Feasibility/Acceptability of an Acceptance-Based Therapy Intervention for Diverse Adolescent Cisgender Girls With Overweight/Obesity

This study assessed the feasibility and acceptability of an ABT healthy lifestyle intervention among diverse adolescent cisgender girls with overweight/obesity (OW/OB). Adolescent cisgender girls ages 14 to 19 with a BMI ≥ 85th percentile-for-sex-and-age were recruited for participation in a single-...

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Bibliographic Details
Published in:Current developments in nutrition 2021-06, Vol.5 (Supplement_2), p.1201-1201
Main Authors: Cardel, Michelle, Lee, Alexandra, Chi, Xiaofei, Newsome, Faith, Miller, Darci, Bernier, Angelina, Thompson, Lindsay, Gurka, Matthew, Janicke, David, Butryn, Meghan
Format: Article
Language:English
Subjects:
Obesity
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Summary:This study assessed the feasibility and acceptability of an ABT healthy lifestyle intervention among diverse adolescent cisgender girls with overweight/obesity (OW/OB). Adolescent cisgender girls ages 14 to 19 with a BMI ≥ 85th percentile-for-sex-and-age were recruited for participation in a single-arm feasibility study. The primary outcomes were recruitment and retention while the secondary outcome was change in BMI Z-score over the 6-month intervention. Exploratory outcomes included obesity-related factors, health-related behaviors, and psychological factors. Recruitment goals were achieved; thirteen adolescents (>60% racial/ethnic minorities) participated in the intervention, and eleven completed the intervention (85% retention). In completers (n = 11), a mean decrease in BMI Z-score of –0.15 (SD = 0.34, Cohen’s d = –0.44) was observed. Improvements were also noted for change in percentage of 95th percentile (d = –0.35), % body fat (d = –0.35), quality of life (d = 0.71), psychological flexibility (d = –0.86), and depression (d = –0.86). These preliminary findings suggest an ABT healthy lifestyle intervention tailored for adolescent cisgender girls with OW/OB may be an acceptable treatment that could lead to improvements in BMI Z-score, obesity-related measures, and psychological outcomes. This work is supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH; UL1TR001427) and WellCare Health Plans, Inc. Dr. Cardel is also supported by the National Institutes of Health National Heart, Lung, and Blood Institute (K01HL141535 and R25HL126146).
ISSN:2475-2991
2475-2991
DOI:10.1093/cdn/nzab055_011