Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping

Natalie B. Lister; 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

doi:10.1111/ijpo.70074

Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping

Natalie B. Lister
, 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

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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.

Original language	English
Article number	e70074
Pages (from-to)	1-16
Number of pages	16
Journal	Pediatric Obesity
Volume	21
Issue number	1
Early online date	10 Dec 2025
DOIs	https://doi.org/10.1111/ijpo.70074
Publication status	Published (in print/issue) - 10 Dec 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

Data Access Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Funding

The EDIT Collaboration is funded by a National Health and Medical Research Council, grant #2002310, #2009035.

Funders	Funder number
University of Sydney
National Health and Medical Research Council	2009035, 2002310

Keywords

behaviour change techniques
disordered eating
obesity
obesity treatment
overweight
Humans
Treatment Outcome
Feeding and Eating Disorders/therapy
Pediatric Obesity/therapy
Behavior Therapy/methods
Randomized Controlled Trials as Topic
Weight Loss
Adolescent
Female
Adolescent Behavior/psychology
Obesity
Behavior Therapy
Obesity Treatment
Disordered Eating
Overweight
Feeding and Eating Disorders
Behaviour Change Techniques
Adolescent Behavior
Pediatric Obesity
Feeding and Eating Disorders - therapy - psychology - prevention & control
Adolescent Behavior - psychology
Pediatric Obesity - therapy - psychology
Behavior Therapy - methods

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/ijpo.70074

Pediatric Obesity - 2025 - Lister - Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes Final published version, 1.16 MBLicence: CC BY

Cite this

Lister, N. B., Khalid, R., Jardine, I. R., Pryde, S., Melville, H., Seidler, A. L., Hunter, K. E., Ahern, A. L., Baur, L. A., Braet, C., Garnett, S. P., Hill, A. J., Maguire, S., Nicholls, D., Paxton, S. J., Piya, M. K., Sainsbury, A., Steinbeck, K., Wilfley, D. E., ... Jebeile, H. (2025). Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping. Pediatric Obesity, 21(1), 1-16. Article e70074. https://doi.org/10.1111/ijpo.70074

@article{b1620a3508f843748ee819b0319fcfc9,

title = "Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping",

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, Humans, Treatment Outcome, Feeding and Eating Disorders/therapy, Pediatric Obesity/therapy, Behavior Therapy/methods, Randomized Controlled Trials as Topic, Weight Loss, Adolescent, Female, Adolescent Behavior/psychology, Obesity, Behavior Therapy, Obesity Treatment, Disordered Eating, Overweight, Feeding and Eating Disorders, Behaviour Change Techniques, Adolescent Behavior, Pediatric Obesity, Feeding and Eating Disorders - therapy - psychology - prevention \& control, Adolescent Behavior - psychology, Pediatric Obesity - therapy - psychology, Behavior Therapy - methods",

author = "Lister, \{Natalie B.\} and Rabia Khalid and Jardine, \{Isabelle R.\} and Samantha Pryde and Hannah Melville and Seidler, \{Anna L.\} and Hunter, \{Kylie E.\} and Ahern, \{Amy L.\} and Baur, \{Louise A.\} and Caroline Braet and Garnett, \{Sarah P.\} and Hill, \{Andrew J.\} and Sarah Maguire and Dasha Nicholls and Paxton, \{Susan J.\} and Piya, \{Milan K.\} and Amanda Sainsbury and Katharine Steinbeck and Wilfley, \{Denise E.\} and Kelly Cooper and Genevieve Dammery and Grunseit, \{Alicia M.\} and Heeren, \{Faith Anne N.\} and Jones, \{Rebecca A.\} and Kyle, \{Theodore K.\} and Fiona Quigley and Molly Robbins and Jacqlyn Yourell 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 Elissa Jelalian and Lofrano‐Prado, \{Mara Cristina\} and Tiffany Naets and Prado, \{Wagner L.\} and Skj{\aa}k{\o}deg{\aa}rd, \{Hanna F.\} and Danielsen, \{Yngvild S{\o}reb{\o}\} and Stein, \{Richard I.\} and Marian Tanofsky‐Kraff and \{Van Eyck\}, Annelies and Vidmar, \{Alaina P.\} and Yanovski, \{Jack A.\} and Johnson, \{Brittany J.\} and Hiba Jebeile",

note = "Publisher Copyright: {\textcopyright} 2025 The Author(s). Pediatric Obesity published by John Wiley \& Sons Ltd on behalf of World Obesity Federation.",

