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Traditional Workshop - Ticketed

Weight Management

Workshop 10 - Regulation of Cues Treatment: A Novel Treatment for Overeating, Binge Eating and Weight Loss

Saturday, November 18, 2023
11:30 AM - 2:30 PM PST
Location: 403 (Cispus), Level 4
Earn 3 Credit
Ticketed Session
Keywords: Eating, Exposure, Evidence-Based Practice
Level of Familiarity: Moderate
Recommended Readings: Boutelle, K. N., Eichen, D. M., Peterson, C. B., Strong, D. R., Kang-Sim, D. J. E., Rock, C. L., & Marcus, B. H. (2022). Effect of a novel intervention targeting appetitive traits on body mass index among adults with overweight or obesity: a randomized clinical trial. JAMA Network Open, 5(5), e2212354-e2212354.,   Boutelle, K. N., Manzano, M. A., & Eichen, D. M. (2020). Appetitive traits as targets for weight loss: The role of food cue responsiveness and satiety responsiveness. Physiology & behavior, 224, 113018.,   Boutelle, Knatz, Carlson, Bergmann, Peterson et al. (2017) An open trial targeting food cue reactivity and satiety sensitivity in overweight and obese binge eaters. Cognitive and Behavioral Practice 24(3). 363-373.,   Boutelle, K. N., Kang Sim, D. E., Manzano, M., Rhee, K. E., Crow, S. J., & Strong, D. R. (2019). Role of appetitive phenotype trajectory groups on child body weight during a family-based treatment for children with overweight or obesity. International journal of obesity, 43(11), 2302-2308.,   Boutelle, K. N., Zucker, Peterson, CB. Rydell S, Carlson J, Harnack LJ (2011). Two novel treatments to reduce overeating in overweight children: A randomized controlled trial. Journal of consulting and Clinical Psychology 79 (6) 759-771.
Current behavioral treatments of obesity result in clinically significant weight loss for approximately 50% of patients and binge eating treatments result in significant decreases in binge eating in 40-60% of patients. Targeting underlying mechanisms of overeating and binge eating could improve current treatment and maintenance outcomes. The behavior susceptibility theory suggests that individuals who overeat are less sensitive to internal hunger and satiety signals and more sensitive to external environmental cues to eat. We developed the Regulation of Cues (ROC) program which addresses these two underlying mechanisms of overeating. ROC integrates appetite awareness skills to target satiety responsiveness and inhibitory skills to target food cue responsiveness, as well as psychoeducation and in vivo learning with food. Importantly, ROC does not recommend calorie counting. We have utilized this treatment with adults with obesity and/or binge eating and children with obesity and their parent.

This workshop will a) outline the key components of the ROC program; b) present findings from published and current studies that utilize ROC; c) demonstrate how to implement ROC using case examples, role-plays and audience participation; d) discuss common challenges with the implementation of ROC. Upon completion, workshop participants will appreciate the rationale for the ROC program, learn about the data supporting ROC, and develop the basic knowledge and skills to deliver the ROC program in clinical settings. Workshop attendees will partake in an appetite awareness training exercise and a cue exposure treatment exercise to gain a first-hand experience of what the ROC treatment entails.

Outline:
1. Introductions
2. Background
3. Lunch
4. Research support
5. Clinical Presentations
6. Exposures
7. Program Skills
8. Questions and answers

Learning Objectives:

At the end of the session, the learner will be able to:
  • Define the behavioral susceptibility theory.
  • Outline the key components of the ROC program.
  • Identify the findings from published and current studies that utilize ROC.
  • Describe how to provide ROC in group and individually.
  • List common challenges when implementing ROC and how to address them.
  • Long-term Goal: Provide the ROC program in clinic.
  • Long-term Goal: Become proficient in exposures with food for overeating.