Addressing Emotional and Cognitive Factors in Behavioral Weight Loss Treatment (Part 2)
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Purpose
Behavioral weight loss, the current treatment of choice for moderate obesity, achieves impressive short term results, however, weight regain following treatment is a major problem. Over 50% of participants in behavioral weight loss programs report difficulty with internal antecedents to unhealthy weight control behaviors and this difficulty is associated with weight regain following treatment. Current treatment approaches do not adequately address these antecedents. The aim of this series of studies is to develop, implement, and evaluate a behavioral weight loss program modified to provide participants with skills to deal effectively with affective and cognitive difficulties. The study targets men and women with BMI of 27-40 who self-report difficulty with emotional and/or cognitive antecedents to unhealthy weight control behaviors. The study will randomize 120 participants to receive 12 months of standard behavioral therapy for weight loss or standard behavioral treatment plus affective and cognitive skills training. The long-term goal of this research is to improve the weight loss maintenance outcomes of behavioral weight loss programs by addressing affective and cognitive antecedents to unhealthy weight control behaviors.
| Condition | Intervention |
|---|---|
|
Overweight Obesity |
Behavioral: Standard Behavioral Weight Loss Treatment with Affective and Cognitive Skills Training Behavioral: Standard Behavioral Weight Loss Treatment |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Addressing Emotional and Cognitive Factors in Behavioral Weight Loss Treatment |
- Weight Loss [ Time Frame: 12 Months ] [ Designated as safety issue: No ]
- Internal disinhibition as measured by the Eating Inventory [ Time Frame: 12 Months ] [ Designated as safety issue: No ]
- Physical activity as measured by the Paffenbarger [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Dietary intake as measured by the Block Food Frequency Questionnaire [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | January 2011 |
| Estimated Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Standard behavioral weight loss treatment with cognitive and affective skills training
|
Behavioral: Standard Behavioral Weight Loss Treatment with Affective and Cognitive Skills Training
12-month (6-month weekly, 3-month biweekly, 3-month monthly) group treatment
|
|
Active Comparator: 2
Standard behavioral weight loss treatment
|
Behavioral: Standard Behavioral Weight Loss Treatment
12-month (6-month weekly, 3-month biweekly, 3-month monthly) group treatment
|
Eligibility| Ages Eligible for Study: | 21 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age between 21 and 70 years
- Body mass index between 27 and 40
- Score 5 or above on the internal disinhibition scale of the Eating Inventory
Exclusion Criteria:
- Are currently participating in a weight loss program and/or are taking a weight loss medication or lost greater than or equal to 5% of body weight during the past six months
- Are pregnant, lactating, less than 6 months postpartum or plan to become pregnant during the time frame of the investigation
- Report a heart condition, chest pain during periods of activity or rest, or loss of consciousness on the Physical Activity Readiness Questionnaire (PAR-Q). Individuals endorsing joint problems, prescription medication usage, or other medical conditions that could limit exercise will be required to obtain written physician consent to participate.
Contacts and Locations| United States, Rhode Island | |
| The Weight Control and Diabetes Research Center, The Miriam Hospital | |
| Providence, Rhode Island, United States, 02903 | |
| Principal Investigator: | Heather M. Niemeier, Ph.D. | The Miriam Hospital/The Warren Alpert Medical School of Brown U niversity |
More Information
No publications provided
| Responsible Party: | Heather M. Niemeier, Ph.D., The Miriam Hospital |
| ClinicalTrials.gov Identifier: | NCT00558194 History of Changes |
| Other Study ID Numbers: | K23 DK73536-2, 1 K23 DK073536-01 |
| Study First Received: | November 13, 2007 |
| Last Updated: | March 15, 2011 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):
|
Weight loss |
Additional relevant MeSH terms:
|
Obesity Weight Loss Overweight Overnutrition |
Nutrition Disorders Body Weight Signs and Symptoms Body Weight Changes |
ClinicalTrials.gov processed this record on June 18, 2013