Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| UL1TR001855 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Center for Advancing Translational Sciences (NCATS) | NIH |
Not provided
Not provided
Not provided
Not provided
Summary Description
The goal of this intervention study is to test how well does a weight management curriculum work in virtual group-based medical visits (telehealth) for the treatment of adolescents with obesity. The main questions it aims to answer are:
Participants will be asked to:
Background
As noted above, EMPOWER was a multi-disciplinary, team-based clinic model, involving physicians, psychologists, registered dietitians (RDs), and physical therapists (PTs) providing tertiary care management of obesity. Data from the first two years of EMPOWER showed that patients with four or more visits (n=109) experienced a decrease in average BMI z-score (-0.09SD). This, though modest, is promising; however, both cost and patient retention present significant challenges to EMPOWER and other tertiary care pediatric obesity programs, and may be barriers to further progress. Much administrative personnel time was consumed in working with insurers in order to authorize visits, and nevertheless, this type of hospital-based care was poorly reimbursed. Getting to Children's Hospital Los Angeles (CHLA) is often a major challenge for our patients, due to the large urban sprawl of Los Angeles, traffic, limited and expensive parking, and poor public transportation. Frequent visits result in missed work and school days, a burden to families. Adolescent patients face even greater challenges, as they learn to manage their own health and balance the emotional and social changes required in the transition to adulthood, with family and parental expectations and limitations.
Telehealth technology presents an innovative, cost-effective, and often highly-engaging alternative to in-person visits, which bypasses many of the logistical difficulties of getting to CHLA. Moreover, adolescents today are highly attuned to, and aligned with, digital and mobile technologies, and are natural consumers of media in this format. There is strong evidence from numerous published studies that telehealth can be an effective tool for chronic disease management. Additionally, many youth with obesity are significantly socially isolated, and our current individual patient-provider model does not effectively address this isolation in the way we expect a group session will; various published studies of group treatment have demonstrated inter-participant support and positive effects of social interaction.
While Empower's current model leads to successful weight management in many of its patients, that success is often modest, as alluded to above; and for some of patients, it simply does not work. With this study, the investigators intend to pilot a group telehealth model targeted at adolescents with obesity.
Specifically, the investigators aim to:
Hypotheses:
Use of group health education sessions using video conference technology is a feasible, cost-effective care delivery model for adolescents being treated for obesity.
Efficacy of this model will be comparable to, or better than, standard multi-disciplinary in-person visits. This will be measured by:
a. Clinical and anthropomorphic data: i. Changes in Body Mass Index (BMI), BMI percentile, and BMI percent of the 95th percentile ii. Change in blood pressure percentile iii. Change in hemoglobin A1C, ALT, triglycerides b. Quality of life c. Self-efficacy d. Satisfaction
Attendance to telehealth visits will be better than attendance to standard in-person visits, as measured by no-show rates and same-day reschedules
Methods and study design:
Youth 14-18 years of age who meet EMPOWER clinic criteria and consent to the study will be prospectively assigned to the intervention telehealth group (n=24); they will be compared to a restrospective cohort of "standard care" EMPOWER patients (n=24). Since the investigators do not expect a statistically significant difference in BMI change between the telehealth intervention and standard EMPOWER, power calculations were conducted on change scores in Quality of Life indicators. Using Optimal Design software v1.77 and specifying a = 0.05, anticipated effect size δ = 0.40, between-group variance ranging around 0.05, and controlling for effects of the covariates on various measures at 3 and 6 months, it is expected that 24 participants per condition will provide a moderate power to identify a treatment effect for proof of concept purposes.
The intervention group will receive:
Control subjects received the standard EMPOWER model consisting of monthly in person clinic visits where they met individually with a combination of providers (physician, RD, PT, and/or psychologist).
