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Components of adolescent behavioural interventions with eating disorder outcomes : systematic review with intervention mapping

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Abstract
Objective To understand delivery features and intervention strategies of adolescent weight management interventions which may influence eating disorder risk. Methods Systematic searches in four databases and two trial registries to identify randomised controlled trials in adolescents with overweight/obesity measuring eating disorder risk pre- and post-intervention. Delivery features and intervention strategies were coded from published descriptions using a project-specific codebook, validated by trial investigators and narratively synthesised. Results Of 11 860 records screened, 23 trials, with 54 intervention arms, were included in the analysis. Most interventions focused on weight loss and maintenance (54%) and were informed by a cognitive behavioural framework (43%). Interventions commonly targeted an individual with a support person (70%). Median intervention duration was 26 weeks, with weekly (35%) or staged (e.g., weekly, then monthly) visit (41%) frequency. Interventions had a mean (SD) of 30 (16.1) intervention strategies. Most included healthy eating education (89%), physical activity education (89%) and problem-solving barriers to dietary change (80%). Few included mental health strategies (17%). Interventions included ‘dietary prescription’ (65%), and 78% promoted ‘healthful/helpful eating behaviours’. Conclusion Weight management interventions are complex and vary in delivery approach and strategies used to change behaviors. Characterising interventions is a critical first step to understanding how weight management interventions' influence eating disorder risk.
Keywords
behaviour change techniques, disordered eating, obesity, obesity treatment, overweight, RANDOMIZED CONTROLLED-TRIAL, LIFE-STYLE INTERVENTION, FAMILY-BASED TREATMENT, WEIGHT CONTROL INTERVENTION, CHILDHOOD OBESITY, OVERWEIGHT CHILDREN, MANAGEMENT PROGRAM, SYMPTOMS, DESIGN, HEALTH

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MLA
Lister, Natalie B., et al. “Components of Adolescent Behavioural Interventions with Eating Disorder Outcomes : Systematic Review with Intervention Mapping.” PEDIATRIC OBESITY, vol. 21, no. 1, 2025, doi:10.1111/ijpo.70074.
APA
Lister, N. B., Khalid, R., Jardine, I. R., Pryde, S., Melville, H., Seidler, A. L., … the EDIT Collaboration, [missing]. (2025). Components of adolescent behavioural interventions with eating disorder outcomes : systematic review with intervention mapping. PEDIATRIC OBESITY, 21(1). https://doi.org/10.1111/ijpo.70074
Chicago author-date
Lister, Natalie B., Rabia Khalid, Isabelle R. Jardine, Samantha Pryde, Hannah Melville, Anna L. Seidler, Kylie E. Hunter, et al. 2025. “Components of Adolescent Behavioural Interventions with Eating Disorder Outcomes : Systematic Review with Intervention Mapping.” PEDIATRIC OBESITY 21 (1). https://doi.org/10.1111/ijpo.70074.
Chicago author-date (all authors)
Lister, Natalie B., Rabia Khalid, Isabelle R. Jardine, Samantha Pryde, Hannah Melville, Anna L. Seidler, Kylie E. Hunter, Amy L. Ahern, Louise A. Baur, Caroline Braet, Sarah P. Garnett, Andrew J. Hill, Sarah Maguire, Dasha Nicholls, Susan J. Paxton, Milan K. Piya, Amanda Sainsbury, Katharine Steinbeck, Denise E. Wilfley, Kelly Cooper, Genevieve Dammery, Alicia M. Grunseit, Faith Anne N. Heeren, Rebecca A. Jones, Theodore K. Kyle, Fiona Quigley, Molly Robbins, Jacqlyn Yourell, Melanie K. Bean, Maxine P. Bonham, Kerri N. Boutelle, Michelle I. Cardel, Katherine E. Darling, Aimee L. Dordevic, Dawn M. Eichen, Leonard H. Epstein, Andrea B. Goldschmidt, Elissa Jelalian, Mara Cristina Lofrano‐Prado, Tiffany Naets, Wagner L. Prado, Hanna F. Skjåkødegård, Yngvild Sørebø Danielsen, Richard I. Stein, Marian Tanofsky‐Kraff, Annelies Van Eyck, Alaina P. Vidmar, Jack A. Yanovski, Brittany J. Johnson, Hiba Jebeile, and [missing] the EDIT Collaboration. 2025. “Components of Adolescent Behavioural Interventions with Eating Disorder Outcomes : Systematic Review with Intervention Mapping.” PEDIATRIC OBESITY 21 (1). doi:10.1111/ijpo.70074.
Vancouver
1.
Lister NB, Khalid R, Jardine IR, Pryde S, Melville H, Seidler AL, et al. Components of adolescent behavioural interventions with eating disorder outcomes : systematic review with intervention mapping. PEDIATRIC OBESITY. 2025;21(1).
IEEE
[1]
N. B. Lister et al., “Components of adolescent behavioural interventions with eating disorder outcomes : systematic review with intervention mapping,” PEDIATRIC OBESITY, vol. 21, no. 1, 2025.
@article{01KC8Y00J43BYY8BPEGGYVTJT2,
  abstract     = {{Objective
To understand delivery features and intervention strategies of adolescent weight management interventions which may influence eating disorder risk.

