Project CORE: Disseminating Eating Disorders Treatment

NCT ID: NCT03855553

Last Updated: 2021-02-23

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2022-01-31

Brief Summary

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The goals of this project are to 1) develop training opportunities for master's-level and pre-doctoral psychology students in evidence-based assessment and treatment of adolescent EDs; 2) to provide the healthcare workforce, including licensed health professionals such as primary care physicians and behavioral health interventionists, with knowledge and competence to recognize early symptoms of and intervention strategies for EDs; and 3) to test the efficacy of delivering two evidence-based treatments for adolescent eating disorders, Family Based Treatment (FBT) and Enhanced Cognitive Behavioral Therapy (CBT-E), in the home-based setting.

Detailed Description

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The complete project will incorporate three phases. Phase I is designed to gather information from existing licensed health professionals in the community who serve Medicaid populations on their knowledge needs and priorities related to screening and intervening with patients with eating disorders. Phase I will comprise eating disorder psycho-education, implementation of workshops, and supervision among primary care professionals and mental health workers. Responses will inform the content of in-services and program development (e.g., monthly consultation services, ongoing multi-family support groups) provided in Phase II.

During Phase II, families containing a child with a restrictive-type eating disorder will be recruited to receive treatment from the clinicians assessed and trained during Phase I. Families will be assigned to receive either Family Based Treatment (FBT) or Enhanced Cognitive Behavioral Therapy (CBT-E) to treat their adolescent's eating disorder. Treatment will occur over 10-16 weeks, depending on the family's needs and availability. Families will be assessed at pre-treatment, post-treatment, and 1-year follow-up.

Phase III will consist of follow-up with the families and clinicians, and further development of training/education approaches for the Rhode Island healthcare workforce.

Conditions

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Anorexia Nervosa/Bulimia Anorexia Nervosa Restricting Type Eating Disorders in Adolescence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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FBT

10 families will be randomized to receive 10 - 16 weeks of eating disorder treatment for their adolescent.

Group Type EXPERIMENTAL

Family Based Treatment

Intervention Type BEHAVIORAL

10 families will be randomized to receive 10 - 16 weeks of Family Based Treatment (FBT), the "gold standard" in eating disorder treatment for adolescents. FBT is a highly structured behavioral intervention in which caregivers are charged with the primary task of re-feeding their child and normalizing his or her eating behaviors and weight status.

CBT-E

10 families will be randomized to receive 10 - 16 weeks of eating disorder treatment for their adolescent.

Group Type EXPERIMENTAL

Enhanced Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

10 families will be randomized to receive 10 - 16 weeks of Enhanced Cognitive Behavioral Therapy (CBT-E), a clinically validated treatment for adolescent eating disorders. CBT-E is a short-term, individual treatment focused on normalizing eating behaviors and modifying underlying cognitions that contribute to the maintenance of eating disorder behaviors (e.g., over-importance of shape and weight in one's self-evaluation).

Interventions

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Family Based Treatment

10 families will be randomized to receive 10 - 16 weeks of Family Based Treatment (FBT), the "gold standard" in eating disorder treatment for adolescents. FBT is a highly structured behavioral intervention in which caregivers are charged with the primary task of re-feeding their child and normalizing his or her eating behaviors and weight status.

Intervention Type BEHAVIORAL

Enhanced Cognitive Behavioral Therapy

10 families will be randomized to receive 10 - 16 weeks of Enhanced Cognitive Behavioral Therapy (CBT-E), a clinically validated treatment for adolescent eating disorders. CBT-E is a short-term, individual treatment focused on normalizing eating behaviors and modifying underlying cognitions that contribute to the maintenance of eating disorder behaviors (e.g., over-importance of shape and weight in one's self-evaluation).

Intervention Type BEHAVIORAL

Other Intervention Names

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FBT CBT-E

Eligibility Criteria

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Inclusion Criteria

* meets criteria for AN, atypical AN, or BN according to DSM-5 diagnostic criteria
* is currently living at home
* is medically stable for outpatient treatment according to the recommended thresholds of the American Academy of Pediatrics and the Society of Adolescent Medicine (e.g., ≥75% of expected body weight, heartrate ≥50 beats per minute)
* if on a psychotropic medication, meets all eligibility criteria while on stable dose of psychotropic medication (8 weeks) for a co-morbid condition
* speaks English
* be available for long-term follow-up.

Exclusion Criteria

* associated physical illness that necessitates hospitalization
* psychotic illness/other mental illness requiring hospitalization
* current dependence on drugs or alcohol
* physical conditions (e.g. diabetes mellitus, pregnancy) known to influence eating or weight
* concurrent involvement in other psychological treatment for an eating disorder
* developmental delay that would preclude participation in the intervention.
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Miriam Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrea B. Goldschmidt, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Weight Control & Diabetes Research Center

Christina Tortolani, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Rhode Island College

Locations

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The Weight Control & Diabetes Research Center

Providence, Rhode Island, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Erin R. Stalvey

Role: CONTACT

(401) 793-8962

Eva-Molly Dunbar

Role: CONTACT

Facility Contacts

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Erin R. Stalvey

Role: primary

401-793-8962

Eva-Molly Dunbar

Role: backup

Other Identifiers

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1319865

Identifier Type: -

Identifier Source: org_study_id

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