The intervention group participants will have in-person visits at baseline, 3 and 6 months to measure weight, vertical growth, and blood pressure, and complete questionnaires assessing quality of life, self-efficacy and satisfaction. Anthropomorphic measures and attendance rates will be compared to the retrospective control group.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telehealth | Experimental | This group will receive weight management treatment via 12 online group sessions, over 6 months. They will have Bluetooth-enabled scales that will allow them to transmit their weight data to the PI in between research visits. They will answer questionnaires and have research visits at baseline, 3 months, and 6 months. |
|
| Empower | Other | This retrospective control group received standard in-clinic individualized weight management with a multi-disciplinary group of providers, via 6 monthly clinic visits, over 6 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telehealth group sessions | Behavioral | Telehealth sessions will utilize an online meeting platform and will be conducted by RDs, PTs, psychologists, and MDs, to deliver weight management information/counseling, to group of 5-6 14-18 yos with obesity. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline to 6 Months in Body Mass Index | A measure for body adiposity calculated by dividing a participant's weight in kilograms by the square of their height in meters (kg/m^2) | Baseline to 6 Months |
| Mean Change From Baseline to 6 Months in Percentage of 95th Percentile Body Mass Index | A measure of body adiposity for severe obesity calculated by dividing a participant's weight in kilograms by the square of their height in meters (kg/m^2) and categorized as per the American Academy of Pediatrics | Baseline to 6 Months |
| Mean Change From Baseline to 6 Months in Glycosylated Hemoglobin | a blood test that measures the average blood glucose over three months | Baseline to 6 Months |
| Mean Change From Baseline to 6 Months in Alanine Aminotransferase | Alanine Aminotransferase (ALT) will be assessed via blood test measured in units/liter. The range from 7 to 56 units per liter (U/L) of blood indicates normal levels and, 57 and greater indicate elevated levels. | Baseline to 6 Months |
| Mean Change in Triglycerides From Baseline to 6 Months | Triglycerides will be assessed via blood tests and measured in milligrams per deciliter (mg/dL). | Baseline to 6 Months |
| Mean Change in Diastolic Blood Pressure From Baseline to 6 Months | Blood pressure will be assessed via a blood pressure monitor (a device used to measure blood pressure) measured in millimeters of mercury (mmHg). Systolic mmHg less than 70 indicates normal level, above 70 indicates elevated level, and Diastolic mmHg less than 120 indicates normal level, and above 120 indicates elevated level. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Quality of Life From Baseline to 6 Months Using Quality of Life Questionnaire #1 | Quality of life measurements will be obtained will be obtained through "Youth Telehealth Pilot Study Survey" questionnaire. Questionnaire with a scale from 1 (only a little), 3 (some) to 5 (a lot). Mean will be provided to describe change. | Baseline to 6 Months |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Given the shared nature of group appointments, participants should be at approximately the same developmental stage as their peers. Discussion topics may include stigma, body image, family dynamics, and school issues, and therefore a wide variance in age range or cognitive status could potentially diminish the effectiveness of the group sessions. Non-English speaking youth will be excluded due to limitations in translation services for such a small pilot project. English speaking adolescents with non-English speaking parents will be included.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Brenda Manzanarez | Children's Hospital Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital Los Angeles | Los Angeles | California | 90027 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18055651 | Background | Barlow SE; Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007 Dec;120 Suppl 4:S164-92. doi: 10.1542/peds.2007-2329C. | |
| 24968105 | Background | Bashshur RL, Shannon GW, Smith BR, Alverson DC, Antoniotti N, Barsan WG, Bashshur N, Brown EM, Coye MJ, Doarn CR, Ferguson S, Grigsby J, Krupinski EA, Kvedar JC, Linkous J, Merrell RC, Nesbitt T, Poropatich R, Rheuban KS, Sanders JH, Watson AR, Weinstein RS, Yellowlees P. The empirical foundations of telemedicine interventions for chronic disease management. Telemed J E Health. 2014 Sep;20(9):769-800. doi: 10.1089/tmj.2014.9981. Epub 2014 Jun 26. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Experimental - Telehealth | This group will receive weight management treatment via 12 online group sessions, over 6 months. They will have Bluetooth-enabled scales that will allow them to transmit their weight data to the PI in between research visits. They will answer questionnaires and have research visits at baseline, 3 months, and 6 months. Telehealth group sessions: Telehealth sessions will utilize an online meeting platform and will be conducted by RDs, PTs, psychologists, and MDs, to deliver weight management information/counseling, to group of 5-6 14-18 yos with obesity. |
