Learning Theory to Improve Obesity Treatment

The goal of the Cue Exposure program is to train children to resist cues to eat unhealthy
foods. Through a series of experimental studies, the investigators will evaluate how many
weekly treatment visits there should be, whether children should be exposed to a single food
or multiple foods during treatment, whether to use partial reinforcement or not, whether
visits should be daily or weekly, and whether the exposures should be in single or multiple
contexts. The investigators will be recruiting parent-child dyads in the San Diego community
to participate in 8 to 16 weekly or daily treatment sessions either in their home, community
center, or our lab, depending on the treatment arm. Parents and children will complete
baseline and post-treatment assessments consisting of collecting psychophysiological data,
completing laboratory tasks, and completing questionnaires. The investigators will be
evaluating which treatment condition reduces overeating (as measured by our laboratory
tasks).

Inclusion Criteria:

- Response to an advertisement for the study,

- An overweight or obese child in the family who is between the ages of 8 and 13,

- The 8-13 year old child must be above the 85th BMI % for age and gender,

- Parent willing to participate and attend all meetings,

- Parent who can read at a minimum of a 5th grade level in English,

- Parent and child willing to commit to attendance and assessments,

- Child who eats in the absence of hunger.

Exclusion Criteria:

- Major child psychiatric disorder diagnoses,

- An obese child over the 99.9th BMI %

- Child or parent diagnoses of diabetes for which physician supervision of diet is
needed or diagnosis of serious current physical diseases (such as cancer, multiple
sclerosis, lupus) which could significantly decrease their ability to participate in
the intervention (parent report),

- Child taking a medication that can affect cognitive functioning, such as attention,
concentration, or mental status.

- Family with restrictions on types of food, such as food allergies, or religious or
ethnic practices that limit the foods available in the home (these restrictions affect
their ability participate in the food exposures because it would limit the variety of
foods available to do exposures with),

- Child with an active eating disorder (based on parent and child self-report)

- Major parent psychiatric or eating disorder.