The objective of this project is to conduct five studies that will culminate in the creation of a novel intervention Strategy to improve nutrition behavior and reduce risk for obesity among adolescents. The intervention, developed for delivery through a managed care setting, will include (a) in-person meetings with families to motivate and strengthen commitment to behavior change, to identify cues to habitual dietary behavior, and to develop implementation intentions for alternative dietary behaviors, (b) tailored print materials sent to parents and children to help remove cues that trigger habitual dietary behavior and to help execute implementation intentions for diet change, and (c) telephone calls conducted with parents and adolescents to support cue modification and execution of implementation intentions. This intervention will be capable of reaching a large number of adolescents and their families and can readily be adopted for widespread use in a managed care setting. The project, entitled """"""""Habitual &Neurocognitive Processes in Adolescent Obesity Prevention"""""""" will target dietary behavior (consumption of sweetened beverages, high fat/sodium snacks, high sugar snacks, &total energy intake) among 14 to 17 year-old children and their parents. This proposal responds to the aims of RFA-HL-08-013 """"""""Translating Basic Behavioral and Social Science Discoveries into Interventions to Reduce Obesity: Centers for Behavioral Intervention Development"""""""" by drawing on three areas of basic behavioral science research including the formation and enactment of habitual behaviors, basic behavioral research on implementation intentions, and the influence of neurocognitive processes on behavior. In sum, the present proposal draws on basic research in habit formation and neurocognition to develop a new approach to the prevention of obesity in adolescents.
The specific aims proposed for this study include: 1. Identify cues to habitual dietary behavior among adolescents using real-time measurement strategies (Study 1). 2. Create an intervention activity designed to modify inhibitory function in adolescents (Study 2). 3. Test cue-based and implementation intention approaches for dietary change (Study 3). 4. Test alternative approaches to the modification of inhibitory function and dietary intake among adolescents using implementation intentions as an intervention strategy (Study 4). 5. Conduct a feasibility test of the intervention using examplars of each intervention component (cue-based intervention, implementation intentions, neurocognitive intervention) delivered through coaching sessions, telephone contact, and tailored print (Study 5).

Public Health Relevance

This proposal responds to the aims of RFA-HL-08-013 by developing a new approach to the prevention of obesity among adolescents using basic behavioral science research on (a) the formation and enactment of habitual behaviors (b) the use of implementation intentions to guide alternative behaviors in the presence of cues and (c) research on the influence of neurocognitive processes on behavior. Two previously underutilized settings for obesity prevention will be targeted;families and managed care.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Research Project--Cooperative Agreements (U01)
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Special Emphasis Panel (ZHL1-CSR-H (S1))
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Czajkowski, Susan
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Claremont Graduate University
Other Domestic Higher Education
United States
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Wood, Samantha M W; Schembre, Susan M; He, Qinghua et al. (2016) Emotional eating and routine restraint scores are associated with activity in brain regions involved in urge and self-control. Physiol Behav 165:405-12
Ames, Susan L; Wurpts, Ingrid C; Pike, James R et al. (2016) Self-regulation interventions to reduce consumption of sugar-sweetened beverages in adolescents. Appetite 105:652-62
Borgogna, Nicholas; Lockhart, Ginger; Grenard, Jerry L et al. (2015) Ecological momentary assessment of urban adolescents' technology use and cravings for unhealthy snacks and drinks: differences by ethnicity and sex. J Acad Nutr Diet 115:759-66
Geiser, Christian; Litson, Kaylee; Bishop, Jacob et al. (2015) Analyzing person, situation and person × situation interaction effects: Latent state-trait models for the combination of random and fixed situations. Psychol Methods 20:165-92
Czajkowski, Susan M; Powell, Lynda H; Adler, Nancy et al. (2015) From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol 34:971-82
Koritzky, Gilly; Rice, Chantelle; Dieterle, Camille et al. (2015) The Biggest Loser Thinks Long-Term: Recency as a Predictor of Success in Weight Management. Front Psychol 6:1864
He, Qinghua; Xiao, Lin; Xue, Gui et al. (2014) Poor ability to resist tempting calorie rich food is linked to altered balance between neural systems involved in urge and self-control. Nutr J 13:92
Ames, Susan L; Kisbu-Sakarya, Yasemin; Reynolds, Kim D et al. (2014) Inhibitory control effects in adolescent binge eating and consumption of sugar-sweetened beverages and snacks. Appetite 81:180-92
Koritzky, Gilly; Dieterle, Camille; Rice, Chantelle et al. (2014) Decision-making, sensitivity to reward and attrition in weight management. Obesity (Silver Spring) 22:1904-9
Shiffman, Saul (2014) Conceptualizing analyses of ecological momentary assessment data. Nicotine Tob Res 16 Suppl 2:S76-87

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