Study of Dialectical Behavioral Therapy Combined With Lifestyle Changes to Support Adolescents With Obesity at Risk for Type 2 Diabetes

What this Trial Is About

Researchers are evaluating a special type of therapy called Dialectical Behavioral Therapy DBT that includes mindfulness, distress tolerance, and relationship support. The study aims to see if this therapy can improve quality of life and help with weight management in adolescents aged 14 to 17 who are at risk for type 2 diabetes. Participants will be randomly assigned to one of three groups to compare different approaches for at-risk youth. Participants will be placed into one of three groups one group will have weekly 90-minute DBT sessions plus 90-minute lifestyle sessions for 16 weeks another group will have two 90-minute lifestyle sessions weekly for 16 weeks without DBT and a control group will not receive any intervention but will undergo measurements. The lifestyle sessions focus on improving habits with the help of a kinesiologist and dietician, while DBT sessions involve skills training with psychologists. During the study, participants will attend baseline, endpoint week 16, and follow-up week 32 assessments. These include quality of life questionnaires, body composition scans using dual-x-ray absorptiometry, body mass index measurements, and evaluations of emotional regulation, depressive and anxiety symptoms, psychological distress, eating behaviors, physical activity, sleep habits, and readiness for lifestyle change. The study also tracks enrollment, adherence, and retention rates throughout the 16-week intervention and follow-up periods.

Dialectal Behaviour Therapy to Enhance Health Behaviour Change for Adolescents Living With Obesity (DIRECTION Trial)