Impact of Peer Mentors on Individuals Transitioning to Adult Eating Disorder Treatment

NCT ID: NCT05543044

Last Updated: 2025-06-13

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

RECRUITING

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-28

Study Completion Date

2026-03-01

Brief Summary

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Participants will be males and females aged 16-24 with an eating disorder (ED) diagnosis who are transitioning to adult-oriented ED treatment in Nova Scotia, New Brunswick, or Prince Edward Island. Youth participants will be recruited from community-based clinics, hospital programs, and private practices where ED treatment is delivered. Youth who are interested in participating and provide written consent will be invited to take part in a screening meeting to determine eligibility to participate. Eligible participants will be paired with a peer mentor for a 3-6 month intervention to guide them through the transition to adult-oriented ED treatment. Participants will be asked to complete questionnaire packages before beginning the intervention, after completing the intervention, and 12 months after beginning the intervention. Some youth participants, as well as some of their carers and the peer mentors, will be asked to participate in one-on-one interviews about their experiences with transitions in ED care and the peer mentor intervention. The investigators are conducting this study to determine whether the use of peer mentors is an effective and acceptable means of transition support for youth with EDs. The investigators are also interested in better understanding the experiences of carers and peer mentors who are supporting youth with EDs during their transition in care.

Detailed Description

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This feasibility study will incorporate quantitative and qualitative methods and utilizes an uncontrolled pretest-posttest quasi-experimental design to examine the effectiveness and acceptability of a peer mentor delivered intervention that aims to improve transitions to adult-oriented care for patients with eating disorders (EDs) aged 16-24.

Youth will be recruited from community-based clinics, hospital programs, and private practices where youth- or adult-oriented ED treatment is delivered across Nova Scotia, New Brunswick, and Prince Edward Island. Clinicians in these settings will be asked to identify potentially eligible youth who will be transitioning to adult-oriented ED care. Potential participants who are interested in participating and provide written consent will meet with a research team member for a screening meeting to determine their eligibility status. Screening will involve the Structured Clinical Interview for DSM-5 Research Version (SCID-5-RV) and the Columbia Suicide Severity Rating Scale (C-SSRS). All screening information will be reviewed by the PI (Dr. Keshen). Participants who are not interested in the study or who fail to meet the eligibility criteria will be given standard options available to treatment age youth.

Youth participants who are found eligible will be connected with a trained peer mentor for a 3-6 month transition intervention. Youth and their peer mentor will meet weekly, bi-weekly, or monthly depending on the phase of the intervention and the needs of the youth. The intervention is divided into 3 phases: phase 1 includes building a sense of trust, rapport, and motivation, as well as the identification of goals, strengths, challenges and barriers related to transition; phase 2 focuses on self-reflection, problem-solving, and transition planning; and phase 3 involves the gradual tapering off and conclusion of the peer mentor relationship.

Youth participants will be asked to complete questionnaire packages before beginning the intervention, after completing the intervention, and 12 months after beginning the intervention. Some youth will also be asked to participate in one-on-one interviews with a research team member at these same time-points. Some youth participants will be asked if they would like to involve a carer in the study, as well. Carers will be invited to participate in a one-on-one interview with a research team member 12 months after the youth they are caring for began the intervention. Peer mentors will be invited to participate in one-on-one interviews at the end of the study. The aim of the interviews is to understand experiences with eating disorder treatment, transitions in care, and the peer mentor intervention.

Conditions

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Eating Disorders

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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TAY receiving peer mentor intervention

Transition age youth with EDs (n=50) will receive a peer mentor delivered transition intervention

Group Type EXPERIMENTAL

Peer mentor intervention

Intervention Type BEHAVIORAL

Peer mentor delivered intervention for transitions to adult-oriented treatment for eating disorders

Interventions

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Peer mentor intervention

Peer mentor delivered intervention for transitions to adult-oriented treatment for eating disorders

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Meets one of the following criteria:

* 'Aging out' of youth-oriented ED treatment at 19 years-old and unlikely to achieve remission prior to leaving the program (as determined by their clinician\[s\])
* Have been deemed incompatible with traditional youth-oriented ED treatment (based on established youth-oriented ED treatment criteria, and determined by their clinician\[s\])
* Have requested and/or had a carer request a transition to adult-oriented ED treatment
* Have been self-referred or referred to adult ED treatment by a clinician (even if they have not been involved in youth-oriented ED treatment)
* Aged 16-24 years old
* Meets criteria for DSM-5 diagnosis of an ED, as confirmed by the Structured Clinical Interview for DSM-5 Research Version (SCID-5-RV)
* Virtually signed informed consent form


* Identified by a TAY participant as a carer
* Aged 18 or older
* Virtually signed informed consent form


* Certified PM with EDNS
* Providing PM support to TAY study participants
* Virtually signed informed consent form

Exclusion Criteria

* Insufficient knowledge of English
* Moderate to high suicide risk rating at screening as assessed by the Columbia Suicide Severity Rating Scale (CSSRS; at the discretion of the PI)


