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Trials
Published in: Trials 1/2015

Open Access 01-12-2015 | Study protocol

SRT-Joy – computer-assisted self-regulation training for obese children and adolescents: study protocol for a randomized controlled trial

Author: Petra Warschburger

Published in: Trials | Issue 1/2015

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Abstract

Background

Obesity is not only a highly prevalent disease but also poses a considerable burden on children and their families. Evidence is increasing that a lack of self-regulation skills may play a role in the etiology and maintenance of obesity. Our goal with this currently ongoing trial is to examine whether training that focuses on the enhancement of self-regulation skills may increase the sustainability of a complex lifestyle intervention.

Methods/Design

In a multicenter, prospective, parallel group, randomized controlled superiority trial, 226 obese children and adolescents aged 8 to 16 years will be allocated either to a newly developed computer-training program to improve their self-regulation abilities or to a placebo control group. Randomization occurs centrally and blockwise at a 1:1 allocation ratio for each center. This study is performed in pediatric inpatient rehabilitation facilities specialized in the treatment of obesity. Observer-blind assessments of outcome variables take place at four times: at the beginning of the rehabilitation (pre), at the end of the training in the rehabilitation (post), and 6 and 12 months post-rehabilitation intervention. The primary outcome is the course of BMI-SDS over 1 year after the end of the inpatient rehabilitation. Secondary endpoints are the self-regulation skills. In addition, health-related quality of life, and snack intake will be analyzed.

Discussion

The computer-based training programs might be a feasible and attractive tool to increase the sustainability of the weight loss reached during inpatient rehabilitation.

