Implementation of Evidence-based Treatments for On-campus Eating Disorders

NCT ID: NCT02079142

Last Updated: 2018-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

223 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2017-12-31

Brief Summary

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The purpose of this study is to evaluate two training methods of IPT with mental health service providers in college counseling centers.

Detailed Description

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Although there have been major advances in developing evidence-based psychotherapies, the adoption of such treatments by community therapists has been slow. One of the problems is the difficulty therapists in practice have in learning how to conduct an evidence-based psychotherapy. Hence, this study will investigate two methods of teaching therapists interpersonal therapy (IPT), an evidence based treatment for eating disorders and depression, at 40 college or University counseling centers.

Current approaches to training therapists to conduct new treatments typically consist of a one or two day workshop delivered by an expert and provision of a manual for the therapy in question. Recent reviews have concluded that while workshops increase therapists' knowledge, their impact on skills may be short-lived without further consultation. Thus, investigators will supplement IPT training manuals and workshops by offering monthly consultation calls to participating therapists for 12 months following the workshop. The consultation calls are not designed to be case supervision per se. Rather, they are to be seen as extended training on IPT. This training condition is referred to as expert consultation.

The second training strategy, referred to as train-the-trainer, features expertise capacity building within each organization. There is a strong theoretical case for this implementation strategy as it is based on the principles of social cognitive theory, featuring active learning via modeling, feedback on performance, building self-efficacy, and supportive interactions among therapists developing IPT skills. This 'train-the-trainer' approach involves active learning which centers around development of an internal coach and champion, and has been recommended as the most effective means of changing actual therapist behaviors rather than just attitudes and self-reported proficiency. Roth et al. have made the case that effective implementation of evidence-based treatment in routine clinical services requires that the training approximate that which characterized the research context (e.g., continuing feedback and supervision and monitoring of treatment fidelity). Our train-the-trainer strategy offers a practical means of accomplishing this goal.

Conditions

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Eating Disorders (Excluding Anorexia Nervosa) Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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High Intensity Strategy: Train-the-trainer

One therapist from each counseling center randomized to this arm will be selected to become the trainer and will be trained to train their colleagues.

Group Type EXPERIMENTAL

High Intensity Strategy: Train-the-trainer

Intervention Type BEHAVIORAL

Trainers in the high intensity condition will attend two separate workshops at Washington University in St. Louis designed to teach participants to conduct IPT and then to train IPT. Following participation in the first, two-day workshop, each trainer will return to their site and be encouraged to treat at least two cases with eating disorders or depression, audio recording each session.

Trainers will then return to Washington University to be trained in how to train their other staff members in IPT.

Low Intensity Strategy: Expert Consultation

The IPT expert from Washington University will travel to all counseling centers randomized to this condition and train all participating therapists on site and be available for monthly phone consultation for up to one year following training on site.

Group Type ACTIVE_COMPARATOR

Low Intensity Strategy: Expert Consultation

Intervention Type BEHAVIORAL

Investigators will provide a two-day workshop on IPT at each site randomized to this condition to train therapists to use IPT for the treatment of Eating Disorders and depression.

Interventions

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High Intensity Strategy: Train-the-trainer

Trainers in the high intensity condition will attend two separate workshops at Washington University in St. Louis designed to teach participants to conduct IPT and then to train IPT. Following participation in the first, two-day workshop, each trainer will return to their site and be encouraged to treat at least two cases with eating disorders or depression, audio recording each session.

Trainers will then return to Washington University to be trained in how to train their other staff members in IPT.

Intervention Type BEHAVIORAL

Low Intensity Strategy: Expert Consultation

Investigators will provide a two-day workshop on IPT at each site randomized to this condition to train therapists to use IPT for the treatment of Eating Disorders and depression.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Currently employed in a participating university counseling center
* Providing regular student-client services
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Health and Human Services

FED

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Denise Wilfley

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Denise E Wilfley, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Stewart Agras, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Terrance G Wilson, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Rutgers University

Locations

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Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Raghavan R, Fitzsimmons-Craft EE, Welch RR, Jo B, Proctor EK, Wilson GT, Agras WS, Wilfley DE. Cost-effectiveness of train-the-trainer versus expert consultation training models for implementing interpersonal psychotherapy in college mental health settings: evidence from a national cluster randomized trial. Implement Sci. 2024 Jul 29;19(1):55. doi: 10.1186/s13012-024-01388-2.

Reference Type DERIVED
PMID: 39075590 (View on PubMed)

Wilfley DE, Agras WS, Fitzsimmons-Craft EE, Bohon C, Eichen DM, Welch RR, Jo B, Raghavan R, Proctor EK, Wilson GT. Training Models for Implementing Evidence-Based Psychological Treatment: A Cluster-Randomized Trial in College Counseling Centers. JAMA Psychiatry. 2020 Feb 1;77(2):139-147. doi: 10.1001/jamapsychiatry.2019.3483.

Reference Type DERIVED
PMID: 31693069 (View on PubMed)

Other Identifiers

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1R01MH095748

Identifier Type: NIH

Identifier Source: secondary_id

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1R01MH095748-01

Identifier Type: NIH

Identifier Source: org_study_id

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