Virtual Third-Wave Intervention for Internalized Weight Bias Combined With a Weight Loss Program

University of North Carolina System

Status: Completed

Conditions: Weight Loss; Weight Prejudice

Treatments: Behavioral: Internalized Weight Bias Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT05529758

22-001438

Details and patient eligibility

About

The current study aims to test a third-wave based IWB intervention paired with a standard BWLP delivered through video conferencing software.

Full description

Internalized weight bias (IWB), has been shown to impact mental (e.g., depression and anxiety) and physical health (e.g., cardiometabolic functioning), as well as weight loss and weight loss associated behaviors (e.g., interference with exercise and healthy eating). These associated behaviors especially pose a risk for weight regain and disruption of healthy weight loss. Therefore, given the association between IWB and weight loss associated behaviors, as well as the psychological and health risks associated with IWB, it is clear that IWB interventions are also needed independently and in conjunction with behavioral weight loss programs (BWLPs). Interventions using third-wave strategies (such as acceptance commitment therapy; ACT) have begun to show promise in reducing IWB, but have not yet looked at this therapy in conjunction with a BWLP. Finally, there has also been a growing interest in and need for telehealth-based programs and interventions. The COVID19 pandemic demonstrated a clear need for efficacious telehealth programs, and a further benefit is that these programs may reach populations with limited access to resources (i.e., rural populations). Thus, the current study aims to examine a third-wave based IWB intervention paired with a standard BWLP delivered through video conferencing software.

Enrollment: 28 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion:

1. Interested in weight loss

2. 18 or older

3. BMI of 25 kg/m2 or greater

4. Higher-than-average levels of IWB

5. Access to internet, along with a web camera and sound, and be able to use video conferencing software and attend weekly online groups, and access to a reliable scale to weigh themselves weekly

   Exclusion:

6. Individuals with current use of medication prescribed for weight loss (such as orlistat, sibutramine, or rimonabant)

7. Pregnant or planning to become pregnant

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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28 participants in 1 patient group

Intervention Group

Experimental group

Description:

Receives internalized weight bias intervention along with standard behavioral weight loss program

Treatment:

Behavioral: Internalized Weight Bias Intervention