Trial registration

The present study protocol was registered on 13 July 2015 at German Clinical Trials Register: DRKS00007879.
Literature
1.
Kurth B, Schaffrath RA. Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Bundesgesundheitsbl. 2010;53:643–52.CrossRef
2.
Lobstein T, Baur L, Uauy R. Obesity in children and young people: A crisis in public health. Obes Rev. 2004;5:4–85.CrossRefPubMed
3.
4.
Withrow D, Alter DA. The economic burden of obesity worldwide: A systematic review of the direct costs of obesity. Obes Rev. 2011;12:131–41.CrossRefPubMed
5.
Neovius K, Johansson K, Kark M, Neovius M. Obesity status and sick leave: A systematic review. Obes Rev. 2009;10:17–27.CrossRefPubMed
6.
Agerstrom J, Rooth DO. The role of automatic obesity stereotypes in real hiring discrimination. J Appl Psychol. 2011;96:790–805.CrossRefPubMed
7.
8.
Neovius K, Johansson K, Rossner S, Neovius M. Disability pension, employment and obesity status: A systematic review. Obes Rev. 2008;9:572–81.CrossRefPubMed
9.
Baumeister RF, Vohs KD. Handbook of self-regulation: Research, theory, and applications. New York: Guilford Press; 2004.
10.
Reinert KRS, Po’e EK, Barkin SL. The relationship between executive function and obesity in children and adolescents: A systematic literature review. J Obes. 2013;820956.
11.
Schag K, Schönleber J, Teufel M, Zipfel S, Giel KE. Food-related impulsivity in obesity and binge eating disorder- A systematic review. Obes Rev. 2013;14:477–95.CrossRefPubMed
12.
Thamotharan S, Lange K, Zale EL, Huffhines L, Fields S. The role of impulsivity in pediatric obesity and weight status: A meta-analytic review. Clin Psychol Rev. 2013;33:253–62.CrossRefPubMed
13.
Abraham C, Sheeran P, Henderson M. Extending social cognition models of health behaviour. Health Educ Res. 2011;26:624–37.CrossRefPubMed
14.
Braet C, Claus L, Verbeken S, van Vlierberghe L. Impulsivity in overweight children. Eur Child Adolesc Psychiatry. 2007;16:473–83.CrossRefPubMed
15.
Nederkoorn C, Braet C, Van EY, Tanghe A, Jansen A. Why obese children cannot resist food: The role of impulsivity. Eat Behav. 2006;7:315–22.CrossRefPubMed
16.
17.
Bourget V, White DR. Performance of overweight and normal-weight girls on delay of gratification tasks. Int J Eat Disord. 1984;3:63–71.CrossRef
18.
Pauli-Pott U, Albayrak O, Hebebrand J, Pott W. Association between inhibitory control capacity and body weight in overweight and obese children and adolescents: Dependence on age and inhibitory control component. Child Neuropsychol. 2010;16:592–603.CrossRefPubMed
19.
Tsukayama E, Toomey SL, Faith MS, Duckworth AL. Self-control as a protective factor against overweight status in the transition from childhood to adolescence. Arch Pediatr Adolesc Med. 2010;164:631–5.PubMedCentralCrossRefPubMed
20.
Seeyave DM, Coleman S, Appugliese D, Corwyn RF, Bradley RH, Davidson NS, et al. Ability to delay gratification at age 4 years and risk of overweight at age 11 years. Arch Pediatr Adolesc Med. 2009;163:303–8.PubMedCentralCrossRefPubMed
21.
Janicke DM, Steele RG, Gayes LA, Lim CS, Clifford LM, Schneider EM, et al. Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity. J Pediatr Psychol. 2014;39:809–25.CrossRefPubMed
22.
Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1: CD001872.PubMed
23.
McGovern L, Johnson JN, Paulo R, Hettinger A, Singhal V, Kamath C, et al. Treatment of pediatric obesity: A systematic review and meta-analysis of randomized trials. J Clin Endocrinol Metab. 2008;93:4600–5.CrossRefPubMed
24.
Ho M, Garnett SP, Baur L, Burrows T, Stewart L, Neve M, et al. Effectiveness of lifestyle interventions in child obesity: Systematic review with meta-analysis. Pediatrics. 2012;130:e1647–71.CrossRefPubMed
25.
Hoffmeister U, Bullinger M, van Egmond-Fröhlich A, Goldapp C, Mann R, Ravens-Sieberer U, et al. Übergewicht und Adipositas in Kindheit und Jugend. Evaluation der ambulanten und stationären Versorgung in Deutschland in der “EvAKuJ-Studie”. Bundesgesundheitsbl. 2011;54:128–35.CrossRef
26.
Wiers RW, Eberl C, Rinck M, Becker ES, Lindenmeyer J. Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychol Sci. 2011;22:490–7.CrossRefPubMed
27.
Nelson CA, de Haan M, Thomas KM. Neuroscience of cognitive development: The role of experience and the developing brain. Hoboken: Wiley; 2006.
28.
Davis C, Carter JC. Compulsive overeating as an addiction disorder. A review of theory and evidence. Appetite. 2009;53:1–8.CrossRefPubMed
29.
Kromeyer-Hauschild K, Wabitsch M, Kunze K, Geller F, Hesse V, von Hippel A, et al. Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd. 2001;149:807–18.CrossRef
30.
Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed
31.
Mensink GB, Kleiser C, Richter A. Lebensmittelverzehr bei Kindern und Jugendlichen in Deutschland. Ergebnisse des Kinder- und Jugendgesundheitssurveys (KIGGS). Bundesgesundheitsbl. 2007;50:609–23.CrossRef
32.
Greenwald AG, McGhee DE, Schwartz JL. Measuring individual differences in implicit cognition: The Implicit Association Test. J Pers Soc Psychol. 1998;74:1464–80.CrossRefPubMed
33.
Archibald SJ, Kerns KA. Identification and description of new tests of executive functioning in children. Child Neuropsychol. 1999;5:115–29.CrossRef
34.
Braet C, Crombez G. Cognitive interference due to food cues in childhood obesity. J Clin Child Adolesc Psychol. 2003;32:32–9.CrossRefPubMed
35.
Nijs IMT, Muris P, Euser AS, Franken IHA. Differences in attention to food and food intake between overweight/obese and normal-weight females under conditions of hunger and satiety. Appetite. 2010;54:243–54.CrossRefPubMed
36.
Tangney JP, Baumeister RF, Boone AL. High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. J Pers. 2004;72:271–324.CrossRefPubMed
37.
Warschburger P, Petermann F, Fromme C. Adipositas: Training mit Kindern und Jugendlichen. 2nd ed. Beltz: Weinheim; 2005.
38.
Warschburger P, Fromme C, Petermann F. Gewichtsbezogene Lebensqualität bei Schulkindern: Validität des GW-LQ-KJ. Z Gesundheitspsychol. 2004;12:159–66.CrossRef
39.
Klasen H, Woerner W, Wolke D, Meyer R, Overmeyer S, Kaschnitz W, et al. Comparing the German versions of the Strengths and Difficulties Questionnaire (SDQ-Deu) and the Child Behavior Checklist. Eur Child Adolesc Psychiatry. 2000;9:271–6.CrossRefPubMed
40.
41.
Leit RA, Pope HGJ, Gray JJ. Cultural expectations of muscularity in men: The evolution of playgirl centerfolds. Int J Eat Disord. 2001;29:90–3. Accessed on the 7th of December 2015.CrossRefPubMed
42.
Houben K, Jansen A. Chocolate equals stop. Chocolate-specific inhibition training reduces chocolate intake and go associations with chocolate. Appetite. 2015;87:318–23.CrossRefPubMed
43.
Herbert BM, Blechert J, Hautzinger M, Matthias E, Herbert C. Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite. 2013;70:22–30.CrossRefPubMed
44.
Boutelle KN, Kuckertz JM, Carlson J, Amir N. A pilot study evaluating a one-session attention modification training to decrease overeating in obese children. Appetite. 2014;76:180–5.PubMedCentralCrossRefPubMed
45.
Hendrikse JJ, Cachia RL, Kothe EJ, McPhie S, Skouteris H, Hayden MJ. Attentional biases for food cues in overweight and individuals with obesity: A systematic review of the literature. Obes Rev. 2015;16:424–32.CrossRefPubMed
46.
Kemps E, Tiggemann M. Approach bias for food cues in obese individuals. Psychol Health. 2015;30:370–80.CrossRefPubMed
47.
Veling H, Aarts H, Stroebe W. Using stop signals to reduce impulsive choices for palatable unhealthy foods. Br J Health Psychol. 2013;18:354–68.CrossRefPubMed
48.
Veling H, Aarts H, Papies EK. Using stop signals to inhibit chronic dieters’ responses toward palatable foods. Behav Res Ther. 2011;49:771–80.CrossRefPubMed
49.
Houben K, Nederkoorn C, Jansen A. Eating on impulse: The relation between overweight and food-specific inhibitory control. Obesity. 2014;22:E6–8.CrossRefPubMed
50.
Verbeken S, Braet C, Goossens L, van der Oord S. Executive function training with game elements for obese children: A novel treatment to enhance self-regulatory abilities for weight-control. Behav Res Ther. 2013;51:290–9.CrossRefPubMed
Metadata
Title
SRT-Joy – computer-assisted self-regulation training for obese children and adolescents: study protocol for a randomized controlled trial
Author
Petra Warschburger
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Trials / Issue 1/2015
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-015-1078-2

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