Evidence map›Paper›PMID 32518670›Full record

ArticlePilot and feasibility studies2020

A pilot open-label feasibility trial examining an adjunctive mindfulness intervention for adolescents with obesity.

Elizabeth W Cotter, Sarah E Hornack, Jenny P Fotang, Elizabeth Pettit, Nazrat M Mirza

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03874377 (Examining the Feasibility of a Brief Adjunctive Mindfulness Intervention for Adolescents With Obesity), which is not on this map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 pooled it
1.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03874377 nacompletednot on this map

Examining the Feasibility of a Brief Adjunctive Mindfulness Intervention for Adolescents With Obesity

TypeinterventionalSponsorAmerican UniversityRan2019 to 2020Enrolled11ConditionsMindfulness, Usual CareArmsMindfulness, Usual Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 5 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Weight-neutral interventions in young people with high body mass index: A systematic review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2023
    Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Review
  9. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Review
  10. Randomized Clinical Trial EvaluatingJournal of clinical medicine · 2022
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Elizabeth W CotterDepartment of Health Studies, American University, 4400 Massachusetts Ave NW, Washington DC, 20016 USA.ORCID 0000-0002-8713-8090
Sarah E HornackDivision of Psychology and Behavioral Health, Children's National Health System, 111 Michigan Avenue NW, Washington DC, 20010 USA.
Jenny P FotangDepartment of Psychology, American University, 4400 Massachusetts Ave NW, Washington DC, 20016 USA.
Elizabeth PettitGeorge Washington University School of Medicine and Health Sciences, 2300 Eye Street, NW, Washington DC, 20037 USA.
Nazrat M MirzaIDEAL Pediatric Weight Management Clinic, Children's National Health System, 111 Michigan Avenue NW, Washington DC, 20010 USA.
American University · USChildren's National · USGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity in adolescence is predictive of obesity in adulthood and risk for chronic disease. Traditional behavioral approaches to addressing obesity in adolescence rarely yield meaningful changes in body mass index (BMI), suggesting that adjunctive treatments are necessary. Herein, we describe a study examining whether it is feasible to integrate a brief mindfulness intervention with the usual recommended care for adolescent obesity in a pediatric weight management clinic.

methodsWe conducted a single arm open-label trial with 11 adolescent patients with obesity. Participants received the recommended standard of medical management of obesity (usual care) plus a six-week mindfulness intervention. To assess our primary aim of feasibility, we examined recruitment, retention, and satisfaction rates. Participants also completed measures of mindfulness, emotion regulation, disordered eating, quality of life, and executive functioning, and had their BMI and blood pressure measured.

resultsWe recruited 11 adolescents to participate in the intervention, with 8 (73%) completing the entire program. Attendance rates (85%) and satisfaction rates (100%) were promising for a larger trial. While preliminary analyses of changes in health outcomes should be examined with caution, effect sizes ranged from small to large with some promising trends in eating behaviors. DISCUSSION: It might be feasible to augment existing behavioral interventions for adolescents with obesity with brief mindfulness; however, some adaptations are needed to enhance recruitment and retention. The lessons learned in this feasibility study can inform an adequately powered efficacy trial.

trial registrationThis research is registered on ClinicalTrials.gov (NCT03874377).

Indexed as

AdolescenceMindfulnessObesity

Identifiers

PMID32518670
PMCPMC7275381
OpenAlexW3033792766

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.