Psychological Wellbeing in Clients in Tier 3 Weight Management Service

NCT ID: NCT05400096

Last Updated: 2022-07-20

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 12 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-30
• Study Completion Date: 2023-04-30

Brief Summary

This study aims to conduct an initial, single case investigation of changes in feelings of shame, overall psychological wellbeing, body image and disordered eating in patients in naturalistic setting, Tier 3 weight management service, following CFT based, online group intervention that runs for 12 weeks.

Detailed Description

Tier 3 weight management services are led by multidisciplinary teams (MDTS) what usually include physicians, dieticians, nurses, physiotherapist, psychiatrists, and psychologists. In the service where the study is conducted referrals to psychology are often made by a dietician. The psychologist in the service also accepts self referrals from patients either during initial assessment with dieticians or at any point of their journey in the service. The psychology pathway is "opt-in", in other words, only patient who actively express interest, motivation and wish to make use of the additional psych resource and accepted.

The participants will be offered the intervention by the group facilitating clinician (who is a part of care team). Initially the principal supervisor was meant to facilitate group intervention, but because the principal supervisor is going on maternity leave the group will be facilitated by a qualified substitute clinician. This clinician will offer an assessment of needs to all patients referred for psychological support. The clinician will act as a gatekeeper and will offer CFT based group intervention when clinically and ethically appropriate (see the exclusion and inclusion criteria below). Taking part in the intervention and signing up for the research will not affect the care patients receive from MDT in the service.

Conditions

Psychological Distress; Obesity; Disordered Eating; Shame; Body Image

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

CFT based online group intervention

The group will consist of 12 weekly 1.15h long online sessions.

Group Type: EXPERIMENTAL

Psychological therapy

Intervention Type: OTHER

The protocol for the group will be developed collaboratively between the chief researcher and the supervisor based in the weight management service. The protocol will contain Compassion Focused Therapy (CFT) based therapeutic approaches, but the group will integrate some Acceptance and Commitment Therapy (ACT) concepts.

Interventions

Psychological therapy

The protocol for the group will be developed collaboratively between the chief researcher and the supervisor based in the weight management service. The protocol will contain Compassion Focused Therapy (CFT) based therapeutic approaches, but the group will integrate some Acceptance and Commitment Therapy (ACT) concepts.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• adults with BMI over 30 who have been referred to Tier 3 weight management service.
• Adults with BMI over 25 with Diabetes who have been referred to Tier 3 weight management service.

Exclusion Criteria

• group intervention not considered clinically appropriate, following specialist assessment of needs
• not being able to commit to 12-week intervention
• severe interpersonal difficulties that would be disruptive to other group's participants
• moderate to severe learning difficulties
• current alcohol or drug abuse.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Canterbury Christ Church University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Central Contacts

Ugne Tartilaite, Trainee

Role: CONTACT

u.tartilaite3@canterbury.ac.uk

07519913505

Margie Callanan, Prof

Role: CONTACT

margie.callanan@canterbury.ac.uk

03330117101

Other Identifiers

DClinPsych2020UTartilaite

Identifier Type: -

Identifier Source: org_study_id