Relapse Prevention and Changing Habits in Anorexia Nervosa
NCT ID: NCT04810624
Last Updated: 2025-03-06
Study Results
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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SUSPENDED
NA
60 participants
INTERVENTIONAL
2021-06-21
2026-01-30
Brief Summary
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In the current Optimization Phase, we will identify which components of treatment contribute to positive outcomes after acute hospitalization. We will carefully evaluate maintenance of remission, measured by rate of weight loss and end-of-trial status.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
FACTORIAL
TREATMENT
NONE
Study Groups
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Do, Accept, Motivation Through Values, Sessions, Long-Term Food Logs,
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
No interventions assigned to this group
Do, Accept, Motivation through Values, Sessions, Short-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Accept, Motivation through Values, Check-Ins, Short-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Accept, Motivation through Values, Check-Ins, No Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Accept, Motivation through Narratives, Sessions, Short-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Accept, Motivation through Narratives, Sessions, No Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Accept, Motivation through Narratives, Check-Ins, Long-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation Through Values, Sessions, Short-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation Through Values, Sessions, No Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation through Values, Check-Ins, Long-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation Through Narratives, Sessions, Long-term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Values, Sessions, Short-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Values, Sessions, No Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Narratives, Check-Ins, Short-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Narratives, Check-Ins, No Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation Through Values, Sessions, Long-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation Through Values, Sessions, No Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation through Values, Check-Ins, Short-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation through Values, Check-Ins, No Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation through Narratives, Sessions, Short-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation through Narratives, Sessions, No Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Change, Motivation through Narratives, Check-Ins, Long-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation through Narratives, Check-Ins, Short-Term Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Do, Change, Motivation through Narratives, Check-Ins, No Food Logs
Behavior Do: Including in-session eating experiments.
Thought Change: Monitoring and actively challenging distorted thoughts.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
No Food-Monitoring: No recommendation for food records or logs during treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Values, Check-Ins, Long-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity.
Check-Ins for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress conducted independently by participant, with only brief (\~20-min) check-ins during this period.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Talk, Accept, Motivation through Narratives, Sessions, Long-Term Food Logs
Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments.
Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior.
Motivation Through Narratives: Using stories of others with lived experience (e.g., writings, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators.
Sessions for Skills Consolidation: Consolidation of skills introduced to patient and monitoring of continued progress using 45-min, face-to-face (via video) sessions.
Food Monitoring - Long-Term: Use of food logs for duration of treatment.
Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Interventions
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Relapse Prevention and Changing Habits (REACH+)
Psychotherapy
Eligibility Criteria
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Inclusion Criteria
* Medically Stable
* Internet capability with videoconferencing
* Weight restored (BMI \> 19 kg/m2) at New York State Psychiatric Institute
Exclusion Criteria
* Pregnancy
* Imminent risk of suicide
* Serious medical illness
* Daily psychotropic medication other than antidepressants (medications that are known effect weight are exclusionary, i.e. stimulants, olanzapine, mirtazapine)
* Participation in outside psychotherapy or structured treatment program (support groups will be allowed). Individuals who are discharged on medications would need to have a non-study psychiatrist.
18 Years
60 Years
ALL
No
Sponsors
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Columbia University
OTHER
Brown University
OTHER
National Institute of Mental Health (NIMH)
NIH
New York State Psychiatric Institute
OTHER
Responsible Party
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Joanna Steinglass
Professor of Psychiatry
Locations
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New York State Psychiatric Institute
New York, New York, United States
Countries
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References
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Steinglass JE, Attia E, Glasofer DR, Wang Y, Ruggiero J, Walsh BT, Thomas JG. Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa. Int J Eat Disord. 2022 Jun;55(6):851-857. doi: 10.1002/eat.23724. Epub 2022 Apr 30.
Other Identifiers
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8110
Identifier Type: -
Identifier Source: org_study_id
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