NCT06389656

Addressing Weight Bias Internalization to Improve Adolescent Weight Management Outcomes: Open Trial

Piloting an Intervention to Address Weight Bias Internalization to Improve Adolescent Weight Management Outcomes

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 17 (actual)
• Sponsor: The Miriam Hospital · Academic / Other
• Sex: All
• Age: 13 Years – 17 Years
• Healthy volunteers: Accepted

Summary

Weight stigma and weight bias internalization (WBI) are common among adolescents at higher weight statuses. WBI is associated with negative physical and mental health outcomes. The current study aims to test intervention for weight stigma and WBI in conjunction with an evidence-based adolescent weight management program. Adolescents (ages 13-17) will participate in a 20-week program tailored to improve WBI and weight-related health behaviors in tandem. Primary outcomes are feasibility and acceptability of the developed intervention, assessed following the 20-week intervention.

Detailed description

The overall goal of this project is to examine the impact of intervening on weight bias internalization (WBI) in conjunction with evidence-based adolescent behavioral weight management (BWM) and to assess reduction in key mechanisms of stress resulting from weight stigma (i.e., biological markers of stress and inflammation, dysregulated eating behaviors) and subsequent impact on weight loss interference resulting from WBI. An open trial with 16 adolescents (2 cohorts; 8/group) will be conducted to test initial acceptability and feasibility of the 20-week WBI+BWM intervention in an open trial. Quantitative and qualitative feedback concerning acceptability and feasibility will be solicited to refine the intervention. Participants are adolescents (ages 13-17 years old) at higher weight status (BMI percentile at or equal to the 95th percentile) will participate in a 20-session weekly intervention focused on weight bias internalization and healthy weight management strategies.

Conditions

• Body Weight
• Weight Bias
• Weight Stigma
• Weight

Interventions

Type	Name	Description
BEHAVIORAL	Behavioral Weight Management	Prescription of diet and physical activity strategies, paired with behavioral strategies for weight management.
BEHAVIORAL	Weight Bias Internalization	Addressing weight stigma and improving weight-related self-perception, through challenging weight-related stereotypes, self-compassion, reducing self-criticism, and coping with weight stigma.

Timeline

• Start date: 2024-04-08
• Primary completion: 2025-02-15
• Completion: 2025-02-15
• First posted: 2024-04-29
• Last updated: 2025-12-22

Locations

1 site across 1 country: United States