Methods
Systematic searches in four databases and two trial registries to identify randomised controlled trials in adolescents with overweight/obesity measuring eating disorder risk pre- and post-intervention. Delivery features and intervention strategies were coded from published descriptions using a project-specific codebook, validated by trial investigators and narratively synthesised.

Results
Of 11 860 records screened, 23 trials, with 54 intervention arms, were included in the analysis. Most interventions focused on weight loss and maintenance (54%) and were informed by a cognitive behavioural framework (43%). Interventions commonly targeted an individual with a support person (70%). Median intervention duration was 26 weeks, with weekly (35%) or staged (e.g., weekly, then monthly) visit (41%) frequency. Interventions had a mean (SD) of 30 (16.1) intervention strategies. Most included healthy eating education (89%), physical activity education (89%) and problem-solving barriers to dietary change (80%). Few included mental health strategies (17%). Interventions included ‘dietary prescription’ (65%), and 78% promoted ‘healthful/helpful eating behaviours’.

Conclusion
Weight management interventions are complex and vary in delivery approach and strategies used to change behaviors. Characterising interventions is a critical first step to understanding how weight management interventions' influence eating disorder risk.}},
  articleno    = {{e70074}},
  author       = {{Lister, Natalie B. and Khalid, Rabia and Jardine, Isabelle R. and Pryde, Samantha and Melville, Hannah and Seidler, Anna L. and Hunter, Kylie E. and Ahern, Amy L. and Baur, Louise A. and Braet, Caroline and Garnett, Sarah P. and Hill, Andrew J. and Maguire, Sarah and Nicholls, Dasha and Paxton, Susan J. and Piya, Milan K. and Sainsbury, Amanda and Steinbeck, Katharine and Wilfley, Denise E. and Cooper, Kelly and Dammery, Genevieve and Grunseit, Alicia M. and Heeren, Faith Anne N. and Jones, Rebecca A. and Kyle, Theodore K. and Quigley, Fiona and Robbins, Molly and Yourell, Jacqlyn and Bean, Melanie K. and Bonham, Maxine P. and Boutelle, Kerri N. and Cardel, Michelle I. and Darling, Katherine E. and Dordevic, Aimee L. and Eichen, Dawn M. and Epstein, Leonard H. and Goldschmidt, Andrea B. and Jelalian, Elissa and Lofrano‐Prado, Mara Cristina and Naets, Tiffany and Prado, Wagner L. and Skjåkødegård, Hanna F. and Danielsen, Yngvild Sørebø and Stein, Richard I. and Tanofsky‐Kraff, Marian and Van Eyck, Annelies and Vidmar, Alaina P. and Yanovski, Jack A. and Johnson, Brittany J. and Jebeile, Hiba and the EDIT Collaboration, [missing]}},
  issn         = {{2047-6302}},
  journal      = {{PEDIATRIC OBESITY}},
  keywords     = {{behaviour change techniques,disordered eating,obesity,obesity treatment,overweight,RANDOMIZED CONTROLLED-TRIAL,LIFE-STYLE INTERVENTION,FAMILY-BASED TREATMENT,WEIGHT CONTROL INTERVENTION,CHILDHOOD OBESITY,OVERWEIGHT CHILDREN,MANAGEMENT PROGRAM,SYMPTOMS,DESIGN,HEALTH}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{16}},
  title        = {{Components of adolescent behavioural interventions with eating disorder outcomes : systematic review with intervention mapping}},
  url          = {{http://doi.org/10.1111/ijpo.70074}},
  volume       = {{21}},
  year         = {{2025}},
}

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