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The ACTyourCHANGE in Teens Study Protocol: An Acceptance and Commitment Therapy-Based Intervention for Adolescents with Obesity: A Randomized Controlled Trial

Author

Listed:
  • Anna Guerrini Usubini

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Roberto Cattivelli

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Vanessa Bertuzzi

    (Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Giorgia Varallo

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Alessandro Alberto Rossi

    (Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, 35139 Padova, Italy
    Interdepartmental Center for Family Research, University of Padova, 35139 Padova, Italy)

  • Clarissa Volpi

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy)

  • Michela Bottacchi

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy)

  • Sofia Tamini

    (Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, 28824 Piancavallo (VB), Italy)

  • Alessandra De Col

    (Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, 28824 Piancavallo (VB), Italy)

  • Giada Pietrabissa

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Stefania Mannarini

    (Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, 35139 Padova, Italy
    Interdepartmental Center for Family Research, University of Padova, 35139 Padova, Italy)

  • Gianluca Castelnuovo

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Enrico Molinari

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Alessandro Sartorio

    (Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, 28824 Piancavallo (VB), Italy
    Istituto Auxologico Italiano, IRCCS, Division of Auxology, 28824 Piancavallo (VB), Italy)

Abstract

This Randomized Controlled Trial [(RCT) aims to evaluate the effectiveness of a brief Acceptance and Commitment Therapy (ACT)-based intervention combined with treatment as usual (TAU) compared to TAU only in improving psychological conditions in a sample of adolescents with obesity (body mass index, BMI > 97th percentile for age and sex) within the context of a wider multidisciplinary rehabilitation program for weight loss. Fifty consecutive adolescents (12–17 years) of both genders with obesity will be recruited among the patients hospitalized in a clinical center for obesity rehabilitation and randomly allocated into two experimental conditions: ACT + TAU vs. TAU only. Both groups will attend a three-week in-hospital multidisciplinary rehabilitation program for weight loss. The ACT + TAU condition comprises a psychological intervention based on ACT combined with a standard psychological assessment and support to the hospitalization. The TAU comprises the standard psychological assessment and support to the hospitalization. At pre- to post-psychological intervention, participants will complete the Avoidance and Fusion Questionnaire for Youth, the Psychological Well-Being Scale, the Depression Anxiety Stress Scale, the Difficulties in Emotion Regulation Scale, and the Emotional Eating subscale of the Dutch Eating Behavior Questionnaire to assess psychological well-being as the primary outcome and experiential avoidance, psychological distress, emotional dysregulation, and emotional eating as secondary outcomes. Repeated-measures ANOVAs (2 × 2) will be conducted. The study will assess the effectiveness of a brief ACT-based intervention for adolescents with obesity in improving their psychological conditions by targeting specific core processes of the ACT framework (openness, awareness, and engagement). Future directions of the study will assess whether these psychological processes will contribute to addressing long-term weight loss.

Suggested Citation

  • Anna Guerrini Usubini & Roberto Cattivelli & Vanessa Bertuzzi & Giorgia Varallo & Alessandro Alberto Rossi & Clarissa Volpi & Michela Bottacchi & Sofia Tamini & Alessandra De Col & Giada Pietrabissa &, 2021. "The ACTyourCHANGE in Teens Study Protocol: An Acceptance and Commitment Therapy-Based Intervention for Adolescents with Obesity: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(12), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6225-:d:571411
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    References listed on IDEAS

    as
    1. Giada Pietrabissa & Clarissa Volpi & Michela Bottacchi & Vanessa Bertuzzi & Anna Guerrini Usubini & Henriette Löffler-Stastka & Tamara Prevendar & Giada Rapelli & Roberto Cattivelli & Gianluca Casteln, 2021. "The Impact of Social Isolation during the COVID-19 Pandemic on Physical and Mental Health: The Lived Experience of Adolescents with Obesity and Their Caregivers," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Anna Guerrini Usubini & Michela Bottacchi & Diana Caroli & Gianluca Castelnuovo & Alessandro Sartorio, 2022. "Cognitive Fusion and Emotional Eating among Adolescents with Obesity: A Preliminary Cross-Sectional Study," IJERPH, MDPI, vol. 19(22), pages 1-6, November.
    2. Anna Guerrini Usubini & Roberto Cattivelli & Asia Radaelli & Michela Bottacchi & Giulia Landi & Eliana Tossani & Silvana Grandi & Gianluca Castelnuovo & Alessandro Sartorio, 2022. "Preliminary Results from the ACTyourCHANGE in Teens Protocol: A Randomized Controlled Trial Evaluating Acceptance and Commitment Therapy for Adolescents with Obesity," IJERPH, MDPI, vol. 19(9), pages 1-13, May.

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