Behavioral Weight Loss Intervention Preferences of Adolescents with Overweight/Obesity

Lee, Alexandra M; Szurek, Sarah M; Dilip, Abhaya; Dillard, Jackson R.; Miller, Darci; Theis, Ryan P; Zaman, Nuzhat; Krieger, Janice L.; Thompson, Lindsay A.; Janicke, David M.; Cardel, Michelle

doi:10.1089/chi.2020.0296

Cited by 12 publications

(9 citation statements)

References 30 publications

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“…All adolescents, regardless of treatment assignment, participated in TEENS+. Adolescents were in groups according to their parents' treatment; each group included a single sex to maximize perceived similarity among group members (aligned with SCT 22 ) and enhance comfort with discussions about weight and related topics, consistent with preferences expressed by this population 29 . Groups were led by two trained behaviour coaches (psychology doctoral trainees or similar and registered dietitians; masked to study hypotheses).…”

Section: Methodsmentioning

confidence: 99%

The role of parents in adolescent obesity treatment: Results of the TEENS+ randomized clinical pilot trial

et al. 2021

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Summary Background The optimal role for involving parents in adolescent obesity treatment is unknown. Objective To demonstrate that two parent approaches within adolescent obesity treatment are distinct, as evidenced by differential parent outcomes, and determine the preliminary efficacy of each approach on adolescent weight loss. Methods Adolescent/parent dyads (N = 82; mean adolescent age = 13.7 ± 1.2 years) participated in TEENS+, a 4‐month behavioural weight loss treatment. Participants were randomized to: (1) TEENS+parents as coaches (PAC; parent skills training), or (2) TEENS+parent weight loss (PWL; adult behavioural weight loss). Assessments occurred at 0, 4 (post‐treatment), and 7‐months. Within‐ and between‐group repeated measures general linear mixed models examined change in parent weight (∆kg; primary outcome); parenting, feeding, weight control strategies, home environment, and adolescent body mass index (∆BMI; secondary outcomes). Results PWL parents had greater 4‐month weight losses (∆kg0–4m = −5.14 ± 4.87 kg) compared to PAC (−2.07 ± 3.89 kg; between‐group p < 0.01). Key constructs differed between groups as expected. Both groups yielded significant within‐group adolescent ∆BMI0–4m (PWL: −0.97 ± 1.38 kg/m2 vs. PAC: −0.93 ± 1.42 kg/m2; ps < 0.01); during maintenance, adolescents in PWL had ∆BMI4–7m increases (+0.41 ± 1.07 kg/m2; p = 0.02) while PAC did not (+0.05 ± 1.31 kg/m2; p = 0.82). Conclusion Parent treatments were distinct in implementation and both yielded significant 4‐month adolescent weight loss. Differential weight patterns were observed during maintenance, favouring PAC, warranting further exploration.

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Section: Methodsmentioning

confidence: 99%

The role of parents in adolescent obesity treatment: Results of the TEENS+ randomized clinical pilot trial

et al. 2021

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“…Although our model did not include influence with participant engagement during intervention design, a review of the published literature revealed that participant engagement early in the intervention planning process can help reduce participant dropout [35]. In addition, a recent study [31] found that engaging adolescent participants to develop and implement behavioral obesity interventions for adolescent obesity can improve the participant acceptability and effectiveness.…”

Section: Involving Participants In Intervention Designmentioning

confidence: 98%

“…Other possibilities can be drawn from studies with low dropout rates. A recent study by Lee et al [31] achieved substantially higher participant retention rates by seeking formative feedback to identify and reduce participant burdens and by involving participants in study messaging and design.…”

Section: Interventions and Strong Cultures Prevent Return To Sedetary...mentioning

confidence: 99%

Social influences on physical activity for establishing criteria leading to exercise persistence