• Insufficient knowledge of English


• Insufficient knowledge of English
Minimum Eligible Age

16 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nova Scotia Health Authority

OTHER

Sponsor Role lead

Responsible Party

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Aaron Keshen

Dr. Aaron Keshen, MD, FRCPC

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aaron K Keshen

Role: PRINCIPAL_INVESTIGATOR

Nova Scotia Health Authority

Locations

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Abbie J Lane Memorial Building - QEII

Halifax, Nova Scotia, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Aaron K Keshen, MD,FRCPC

Role: CONTACT

(902)473-6288

Facility Contacts

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Aaron Keshen, MD

Role: primary

(902) 473-6288

References

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Austin A, Flynn M, Richards K, Hodsoll J, Duarte TA, Robinson P, Kelly J, Schmidt U. Duration of untreated eating disorder and relationship to outcomes: A systematic review of the literature. Eur Eat Disord Rev. 2021 May;29(3):329-345. doi: 10.1002/erv.2745. Epub 2020 Jun 23.

Reference Type BACKGROUND
PMID: 32578311 (View on PubMed)

Beveridge J, Phillipou A, Jenkins Z, Newton R, Brennan L, Hanly F, Torrens-Witherow B, Warren N, Edwards K, Castle D. Peer mentoring for eating disorders: results from the evaluation of a pilot program. J Eat Disord. 2019 Jun 3;7:13. doi: 10.1186/s40337-019-0245-3. eCollection 2019.

Reference Type BACKGROUND
PMID: 31171969 (View on PubMed)

Bohn, K., & Fairburn, C. G. (2008). The clinical impairment assessment questionnaire (CIA). Cognitive behavioral therapy for eating disorders, 1-3

Reference Type BACKGROUND

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. doi:10.1191/1478088706qp063oa

Reference Type BACKGROUND

Broad, B. (1999). Improving the health of children and young people leaving care. Adoption & Fostering, 23(1), 40-48

Reference Type BACKGROUND

Burke NL, Schaefer LM, Hazzard VM, Rodgers RF. Where identities converge: The importance of intersectionality in eating disorders research. Int J Eat Disord. 2020 Oct;53(10):1605-1609. doi: 10.1002/eat.23371. Epub 2020 Aug 28.

Reference Type BACKGROUND
PMID: 32856342 (View on PubMed)

Clausen L, Lubeck M, Jones A. Motivation to change in the eating disorders: a systematic review. Int J Eat Disord. 2013 Dec;46(8):755-63. doi: 10.1002/eat.22156. Epub 2013 Jul 11.

Reference Type BACKGROUND
PMID: 23847134 (View on PubMed)

Cleverley K, Rowland E, Bennett K, Jeffs L, Gore D. Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review. Eur Child Adolesc Psychiatry. 2020 Feb;29(2):107-121. doi: 10.1007/s00787-018-1213-1. Epub 2018 Oct 8.

Reference Type BACKGROUND
PMID: 30294756 (View on PubMed)

Research design: qualitative, quantitative and mixed methods approaches Research design: qualitative, quantitative and mixed methods approaches Creswell John W Sage 320 pound29 0761924426 0761924426 [Formula: see text]. Nurse Res. 2004 Sep 1;12(1):82-83. doi: 10.7748/nr.12.1.82.s2.

Reference Type BACKGROUND
PMID: 28718745 (View on PubMed)

Crocker, C., Cox, A., Abidi, S., Ursuliak, Z., Epstein, N., Hughes, J., Crown, M. & Tibbo, P. (2020). M238. Creation Of A Peer Support Program To Support Transitions In Care From Early Intervention Services For Psychosis. Schizophrenia Bulletin, 46(Supplement_1), S226-S226.

Reference Type BACKGROUND

Culbert KM, Racine SE, Klump KL. Research Review: What we have learned about the causes of eating disorders - a synthesis of sociocultural, psychological, and biological research. J Child Psychol Psychiatry. 2015 Nov;56(11):1141-64. doi: 10.1111/jcpp.12441. Epub 2015 Jun 19.

Reference Type BACKGROUND
PMID: 26095891 (View on PubMed)

Deci, E., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. Springer Science & Business Media.

Reference Type BACKGROUND

Dimitropoulos G, Toulany A, Herschman J, Kovacs A, Steinegger C, Bardsley J, Sandhu S, Gregory C, Colton P, Anderson J, Kaufman M. A qualitative study on the experiences of young adults with eating disorders transferring from pediatric to adult care. Eat Disord. 2015;23(2):144-62. doi: 10.1080/10640266.2014.976106. Epub 2014 Nov 17.

Reference Type BACKGROUND
PMID: 25402167 (View on PubMed)

Dimitropoulos G, Tran AF, Agarwal P, Sheffield B, Woodside B. Navigating the transition from pediatric to adult eating disorder programs: perspectives of service providers. Int J Eat Disord. 2012 Sep;45(6):759-67. doi: 10.1002/eat.22017. Epub 2012 Mar 19.

