Obesity Clinical Trial
Official title:
Structured Psychoeducation for Unemployed Adolescents With Extreme Obesity in a Multicenter Observational Study Focusing on Feasibility
Obesity occurs more frequently in subjects of a lower socioeconomic status and is associated
with a lower income and unemployment. On the other hand, there is limited access of
individuals with low socioeconomic status to conventional obesity treatments and bariatric
surgery.
In STEREOplus the investigators will ascertain unemployed adolescents with obesity and
extreme obesity at five job centers in the Ruhr area. Unemployed obese youths and young
adults (BMI ≥ 30kg/m2) between the ages of 14 and 24.9 years are eligible to participate.
Participants will be asked to complete a series of questionnaires on their general health,
psychosocial situation and wellbeing, and will be offered a thorough medical evaluation.
Individuals who complete the baseline evaluations will be invited to participate in six group
sessions of conventional obesity treatment over a three months period. After six months,
participants will complete further questionnaires to evaluate the effects of the
interventions on quality of life and psychosocial functioning. Weight status (BMI) will also
be measured. Adolescents who attended at least five sessions and are interested in bariatric
surgery will have access to a structured information and preparation program for bariatric
surgery.
The overall objective of STEREOplus is to generate data on the feasibility of the planned
implementation of a treatment targeted to a high risk group with a low socioeconomic
background in order to reduce treatment barriers.
Obesity occurs more frequently in subjects of a lower socio-economic status and is associated
with a lower income and unemployment. Besides the obesity-related impairments in daily life,
stigmatisation additionally aggravates the difficulties of vocational integration by multiple
disadvantages in the process of application for employment, job interviews and performance
evaluation. On the other hand, there is limited access of individuals with low socioeconomic
status to conventional obesity treatments and bariatric surgery.
In this multicenter observational study, the investigators aim to assess the acceptance of a
manual based low key group intervention targeted at unemployed adolescents (BMI≥30 kg/m2;
14-24 years old) recruited on the premises of five local job centers in the Ruhr area. The
study is part of the "Medical and psychosocial implications of adolescent extreme obesity -
acceptance and effects of structured care", short: "Youth with extreme obesity Study (YES),
which also comprises the recruitment and characterization of obese (BMI 30-34.9kg/m2) and
extremely obese (BMI ≥ 35kg/m2) youth from different healthcare- and non healthcare settings,
a structured prospective evaluation of adolescent bariatric surgery, economic assessments of
the financial burden of extreme adolescent obesity on the healthcare system, and a long-term
prospective observation study.
The participating job centers are located in five cities in the West (Ruhr-Area). The
investigators will screen 300 unemployed adolescents aged 14 to 24.9 years with obesity and
extreme obesity (BMI ≥30kg/m2) over a 24 month period. A total of 80 subjects will be
enrolled. Baseline assessments include an array of standardized questionnaires and validated
instruments to assess health, psycho-social situation, psychiatric co-morbidities and health
related quality of life, as well as an in-depth medical evaluation.
Individuals who complete the baseline evaluations will be invited to participate in six group
sessions over a three month period. Adolescents who attended at least five sessions and are
interested in bariatric surgery will have access to a structured information and preparation
program for bariatric surgery. The adherence and effects of the interventions on BMI, health
related quality of life and psycho-social functioning will be assessed via questionnaires
after six months. All statistical analyses will be exploratory/descriptive. The project will
reveal the feasibility of the implementation of the described intervention approach focusing
on reducing treatment barriers for unemployed adolescents with obesity.
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