Electronic Theses and Dissertations



Document Type


Degree Name

Doctor of Philosophy



Committee Chair

Kristoffer Berlin


Objective: The present paper details a pragmatic trial of a Focused Acceptance and Commitment Therapy (FACT) intervention for adolescents seeking bariatric surgery. The intervention was developed within a multicultural orientation (MCO) framework to acknowledge families’ diverse sociocultural contexts and clinical needs. The intervention aimed to increase psychological flexibility, specifically by supporting values-consistent behavior change through openness to internal experiences and present moment awareness, within the context of seeking bariatric surgery. It was designed to be flexibly implemented across two sessions, one focused on increasing adolescent psychological flexibility, the other on increasing caregiver psychological flexibility. The present paper describes implementation and refinement of the intervention based on feasibility and acceptability of the adolescent portion and adolescent perspectives/outcomes. Method: Eleven adolescents participated in the clinical intervention. Adolescent-reported intervention acceptability was collected before, during, and after the intervention sessions. Self-report measures of psychological flexibility and health-related quality of life were also completed. Interventionists recorded post-session interviews discussing intervention implementation and refinement. Results: The intervention was acceptable as rated by adolescents, and it was feasible to implement in an interdisciplinary clinic. Self-report results are presented descriptively. Conclusions: This intervention was acceptable to adolescents, feasible to implement in an interdisciplinary clinic, and should be explored in additional samples and with further research. Themes from post-intervention intervention sessions are briefly summarized. Feasibility of the research study is discussed within an MCO framework. Ideas for future research and adaptation for other pediatric populations are presented.


Data is provided by the student.

Library Comment

Dissertation or thesis originally submitted to ProQuest


Open Access