Mema

Spain²,

Martin³

et al. 2022

PLoS ONE

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Despite well-documented health benefits from exercise, a study on national trends in achieving the recommended minutes of physical activity guidelines has not improved since the guidelines were published in 2008. Peer interactions have been identified as a critical factor for increasing a population’s physical activity. The objective of this study is for establishing criteria for social influences on physical activity for establishing criteria that lead to exercise persistence. A system of differential equations was developed that projects exercise trends over time. The system includes both social and non-social influences that impact changes in physical activity habits and establishes quantitative conditions that delineate population-wide persistence habits from domination of sedentary behavior. The model was generally designed with parameter values that can be estimated to data. Complete absence of social or peer influences resulted in long-term dominance of sedentary behavior and a decline of physically active populations. Social interactions between sedentary and moderately active populations were the most important social parameter that influenced low active populations to become and remain physically active. On the other hand, social interactions encouraging moderately active individuals to become sedentary drove exercise persistence to extinction. Communities should focus on increasing social interactions between sedentary and moderately active individuals to draw sedentary populations to become more active. Additionally, reducing opportunities for moderately active individuals to engage with sedentary individuals through sedentary social activities should be addressed.

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“…Life transitions and major developmental changes may contribute to young people responding to interventions differently from adults 35,36 . Hence, treatment options designed specifically for young people may enhance clinical outcomes through improved acceptability, recruitment, retention, therapeutic compliance, and/or participant skills 37–41 . Adolescents have also reported preferring intervention messaging that emphasises health improvement over weight focus 41 .…”

Section: Introductionmentioning

confidence: 99%

“… 35 , 36 Hence, treatment options designed specifically for young people may enhance clinical outcomes through improved acceptability, recruitment, retention, therapeutic compliance, and/or participant skills. 37 , 38 , 39 , 40 , 41 Adolescents have also reported preferring intervention messaging that emphasises health improvement over weight focus. 41 Given the vulnerability of young people with obesity to psychosocial adversity 42 , 43 and weight stigma/victimisation, 44 weight‐neutral interventions encompassing emotional wellbeing warrant investigation.…”

Section: Introductionmentioning

confidence: 99%

Weight‐neutral interventions in young people with high body mass index: A systematic review

Hoare

Lister

Garnett

et al. 2022

Nutrition & Dietetics

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Aim This systematic review explored the feasibility, acceptability and effect on health outcomes of weight‐neutral interventions in health improvement‐seeking young people with overweight/obesity. Methods Six databases were searched to March 2021 for health, but not weight, focused interventions (PROSPERO, CRD42020152671). Eligible studies recruited young people (10–24 years) with overweight/obesity. The studies were described using narrative synthesis, with numerical results summarised. The quality of included studies was assessed using the Joanna Briggs Institute critical appraisal tools. Results Six articles were included, representing three pilot studies. Study 1 (n = 37, 14–17 years) compared a 6‐week mindful eating program with single‐session lifestyle education; Study 2 (n = 35, 14–17 years) compared 12‐week weight‐neutral lifestyle education focused on intuitive eating and carbohydrate quality, with/without guided imagery; and Study 3 (n = 33, 12–17 years) compared a 6‐week mindfulness intervention with cognitive behavioural therapy in adolescents with depressive symptoms at risk of type 2 diabetes. All interventions explored feasibility (intervention group retention 57%–88%, attendance >80%) and reported interventions were acceptable. Studies 1 and 3 reported no change in mindfulness. Study 2 reported an increase (p < 0.05) in intuitive eating following weight‐neutral plus guided imagery (0.32 ± 0.36, Hawks' Scale, score 1–4), compared with weight‐neutral alone (0.15 ± 0.29). Study 1 reported decreased body mass index (p < 0.001) following mindful eating (−1.1 kg/m2), compared with single‐session lifestyle education (+0.7 kg/m2); Studies 2 and 3 found no change in body mass index or body mass index z‐score. Conclusions Weight‐neutral interventions may be feasible and acceptable in adolescents with overweight/obesity in the short term (≤12 weeks), but data are limited.

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Behavioral Weight Loss Intervention Preferences of Adolescents with Overweight/Obesity

Cited by 12 publications

References 30 publications

The role of parents in adolescent obesity treatment: Results of the TEENS+ randomized clinical pilot trial

The role of parents in adolescent obesity treatment: Results of the TEENS+ randomized clinical pilot trial

Social influences on physical activity for establishing criteria leading to exercise persistence

Weight‐neutral interventions in young people with high body mass index: A systematic review

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