Wellness Achieved Through Changing Habits (WATCH): An Acceptance-Based Healthy Lifestyle Intervention for Diverse Adolescents
Drexel University
Summary
The goal of this clinical trial is to learn about cardiovascular disease risk among adolescent girls with overweight/obesity. The main questions this trial aims to answer are: 1. Does an acceptance-based healthy lifestyle intervention demonstrate more weight loss than a health education intervention? 2. Does an acceptance-based healthy lifestyle intervention show more improvements in participants' physiological, health-related, and psychological factors compared to a health education intervention? Participants in this trial will: 1. Engage in treatment for 6-months, comprising of a mixture of in-person and remote group sessions, occurring at Drexel University or over a video-conferencing platform. 2. Complete various assessments. These include self-reported questionnaires, measures of weight, height, body composition, blood pressure, and blood lipids, and wearing of smart watches to measure sleep and physical activity. Researchers will compare the acceptance-based and health education intervention groups to see if the acceptance-based treatment will indeed be effective in improving participants' health outcomes.
Description
Overweight/obesity (OW/OB) affects 14 million adolescents in the U.S. and disproportionately affects girls and racial/ethnic minorities while increasing their risk of cardiovascular disease (CVD) and type 2 diabetes. Adolescents demonstrate limited self-regulation skills, which are essential for adhering to diet and physical activity goals. Adolescents must contend with pervasive biological and environmental cues (e.g., cravings, labor-saving devices) that promote overeating and sedentary behavior. There is a critical need for interventions that teach self-regulation to enable adolescents to r…
Eligibility
- Age range
- 14–19 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Ages 14-19 * Gender identification as girl * BMI percentile ≥ 85th percentile for sex-and-age Exclusion Criteria: * Experience of weight loss of ≥5% of body weight in the past 6 months for any reason except post-partum weight loss * Having recently begun or changed the dosage of any medication known to affect appetite or body composition within the last 3 months * Plans to move out of the area within the next year * Active cancer or cancer requiring treatment in the past 2 years (except non-melanoma skin cancer) * Active or chronic infections (e.g., HIV or TB) * Active…
Interventions
- BehavioralAcceptance-based Treatment (ABT)
Participants will be provided with psycho-education, skill-builders, and other coaching to promote weight loss and healthy lifestyle changes.
- BehavioralHealth Education (HE) Comparison
Participants will be provided with psych-education and resources to promote weight loss and healthy lifestyle changes. They will not be provided with directives.
Location
- Drexel UniversityPhiladelphia, Pennsylvania