Addressing Appetitive Traits to Promote Weight Management in Children Who Overeat
University of California, San Diego
Summary
The objective of this proposed study is to compare Regulation of Cues (ROC), Family-Based Treatment (FBT), ROC+ nutrition education and reducing energy intake (ROC+) and a health education comparator (HE) for children with overweight or obesity who are high on food responsiveness (FR).
Description
The investigators have developed a new model for the treatment of obesity, called Regulation of Cues (ROC), which is based on Behavioral Susceptibility Theory. The ROC program targets two theorized mechanisms for overeating; decreased sensitivity to appetitive cues and increased sensitivity to external food cues. Considering that FBT has merit for some children, but not all, this study will compare ROC to FBT, ROC with nutrition education and reducing energy intake (ROC+), and Health Education (HE). Treatment will consist of weekly individual sessions for the first 16 sessions, then twice per…
Eligibility
- Age range
- 7–12 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: 1. Informed assent and parental consent 2. A child with overweight or obesity (≥ 85th BMI%) aged 7-12 years of age 3. Child high on FR - High FR will be measured by the Food Responsiveness Scale via the CEBQ, with scores at a 3.8 or higher constituting a child with high FR. 4. A parent responsible for food preparation who is willing to participate and can read, speak and understand English at a minimum of a 5th grade level 5. Family is willing to commit to attending all assessment and treatment sessions, agree to be randomized and participate in all aspects of potential tr…
Interventions
- BehavioralRegulation of Cues
ROC is based on the Behavioral Susceptibility Theory and designed to incorporate psychoeducation, cue-exposure treatment, appetite awareness training, coping skills, and self-monitoring of satiety and cravings to improve satiety responsiveness and decrease food cue responsiveness. This arm will include an experiential component, including hunger monitoring during a meal or snack and participating in exposure exercises.
- BehavioralFamily Based Behavioral Treatment
FBT provides nutrition and physical activity education, behavior therapy skills, and parenting skills targeting changes in energy balance.
- BehavioralRegulation of Cues +
ROC+ includes all of the skills provided in ROC but integrates nutrition education and reducing energy intake
- BehavioralHealth Education
The HE program provides information about nutrition, physical activity, sedentary behavior, sleep, emotions, and stress.
Locations (2)
- UC San Diego Center for Healthy Eating and Activity Research (CHEAR)La Jolla, California
- Ambulatory Research Center - University of MinnesotaMinneapolis, Minnesota