Obesity
Conditions
Keywords
obesity, pediatric, childhood, overweight
Brief summary
The objective of this study is to pilot test, evaluate and compare the effects of Cue Reactivity and Sensitivity Training (CRST) and Children's Appetite Awareness Training (CAAT) in 48 children aged 8-12 years old. The central hypothesis is that CRST and CAAT will reduce eating in the absence of hunger in overweight children immediately following treatment and 6-months post treatment. The primary aim of this proposed study is to evaluate the efficacy and compare the effectiveness of Cue Responsivity and Sensitivity Training (CRST) or Children's Appetite Awareness Training (CAAT) in decreasing eating in the absence of hunger (EAH) in overweight children. Following this first intervention, a second intervention to determine the efficacy of a combination program (combined CAAT & CRST) will be implemented. The secondary aim of this study is to evaluate change in the following related measures for both children and adults who participated in CRST, CAAT, and the combination program: BMI for age, food intake, perceptions of control over eating, and self-efficacy in managing high-risk food situations.
Interventions
BEHAVIORALCAAT: Appetite Awareness
Participants in this Children's Appetite Awareness Training (CAAT) group learn to get in touch with the internal cues of hunger - aka the hunger meter - and practice skills to get back in touch with these internal cues of true hunger and fullness. Sessions occur once a week for 8 weeks.
BEHAVIORALCRST: Volcravo
Participants in this Cue Reactivity and Sensitivity Training (CRST) group learn about how external cues can affect when and how much we eat (aka volcravo - the craving volcano). Over 8 weekly sessions, they practice skills to ride out the cravings external cues can cause.
BEHAVIORALCombined CAAT and CRST program
Participants meet weekly for 14 weeks to learn about both Children's Appetite Awareness Training (CAAT) and Cue Reactivity and Sensitivity Training (CRST) - i.e. appetite awareness and external cues that affect food intake.
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
University of Minnesota
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Body Mass Index (BMI) greater than the 85%-ile * child consumes 10%+ of daily caloric need during Eating in the absence of hunger (EAH) assessment * child between the age of 8-12 at the time of the first data collection visit
Exclusion criteria
* non-English speaking * history of eating disorder * food allergies * unavailable on days of intervention meetings * current participation in a weight loss or maintenance program * presence of any medical condition affecting weight or growth * presence of any physical, emotional, or behavioral disability that would prevent participant from taking part in the weekly study visits or the three data collection visits.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in the amount of calories consumed during the Eating in the Absence of Hunger assessment at 3 months | Baseline and 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in BMI-for-age at 3 months. | Baseline and 3 months |
Countries
United States
Outcome results
None listed