Cognitive-Behavioral Therapy for Weight-related Bullying (Online Treatment)

Study Overview
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Brief Summary
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This study will perform a clinical trial with adolescent girls to pilot a new cognitive-behavioral treatment (CBT) for weight-related bullying testing (1) feasibility, (2) acceptability, and (3) initial efficacy. The treatment will be conducted via audio/video telehealth.

Detailed Description
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Youth with obesity are more likely to be bullied than healthy-weight peers and weight-related bullying is the most common form of bullying. Treating bullying during childhood could reduce immediate and long-term health consequences, but there are no established individual-level treatments for weight-related bullying despite recommendations that they could improve children's health. This study will develop and test a new treatment for adolescent girls (11-17 years old) who have experienced bullying due to weight. The treatment will address traumatic stress and potentially co-occurring or developing problems with unhealthy weight-control behaviors, disordered eating, and weight. The treatment will be conducted via audio/video telehealth to increase accessibility and is therefore available to anyone in the United States who meets eligibility criteria.

Official Title
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Cognitive-Behavioral Therapy for Girls Who Experienced Weight-related Bullying (Online Telehealth Treatment Study)

Conditions
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Bullying, Weight, Body, Trauma, Psychological

Intervention / Treatment
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* Behavioral: CBT for Weight Bullying


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be included, adolescents must: Be in the age range ≥11 years old and ≤17 years old; Identify as female Report experiencing weight-related bullying Report current distress about weight-related bullying Be otherwise-healthy youth (i.e., no uncontrolled or serious medical conditions); Read, comprehend, and write English at a sufficient level to complete study-related materials; Located in the United States and available for participation in the study for 3 months. Exclusion Criteria: Prospective participants will be excluded if the adolescent: Has a medical or psychiatric condition that would require hospitalization or intensive care (e.g., severe anorexia, neurological disorder, psychotic disorders, suicidality); Has uncontrolled medical condition(s) (e.g., uncontrolled diabetes or hypertension); Is pregnant or breastfeeding; Is taking medication(s) or participating in treatment(s) that could influence weight or appetite; Is engaged in concurrent treatments that focus on trauma-related stress; Began taking hormonal contraceptives less than 3 months prior; Has a developmental or cognitive disorder (e.g., autism spectrum disorder); Has avoidant/restrictive food intake disorder; or Is participating in another clinical research study.

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CBT for Weight Bullying<br>Cognitive-Behavioral Therapy (CBT) for children who have experienced weight-related bullying | Behavioral: CBT for Weight Bullying<br>* Cognitive-behavioral therapy for weight-related bullying delivered by audio/video telehealth.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stress | Reductions in traumatic stress as measured by the Children's Revised Impact of Event Scale (scores range from 0 to 65 with higher scores indicative of more traumatic stress) | post (3 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight concerns | Reductions in weight concerns as measured by the Eating Disorder Examination Questionnaire (scores range from 0 to 6; higher scores are indicative of more concern) | post (3 months) | 
| Shape concerns | Reductions in shape concerns as measured by the Eating Disorder Examination Questionnaire (scores range from 0 to 6; higher scores are indicative of more concern) | post (3 months) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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child, adolescent, cognitive behavioral therapy, eating disorder, obesity