| FG001 | Control - EMPOWER Clinic | This retrospective control group received standard in-clinic individualized weight management with a multi-disciplinary group of providers, via 6 monthly clinic visits, over 6 months. Empower clinic: Empower visits for the retrospective control group were multi-disciplinary in nature, occurred at CHLA outpatient clinic, and were intended to be monthly (though actual adherence to recommended attendance was variable). Teen and minimum of one family member were asked to attend monthly visits, as per our standard clinical care. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Experimental - Telehealth | This group will receive weight management treatment via 12 online group sessions, over 6 months. They will have Bluetooth-enabled scales that will allow them to transmit their weight data to the PI in between research visits. They will answer questionnaires and have research visits at baseline, 3 months, and 6 months. Telehealth group sessions: Telehealth sessions will utilize an online meeting platform and will be conducted by RDs, PTs, psychologists, and MDs, to deliver weight management information/counseling, to group of 5-6 14-18 yos with obesity. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Change From Baseline to 6 Months in Body Mass Index | A measure for body adiposity calculated by dividing a participant's weight in kilograms by the square of their height in meters (kg/m^2) | Posted | Mean | Standard Deviation | kilograms by the square of their height | Baseline to 6 Months |
|
6 months
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Telehealth | This group will receive weight management treatment via 12 online group sessions, over 6 months. They will have Bluetooth-enabled scales that will allow them to transmit their weight data to the PI in between research visits. They will answer questionnaires and have research visits at baseline, 3 months, and 6 months. Telehealth group sessions: Telehealth sessions will utilize an online meeting platform and will be conducted by RDs, PTs, psychologists, and MDs, to deliver weight management information/counseling, to group of 5-6 14-18 yos with obesity. |
Not provided
Not provided
This study is limited by a relatively small sample size (intervention n = 31, control n=33) and short duration of follow-up (6 months). Study did not reach target number to achieve target power and statistical reliability. Therefore, results should be interpreted with caution until a larger scale and more rigorous study is replicated.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Brenda Manzanarez | Children's Hospital Los Angeles | 323/361-8245 | bmanzanarez@chla.usc.edu |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 18, 2017 | Apr 17, 2025 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jan 28, 2020 | Apr 10, 2025 | ICF_001.pdf |
Not provided
| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
Not provided
Not provided
Pilot intervention using retrospective control group.
Not provided
Not provided
Not provided
Not provided
| Empower clinic | Behavioral | Empower visits for the retrospective control group were multi-disciplinary in nature, occurred at CHLA outpatient clinic, and were intended to be monthly (though actual adherence to recommended attendance was variable). Teen and minimum of one family member were asked to attend monthly visits, as per our standard clinical care. |
|
| Baseline to 6 Months |
| Mean Change in Systolic Blood Pressure From Baseline to 6 Months | Blood pressure will be assessed via a blood pressure monitor (a device used to measure blood pressure) measured in millimeters of mercury (mmHg). Systolic mmHg less than 70 indicates normal level, above 70 indicates elevated level, and Diastolic mmHg less than 120 indicates normal level, and above 120 indicates elevated level. | Baseline to 6 Months |
| Change in Quality of Life From Baseline to 6 Months Using the Quality of Life 2 (KINDL) Questionnaire. | Quality of Life measurements will be obtained through will be obtained through "Youth Telehealth Pilot Study Survey" questionnaire. Questions 1-13 on questionnaire use a scale from 1 to 5 with 1) Never, 2) Rarely, 3) Sometimes, 4) Often, 5) All the time. Question 14 uses scale from 1 to 5 with 1) Not at all, 2) Somewhat severe , 3) Moderately severe , 4) Fairly, 5) Very Severe. Question 15 on questionnaire use a scale from 1 to 5 with 1) not at all 2) Somewhat 3) Moderately, 4)A lot, 5) Really a lot | Baseline to 6 Months |
| Satisfaction With Care at 6 Months Using Satisfaction Telehealth Questionnaire | Satisfaction measurements will be obtained through "Satisfaction using Telehealth" questionnaire. | 6 Months |
| Attendance/Retention From Baseline to 6 Months | Attendance, no-show and same-day reschedules | Baseline to 6 Months |
| 20197355 | Background | Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, Scott RE. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;16(3):120-7. doi: 10.1258/jtt.2009.090812. Epub 2010 Mar 2. |
| 26033508 | Background | Harris MA, Freeman KA, Duke DC. Seeing Is Believing: Using Skype to Improve Diabetes Outcomes in Youth. Diabetes Care. 2015 Aug;38(8):1427-34. doi: 10.2337/dc14-2469. Epub 2015 Jun 1. |
