an adolescent population. Participants receive a sum-score (ranging from 0-63), which correlates with a certain classification and level of depression. Scores 1-10 (normal ups and downs) and 11-16 (mild mood disturbance) are classified as low. Scores 17-20 (borderline clinical depression) and 21-30 (moderate depression) are classified as moderate. Scores 31-40 (severe depression) and 40+ (extreme depression) are classified as significant.

Outcome measures

Outcome measures
Measure
ABT Weight Loss Intervention
n=19 Participants
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
n=20 Participants
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Change in Depression Using the Valid Beck Depression Inventory-II
-2.81 score on a scale
Standard Deviation 11.58
0.71 score on a scale
Standard Deviation 12.26

SECONDARY outcome

Timeframe: Baseline; Month 6

Measurements of anxiety-sensitivity (using the valid Short Scale Anxiety Sensitivity Index-3 assessment: scores 0-20) will be conducted. Higher scores indicate higher anxiety-sensitivity.

Outcome measures

Outcome measures
Measure
ABT Weight Loss Intervention
n=19 Participants
Adolescent participants will attend sessions that include nutritional education and physical activity education and build skills in the areas of values clarification, mindfulness, self-regulation skills, acceptance of uncomfortable states, goal-setting, problem solving, and self-monitoring. ABT Weight Loss Intervention: This includes 15 sessions that are each 90 minutes in length. Intervention sessions will be weekly for the first 2 months, bi-weekly for the next 2 months, and monthly for the last 2 months.
Enhanced Care
n=20 Participants
Adolescent participants will receive handouts on elements of a healthy lifestyle and will participate in a midpoint one-on-one nutrition consultation with a registered dietitian. Enhanced Care: This includes 15 handouts on elements of a healthy lifestyle and a midpoint one-on-one nutrition consultation with a registered dietitian.
Change in Anxiety-sensitivity Using the Valid Short Scale Anxiety Sensitivity Index Assessment
1.00 score on a scale
Standard Deviation 3.65
1.00 score on a scale
Standard Deviation 5.63

Adverse Events

ABT Weight Loss Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Michelle Cardel, Adjunct Professor

University of Florida

Phone: 352-273-8811

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place