Guided Imagery Lifestyle Intervention to Promote Health and Prevent Diabetes in Youth
Imagine HEALTH (Healthy Eating Active Living Total Health) Study: Guided Imagery Lifestyle Intervention to Promote Health and Prevent Diabetes in Youth
1 other identifier
interventional
240
1 country
1
Brief Summary
The childhood obesity epidemic, which falls disproportionately on Latino adolescents, represents a major public health threat to the current generation of youth, and therefore to the health of the nation overall. This project directly addresses the role of psychosocial stress in promoting obesity and metabolic disease risk, and investigates the role of the mind-body CAM intervention of guided imagery in both reducing stress and promoting healthy lifestyle behaviors that could dramatically improve the metabolic health of today's youth.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable obesity
Started May 2014
Longer than P75 for not_applicable obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 26, 2014
CompletedFirst Posted
Study publicly available on registry
March 14, 2014
CompletedStudy Start
First participant enrolled
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 27, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2018
CompletedOctober 17, 2018
October 1, 2018
4 years
February 26, 2014
October 12, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Physical activity
Physical activity and sedentary behavior will be measured by accelerometry and 3-day physical activity recall.
3 months
Secondary Outcomes (2)
Change in Salivary Cortisol, daily slope
3 months
Change in Dietary intake
3 months
Other Outcomes (7)
Change in Perceived Stress
3 months
Change in Well-Being
3 months
Change in Adiposity
3 months
- +4 more other outcomes
Study Arms (4)
Non-intervention control
NO INTERVENTIONNo intervention will be delivered.
Lifestyle Education (LS)
EXPERIMENTALThe lifestyle curriculum will be taught in twice weekly after-school sessions of \~1.25 hours, one physical activity and one nutrition-related, delivered over 12-weeks during the course of a single academic semester. The lifestyle program will utilize the "Shape Up" curriculum of SOSMentor, a community non-profit collaborator, modified to seamlessly integrate key concepts of the non-diet philosophy of "Intuitive Eating". The curriculum fully encompasses health-promoting nutrition and physical activity practices consistent with consensus recommendations .
LS + Stress Reduction Guided Imagery
EXPERIMENTALIn addition to the after school lifestyle classes, participants will receive group Interactive Guided Imagery (IGI) consisting of standard stress reduction imagery practices, delivered once weekly for 12 weeks as an after school class of \~1.25 hours. The group IGI will be delivered by certified facilitators in the context of the facilitated group process known as "Council", a group communication process used by many indigenous and other cultures.
LS + Activity/Eating Guided Imagery
EXPERIMENTALIn addition to the after school lifestyle classes, participants will receive group Interactive Guided ImagerySM (IGI) delivered once weekly for 12 weeks as an after school class of \~1.25 hours. The group IGI will be delivered by certified facilitators in the context of the facilitated group process known as "Council", a group communication process used by many indigenous and other cultures. Participants in this arm will receive stress reduction IGI for 4 wks, plus 8 weekly sessions with IGI content designed to promote physical activity and healthy eating.
Interventions
See arm description
See Arm Description
Eligibility Criteria
You may qualify if:
- Male and female enrolled in second year (i.e. sophomore year) of high school at time of consent into study, junior year at time of intervention
- Self-stated intent to complete high school
- Predominantly minority ethnicity (self-reported)
- Overweight/ obese and normal weight
- Agreement to attend up to 3 after school classes per week for the 12 weeks of the program
You may not qualify if:
- Serious chronic illness or physical, cognitive, or behavioral disability that would prevent ability to fully receive intervention
- Prior diagnosis of clinical eating disorder, psychiatric disorder, or significant cognitive disability
- Lack of English fluency
- Participation in previous "Council" programs offered through the school
- Participation in formal weight-loss programs in 3 months preceding entry to study
- Pregnancy
- Sibling or other household member enrolling for the intervention
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Southern California
Los Angeles, California, 90033, United States
Related Publications (5)
Toledo-Corral CM, Ding L, Morales JC, Chapman TM, Romero MB, Weigensberg MJ. Morning Serum Cortisol Is Uniquely Associated with Cardiometabolic Risk Independent of Body Composition in Latino Adolescents. Metab Syndr Relat Disord. 2023 May;21(4):214-221. doi: 10.1089/met.2022.0091. Epub 2023 Apr 11.
PMID: 37042653DERIVEDSumner JA, Gao X, Gambazza S, Dye CK, Colich NL, Baccarelli AA, Uddin M, McLaughlin KA. Stressful life events and accelerated biological aging over time in youths. Psychoneuroendocrinology. 2023 May;151:106058. doi: 10.1016/j.psyneuen.2023.106058. Epub 2023 Feb 17.
PMID: 36827906DERIVEDBell BM, Spruijt-Metz D, Naya CH, Lane CJ, Wen CKF, Davis JN, Weigensberg MJ. The mediating role of emotional eating in the relationship between perceived stress and dietary intake quality in Hispanic/Latino adolescents. Eat Behav. 2021 Aug;42:101537. doi: 10.1016/j.eatbeh.2021.101537. Epub 2021 Jun 30.
PMID: 34225165DERIVEDWeigensberg MJ, Avila Q, Spruijt-Metz D, Davis JN, Wen CKF, Goodman K, Perdomo M, Wade NB, Ding L, Lane CJ. Imagine HEALTH: Randomized Controlled Trial of a Guided Imagery Lifestyle Intervention to Improve Obesity-Related Lifestyle Behaviors in Predominantly Latinx Adolescents. J Altern Complement Med. 2021 Sep;27(9):738-749. doi: 10.1089/acm.2020.0515. Epub 2021 May 25.
PMID: 34037459DERIVEDWeigensberg MJ, Spruijt-Metz D, Wen CKF, Davis JN, Avila Q, Juarez M, Brown-Wade N, Lane CJ. Protocol for the Imagine HEALTH Study: Guided imagery lifestyle intervention to improve obesity-related behaviors and salivary cortisol patterns in predominantly Latino adolescents. Contemp Clin Trials. 2018 Sep;72:103-116. doi: 10.1016/j.cct.2018.07.009. Epub 2018 Aug 2.
PMID: 30076988DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marc J Weigensberg, MD
University of Southern California
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Clinical Pediatrics
Study Record Dates
First Submitted
February 26, 2014
First Posted
March 14, 2014
Study Start
May 1, 2014
Primary Completion
April 27, 2018
Study Completion
July 31, 2018
Last Updated
October 17, 2018
Record last verified: 2018-10