Enhancing Emotion Regulation to Support Weight Control Efforts in Adolescents with Overweight and Obesity

加强情绪调节，支持超重和肥胖青少年的体重控制

• 批准号: 10264110
• 负责人: Wendy S Hadley
• 金额: $ 55.95万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-16 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10264110
• 关键词: 15 year old; 17 year old; 19 year old; Address; Adolescence; Adolescent; Adolescent obesity; Adult; Age; Attention; Behavior; Behavior Control; Behavior Therapy; Behavioral Weight Control; Body Weight decreased; Body mass index; Chronic; Consumption; Data; Development; Dialectical behavior therapy; Diet; Eating; Emotional; Enrollment; Failure; Feeling; Food; Goals; Health; Hour; Intervention; Laboratories; Maintenance; Mental Health; Nutrient; Obesity; Outcome; Outpatients; Overweight; Participant; Pediatric Hospitals; Physical activity; Pilot Projects; Prevalence; Prevention; Process; Randomized; Randomized Controlled Trials; Reporting; Sampling; Site; Symptoms; Teenagers; Testing; Time; Treatment Efficacy; Weight; Weight maintenance regimen; Work; Youth; behavioral construct; control trial; diabetes control; dietary; distress tolerance; efficacious intervention; efficacy evaluation; emotion dysregulation; emotion regulation; emotional eating; executive function; food consumption; high body mass index; improved; innovation; intervention effect; meetings; mindfulness; moderate-to-vigorous physical activity; multi-site trial; negative affect; obesity in children; obesity treatment; peer; pilot trial; programs; rapid weight gain; response; sedentary; sedentary lifestyle; sex; skills; skills training

PROJECT SUMMARY/ABSTRACT The prevalence of adolescents struggling with excess weight is remarkably high, with 38.7% of 12-15 year-olds and 41.5% of 16-19 year-olds meeting criteria for overweight or obesity. While considerable attention has been given to comprehensive behavioral interventions to address obesity in children, there is less empirical evidence demonstrating efficacy of interventions with adolescents. Additionally, there is great variability in outcomes. Limited impact of adolescent weight control treatment may be attributable to the failure of these interventions to explicitly address key mechanisms that are necessary for successful weight loss. Notably, adolescents with poorer emotion regulation have been found to consume foods of lower diet quality and report greater time spent in sedentary behavior than their peers. Poor emotion regulation among adolescents has also been associated with more rapid weight gain and higher BMI. Data from adolescents with overweight/obesity from an outpatient weight management program at Hasbro Children's Hospital (N=124) indicate that 82% of these youth report emotion regulation scores that are comparable to youth with significant mental health problems; furthermore, there is a positive association between emotional dysregulation and BMI within this same treatment-seeking sample. Despite these established relationships, interventions targeting emotion regulation in adolescents with obesity are lacking. To fill this gap, our laboratory developed and piloted an adolescent weight control intervention (HealthTRAC) that combines two efficacious interventions, one targeting emotion regulation skill building, the other focused on behavioral weight control. Preliminary findings from the small pilot trial are promising and indicate that the developed HealthTRAC intervention is acceptable, feasible to deliver, and results in significant reduction in BMI (d=.58) and improvement in emotion regulation skills (d=.20-.35) relative to a standard behavioral weight control (SBWC) condition. The proposed multi-site trial builds on these previous findings and will evaluate the efficacy of the developed HealthTRAC intervention on improving emotion regulation skills and reducing adolescent BMI. We propose to enroll 200 adolescents (100 per site) between the ages of 13-17 years of age to receive either HealthTRAC or SBWC. Adolescents will be randomly assigned to treatment condition within site. Intervention components will be delivered in 27.5 hours of direct contact time across 12 months. All adolescents will be assessed prior to randomization (baseline), immediately following the intervention (4 months), upon completion of maintenance sessions (12 months) and 18 months after the start of intervention. The information gained in this project will extend our understanding of how improving emotion regulation abilities can enhance adolescent weight control interventions.

项目摘要/摘要 超量挣扎的青少年的患病率非常高，有38.7％的12-15岁儿童 16-19岁的年龄符合超重或肥胖的标准中的41.5％。虽然很关注 给予全面的行为干预以解决儿童的肥胖症，经验证据较少 证明与青少年干预的功效。此外，结果有很大的差异。 青少年体重控制治疗的影响有限，可能归因于这些干预措施的失败 明确解决成功减肥所必需的关键机制。值得注意的是，青少年 已经发现情绪较差可消耗较低饮食质量的食物，并报告更长的时间 花在久坐的行为上比同龄人。青少年的情绪调节差也很 与更快的体重增加和更高的BMI相关。来自超重/肥胖的青少年的数据 孩之宝儿童医院（N = 124）的门诊体重管理计划表明其中82％ 青年报告的情绪调节评分与具有重大心理健康问题的青年相媲美； 此外，情绪失调与BMI之间存在着积极的联系 寻求治疗样本。尽管有这些建立的关系，但针对情绪调节的干预措施 缺乏肥胖的青少年。为了填补这一空白，我们的实验室发展并试行了青少年 体重控制干预措施（HealthTrac）结合了两种有效的干预措施，一种靶向情绪 调节技能构建，另一个专注于行为体重控制。小型飞行员的初步发现 试验很有希望，表明已发达的HealthTrac干预是可以接受的，可以提供可行的 并导致BMI显着降低（d = .58）和情绪调节技能的提高（d = .20-.35） 相对于标准行为重量控制（SBWC）条件。拟议的多站点试验基于这些试验 以前的发现，并将评估已发达的HealthTrac干预措施的功效 情绪调节技巧和降低青少年BMI。我们建议注册200名青少年（每个站点100个） 在13-17岁的年龄之间接受HealthTrac或SBWC。青少年将是随机的 分配到现场内的治疗条件。干预组件将在直接27.5小时内交付 在12个月内接触时间。所有青少年将在随机分组之前进行评估（基线），立即 干预（4个月）之后，完成维护会议（12个月）和18个月 干预开始后。该项目中获得的信息将扩展我们对 提高情绪调节能力可以增强青少年体重控制干预措施。