Obesity, Overweight, Weight Loss
Conditions
Keywords
obesity, overweight, weight loss
Brief summary
The major goal of this project is to evaluate an innovative approach to obesity involving modification of the home environment. The project also will evaluate if home environment modification is more effective when supplemented with distress tolerance and related skills training.
Interventions
Standard behavioral treatment for weight loss and weight loss maintenance.
Standard behavioral therapy with an emphasis on environmental strategies.
Behavioral therapy with acceptance-based and environmental strategies.
Sponsors
Study design
Eligibility
Inclusion criteria
* Have a BMI between 27 and 45 kg/m2 * Have the ability to engage in physical activity (i.e., can walk at least 2 blocks without stopping for rest) * Successfully complete all steps in the enrollment process, including completion of a 7-day food diary and attendance at all pre-randomization clinic visits
Exclusion criteria
* Have a medical condition (e.g., cancer) or psychiatric condition (e.g., psychotic disorder, substance dependence, bulimia nervosa) that may limit their ability to comply with the behavioral recommendations of the program or pose a risk to the participant during weight loss * Are pregnant or plan to become pregnant in next 2 years * Report recently beginning a course of or changing the dosage of prescription medications that can cause significant weight loss or weight gain * Are participating in or plan to participate in another weight loss program in the next 2 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Body Weight | Baseline, 6 months, 12 months, 18 months, 24 months | — |
| Change in Physical Activity | Baseline, 6 months, 12 months, 18 months, 24 months | Objectively measured physical activity will be recorded at each time point. |
| Change in Nutritional Intake | Baseline, 12 months, 24 months | Measured by 24-hour food recall |
| Change in Psychosocial Status | Baseline, 6 months, 12 months, 18 months, 24 months | — |
Countries
United States