TY - JOUR
T1 - LIBER8 design and methods
T2 - An integrative intervention for loss of control eating among African American and White adolescent girls
AU - Mazzeo, Suzanne E.
AU - Kelly, Nichole R.
AU - Stern, Marilyn
AU - Palmberg, Allison A.
AU - Belgrave, Faye Z.
AU - Tanofsky-Kraff, Marian
AU - Latzer, Yael
AU - Bulik, Cynthia M.
N1 - Funding Information: Supported by a grant from the National Institutes of Health ( R34 MH-086922 (Mazzeo, PI).
PY - 2013/1
Y1 - 2013/1
N2 - Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8-Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial.
AB - Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8-Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial.
KW - Adolescents
KW - African American
KW - Binge eating disorder
KW - Loss of control
KW - Randomized clinical trial
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=84870672328&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.cct.2012.10.012
DO - https://doi.org/10.1016/j.cct.2012.10.012
M3 - Article
C2 - 23142669
SN - 1551-7144
VL - 34
SP - 174
EP - 185
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
IS - 1
ER -