year = "2025",

month = dec,

day = "10",

doi = "10.1111/ijpo.70074",

language = "English",

volume = "21",

pages = "1--16",

journal = "Pediatric Obesity",

issn = "2047-6302",

publisher = "John Wiley and Sons Ltd",

number = "1",

}

Lister, NB, Khalid, R, Jardine, IR, Pryde, S, Melville, H, Seidler, AL, Hunter, KE, Ahern, AL, Baur, LA, Braet, C, Garnett, SP, Hill, AJ, Maguire, S, Nicholls, D, Paxton, SJ, Piya, MK, Sainsbury, A, Steinbeck, K, Wilfley, DE, Cooper, K, Dammery, G, Grunseit, AM, Heeren, FAN, Jones, RA, Kyle, TK, Quigley, F, Robbins, M, Yourell, J, Bean, MK, Bonham, MP, Boutelle, KN, Cardel, MI, Darling, KE, Dordevic, AL, Eichen, DM, Epstein, LH, Goldschmidt, AB, Jelalian, E, Lofrano‐Prado, MC, Naets, T, Prado, WL, Skjåkødegård, HF, Danielsen, YS, Stein, RI, Tanofsky‐Kraff, M, Van Eyck, A, Vidmar, AP, Yanovski, JA, Johnson, BJ & Jebeile, H 2025, 'Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping', Pediatric Obesity, vol. 21, no. 1, e70074, pp. 1-16. https://doi.org/10.1111/ijpo.70074

TY - JOUR

T1 - Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping

AU - Lister, Natalie B.

AU - Khalid, Rabia

AU - Jardine, Isabelle R.

AU - Pryde, Samantha

AU - Melville, Hannah

AU - Seidler, Anna L.

AU - Hunter, Kylie E.

AU - Ahern, Amy L.

AU - Baur, Louise A.

AU - Braet, Caroline

AU - Garnett, Sarah P.

AU - Hill, Andrew J.

AU - Maguire, Sarah

AU - Nicholls, Dasha

AU - Paxton, Susan J.

AU - Piya, Milan K.

AU - Sainsbury, Amanda

AU - Steinbeck, Katharine

AU - Wilfley, Denise E.

AU - Cooper, Kelly

AU - Dammery, Genevieve

AU - Grunseit, Alicia M.

AU - Heeren, Faith Anne N.

AU - Jones, Rebecca A.

AU - Kyle, Theodore K.

AU - Quigley, Fiona

AU - Robbins, Molly

AU - Yourell, Jacqlyn

AU - Bean, Melanie K.

AU - Bonham, Maxine P.

AU - Boutelle, Kerri N.

AU - Cardel, Michelle I.

AU - Darling, Katherine E.

AU - Dordevic, Aimee L.

AU - Eichen, Dawn M.

AU - Epstein, Leonard H.

AU - Goldschmidt, Andrea B.

AU - Jelalian, Elissa

AU - Lofrano‐Prado, Mara Cristina

AU - Naets, Tiffany

AU - Prado, Wagner L.

AU - Skjåkødegård, Hanna F.

AU - Danielsen, Yngvild Sørebø

AU - Stein, Richard I.

AU - Tanofsky‐Kraff, Marian

AU - Van Eyck, Annelies

AU - Vidmar, Alaina P.

AU - Yanovski, Jack A.

AU - Johnson, Brittany J.

AU - Jebeile, Hiba

PY - 2025/12/10

Y1 - 2025/12/10

N2 - 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.

AB - 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.

KW - behaviour change techniques

KW - disordered eating

KW - obesity

KW - obesity treatment

KW - overweight

KW - Humans

KW - Treatment Outcome

KW - Feeding and Eating Disorders/therapy

KW - Pediatric Obesity/therapy

KW - Behavior Therapy/methods

KW - Randomized Controlled Trials as Topic

KW - Weight Loss

KW - Adolescent

KW - Female

KW - Adolescent Behavior/psychology

KW - Obesity

KW - Behavior Therapy

KW - Obesity Treatment

KW - Disordered Eating

KW - Overweight

KW - Feeding and Eating Disorders

KW - Behaviour Change Techniques

KW - Adolescent Behavior

KW - Pediatric Obesity

KW - Feeding and Eating Disorders - therapy - psychology - prevention & control

KW - Adolescent Behavior - psychology

KW - Pediatric Obesity - therapy - psychology

KW - Behavior Therapy - methods

UR - https://pubmed.ncbi.nlm.nih.gov/41367220/

UR - https://www.scopus.com/pages/publications/105024386146

U2 - 10.1111/ijpo.70074

DO - 10.1111/ijpo.70074

M3 - Article

C2 - 41367220

SN - 2047-6302

VL - 21

SP - 1

EP - 16

JO - Pediatric Obesity

JF - Pediatric Obesity

IS - 1

M1 - e70074

ER -

Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping

Abstract

Bibliographical note

Data Access Statement

Funding

Keywords

UN SDGs

Access to Document

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