| 22150392 | Background | Markowitz JT, Laffel LM. Transitions in care: support group for young adults with Type 1 diabetes. Diabet Med. 2012 Apr;29(4):522-5. doi: 10.1111/j.1464-5491.2011.03537.x. |
| 26265590 | Background | Kulik N, Ennett ST, Ward DS, Bowling JM, Fisher EB, Tate DF. Brief report: A randomized controlled trial examining peer support and behavioral weight loss treatment. J Adolesc. 2015 Oct;44:117-23. doi: 10.1016/j.adolescence.2015.07.010. Epub 2015 Aug 7. |
| 27267503 | Background | Tanofsky-Kraff M, Shomaker LB, Young JF, Wilfley DE. Interpersonal psychotherapy for the prevention of excess weight gain and eating disorders: A brief case study. Psychotherapy (Chic). 2016 Jun;53(2):188-94. doi: 10.1037/pst0000051. |
| Lost to Follow-up |
|
| Incomplete data |
|
| BG001 | Control - EMPOWER Clinic | This retrospective control group received standard in-clinic individualized weight management with a multi-disciplinary group of providers, via 6 monthly clinic visits, over 6 months. Empower clinic: Empower visits for the retrospective control group were multi-disciplinary in nature, occurred at CHLA outpatient clinic, and were intended to be monthly (though actual adherence to recommended attendance was variable). Teen and minimum of one family member were asked to attend monthly visits, as per our standard clinical care. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| OG001 | Control - EMPOWER Clinic | This retrospective control group received standard in-clinic individualized weight management with a multi-disciplinary group of providers, via 6 monthly clinic visits, over 6 months. Empower clinic: Empower visits for the retrospective control group were multi-disciplinary in nature, occurred at CHLA outpatient clinic, and were intended to be monthly (though actual adherence to recommended attendance was variable). Teen and minimum of one family member were asked to attend monthly visits, as per our standard clinical care. |
|
|
| Primary | Mean Change From Baseline to 6 Months in Percentage of 95th Percentile Body Mass Index | A measure of body adiposity for severe obesity calculated by dividing a participant's weight in kilograms by the square of their height in meters (kg/m^2) and categorized as per the American Academy of Pediatrics | Posted | Mean | Standard Deviation | percent 95th percentile body mass index | Baseline to 6 Months |
|
|
|
| Primary | Mean Change From Baseline to 6 Months in Glycosylated Hemoglobin | a blood test that measures the average blood glucose over three months | Posted | Mean | Standard Deviation | mg/dL | Baseline to 6 Months |
|
|
|
| Primary | Mean Change From Baseline to 6 Months in Alanine Aminotransferase | Alanine Aminotransferase (ALT) will be assessed via blood test measured in units/liter. The range from 7 to 56 units per liter (U/L) of blood indicates normal levels and, 57 and greater indicate elevated levels. | Posted | Mean | Standard Deviation | units per liter (U/L) | Baseline to 6 Months |
|
|
|
| Primary | Mean Change in Triglycerides From Baseline to 6 Months | Triglycerides will be assessed via blood tests and measured in milligrams per deciliter (mg/dL). | Posted | Mean | Standard Deviation | milligrams per deciliter (mg/dL) | Baseline to 6 Months |
|
|
|
| Primary | Mean Change in Diastolic Blood Pressure From Baseline to 6 Months | Blood pressure will be assessed via a blood pressure monitor (a device used to measure blood pressure) measured in millimeters of mercury (mmHg). Systolic mmHg less than 70 indicates normal level, above 70 indicates elevated level, and Diastolic mmHg less than 120 indicates normal level, and above 120 indicates elevated level. | Posted | Mean | Standard Deviation | millimeters of mercury (mmHg) | Baseline to 6 Months |
|
|
|
| Primary | Mean Change in Systolic Blood Pressure From Baseline to 6 Months | Blood pressure will be assessed via a blood pressure monitor (a device used to measure blood pressure) measured in millimeters of mercury (mmHg). Systolic mmHg less than 70 indicates normal level, above 70 indicates elevated level, and Diastolic mmHg less than 120 indicates normal level, and above 120 indicates elevated level. | Posted | Mean | Standard Deviation | millimeters of mercury (mmHg) | Baseline to 6 Months |
|
|
|
| Secondary | Change in Quality of Life From Baseline to 6 Months Using Quality of Life Questionnaire #1 | Quality of life measurements will be obtained will be obtained through "Youth Telehealth Pilot Study Survey" questionnaire. Questionnaire with a scale from 1 (only a little), 3 (some) to 5 (a lot). Mean will be provided to describe change. | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 Months |
|
|
|
| Secondary | Change in Quality of Life From Baseline to 6 Months Using the Quality of Life 2 (KINDL) Questionnaire. | Quality of Life measurements will be obtained through will be obtained through "Youth Telehealth Pilot Study Survey" questionnaire. Questions 1-13 on questionnaire use a scale from 1 to 5 with 1) Never, 2) Rarely, 3) Sometimes, 4) Often, 5) All the time. Question 14 uses scale from 1 to 5 with 1) Not at all, 2) Somewhat severe , 3) Moderately severe , 4) Fairly, 5) Very Severe. Question 15 on questionnaire use a scale from 1 to 5 with 1) not at all 2) Somewhat 3) Moderately, 4)A lot, 5) Really a lot | Posted | Mean | Standard Deviation | units on a scale | Baseline to 6 Months |
|
|
|
| Secondary | Satisfaction With Care at 6 Months Using Satisfaction Telehealth Questionnaire | Satisfaction measurements will be obtained through "Satisfaction using Telehealth" questionnaire. | Posted | Count of Participants | Participants | 6 Months |
|
|
|
| Secondary | Attendance/Retention From Baseline to 6 Months | Attendance, no-show and same-day reschedules | Posted | Mean | Inter-Quartile Range | patient visits | Baseline to 6 Months |
|
|
|
| 0 |
| 31 |
| 0 |
| 31 |
| 0 |
| 31 |
| EG001 | Empower | This retrospective control group received standard in-clinic individualized weight management with a multi-disciplinary group of providers, via 6 monthly clinic visits, over 6 months. Empower clinic: Empower visits for the retrospective control group were multi-disciplinary in nature, occurred at CHLA outpatient clinic, and were intended to be monthly (though actual adherence to recommended attendance was variable). Teen and minimum of one family member were asked to attend monthly visits, as per our standard clinical care. | 0 | 33 | 0 | 33 | 0 | 33 |
Not provided
Not provided
Not provided
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Black/African American |
|
| Hispanic/Latino |
|
| White/Caucasian |
|
| Unknown |
|
| Other |
|
| Non-Hispanic |
|
| Mexican |
|
|
| successful or skilled in some sport or other activity you like? |
|
| happy with yourself? |
|
| able to speak up for yourself? |
|
| satisfied with your school day? |
|
| able to take part in group activities? |
|
| able to have a special friend? |
|
| are as independent as you are able to be? |
|
| have the physical strength to do sports like swimming, soccer, basketball, etc? |
|
| How much do you feel that you: have a lot of pain? |
|
| How much do you feel that you: can speak up for yourself? |
|
| How much do you feel that you can make your own choices and decisions? |
|
| How much do you feel that you: are treated the same as the other kids? |
|
| How much do you feel that you: are positive about yourself? |
|
| How much do you feel that: other people respect you? (not teased; include you in activities) |
|
| you have a say in your medical treatment? |
|
| How much do you feel that: you understand the long term health impacts of being overweight? |
|
| How much do you feel that: people see you for who you are? |
|
| How much do you feel that: you are able use the kitchen at home? |
|
| How much do you feel that: you participate in outdoor activities? |
|
| How much do you feel that : there is hope for the future? |
|
| How much do you feel that : you will have a suitable home in the future? |
|
| How much do you feel that : you are able to go out on dates and to parties? |
|
| How much do you feel that : there will be job opportunities for you in the future? |
|
| How much do you feel that : you are able to get an education for a job that interests you? |
|
| How much do you feel that : you have a career goal in mind? |
|
| How much do you feel that : you will be able to hold down a part-time job? |
|
| How much do you feel that : you will be able to have children in the future? |
|
| How much do you feel that : you will marry? |
|
| How much do you feel that : you have a close friend who is like you in many ways? |
|
|
| During the past week I was annoyed by my many attempts at losing weight |
|
| During the past week I felt ashamed because of my weight |
|
| During the past week was dissatisfied with myself because of my weight |
|
| During the past week my family scolded me because of my weight |
|
| During the past week had to eat at home because I'm watching my weight |
|
| During the past week was teased by others because of my weight |
|
| During the past week was left out by others when they did things together, because of my weight |
|
| During the past week was distracted during school by the thought of food |
|
| During the past week I was not able to take part in sports at school because of my weight |
|
| How often during the past week did you feel physically uncomfortable because of being obese? |
|
| How severe was your discomfort because of being overweight during the past week? |
|
| How much did it bother you being overweight during the past week? |
|
| Participating in the TH sessions was much easier than going in person doctor's appointment. |
|
| I would like to have online sessions again. |
|
| I liked talking to other teens and young adults during the online sessions. |
|
| I felt supported during the group sessions. |
|
| I felt comfortable asking the session leader questions throughout the online sessions. |
|
| I was able to speak freely and express myself. |
|
| I felt comfortable showing my face with others on screen during the sessions. |
|
| I liked the group style of the sessions. |
|
| I felt that the check-ins between sessions helped me stay motivated to work on my goals/activities. |
|
| I felt that the check-ins helped me to follow through with my goals and photovoice activities. |
|
| I would recommend telehealth as a form of receiving personalized health care and medical information |
|
| I enjoyed watching the videos that were shown and discussed during the online sessions. |
|
| I am satisfied with the health care and medical information that I received for weight management |
|
| The session leader provided education that was easy to understand |
|