Reference Type BACKGROUND
PMID: 22431280 (View on PubMed)

Dimitropoulos G, Tran AF, Agarwal P, Sheffield B, Woodside B. Challenges in making the transition between pediatric and adult eating disorder programs: a qualitative study from the perspective of service providers. Eat Disord. 2013;21(1):1-15. doi: 10.1080/10640266.2013.741964.

Reference Type BACKGROUND
PMID: 23241086 (View on PubMed)

Embrett MG, Randall GE, Longo CJ, Nguyen T, Mulvale G. Effectiveness of Health System Services and Programs for Youth to Adult Transitions in Mental Health Care: A Systematic Review of Academic Literature. Adm Policy Ment Health. 2016 Mar;43(2):259-69. doi: 10.1007/s10488-015-0638-9.

Reference Type BACKGROUND
PMID: 25708229 (View on PubMed)

Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994 Dec;16(4):363-70.

Reference Type BACKGROUND
PMID: 7866415 (View on PubMed)

Gilmer TP, Ojeda VD, Leich J, Heller R, Garcia P, Palinkas LA. Assessing needs for mental health and other services among transition-age youths, parents, and providers. Psychiatr Serv. 2012 Apr;63(4):338-42. doi: 10.1176/appi.ps.201000545.

Reference Type BACKGROUND
PMID: 22337004 (View on PubMed)

Gopalan G, Lee SJ, Harris R, Acri MC, Munson MR. Utilization of peers in services for youth with emotional and behavioral challenges: A scoping review. J Adolesc. 2017 Feb;55:88-115. doi: 10.1016/j.adolescence.2016.12.011. Epub 2017 Jan 7.

Reference Type BACKGROUND
PMID: 28068538 (View on PubMed)

le Grange D. Family therapy for adolescent anorexia nervosa. J Clin Psychol. 1999 Jun;55(6):727-39. doi: 10.1002/(sici)1097-4679(199906)55:63.0.co;2-3.

Reference Type BACKGROUND
PMID: 10445863 (View on PubMed)

Griffiths S, Mond JM, Murray SB, Touyz S. The prevalence and adverse associations of stigmatization in people with eating disorders. Int J Eat Disord. 2015 Sep;48(6):767-74. doi: 10.1002/eat.22353. Epub 2014 Sep 5.

Reference Type BACKGROUND
PMID: 25196068 (View on PubMed)

Guss CE, Williams DN, Reisner SL, Austin SB, Katz-Wise SL. Disordered Weight Management Behaviors, Nonprescription Steroid Use, and Weight Perception in Transgender Youth. J Adolesc Health. 2017 Jan;60(1):17-22. doi: 10.1016/j.jadohealth.2016.08.027. Epub 2016 Oct 28.

Reference Type BACKGROUND
PMID: 28029539 (View on PubMed)

Hanly F, Torrens-Witherow B, Warren N, Castle D, Phillipou A, Beveridge J, Jenkins Z, Newton R, Brennan L. Peer mentoring for individuals with an eating disorder: a qualitative evaluation of a pilot program. J Eat Disord. 2020 Jul 1;8:29. doi: 10.1186/s40337-020-00301-8. eCollection 2020.

Reference Type BACKGROUND
PMID: 32626579 (View on PubMed)

Hoek HW. Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Curr Opin Psychiatry. 2006 Jul;19(4):389-94. doi: 10.1097/01.yco.0000228759.95237.78.

Reference Type BACKGROUND
PMID: 16721169 (View on PubMed)

Jones BA, Haycraft E, Bouman WP, Brewin N, Claes L, Arcelus J. Risk Factors for Eating Disorder Psychopathology within the Treatment Seeking Transgender Population: The Role of Cross-Sex Hormone Treatment. Eur Eat Disord Rev. 2018 Mar;26(2):120-128. doi: 10.1002/erv.2576. Epub 2018 Jan 10.

Reference Type BACKGROUND
PMID: 29318711 (View on PubMed)

Mahon, J. (2000). Dropping out from psychological treatment for eating disorders: What are the issues?. European Eating Disorders Review: the Professional Journal of the Eating Disorders Association, 8(3), 198-216. https://doi.org/10.1002/(SICI)1099-0968(200005)8:3%3C198::AID-ERV356%3E3.0.CO;2-3

Reference Type BACKGROUND

McClelland J, Simic M, Schmidt U, Koskina A, Stewart C. Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder. BJPsych Open. 2020 Apr 6;6(3):e37. doi: 10.1192/bjo.2020.13.

Reference Type BACKGROUND
PMID: 32248870 (View on PubMed)

McClelland J, Hodsoll J, Brown A, Lang K, Boysen E, Flynn M, Mountford VA, Glennon D, Schmidt U. A pilot evaluation of a novel First Episode and Rapid Early Intervention service for Eating Disorders (FREED). Eur Eat Disord Rev. 2018 Mar;26(2):129-140. doi: 10.1002/erv.2579.

Reference Type BACKGROUND
PMID: 29460477 (View on PubMed)

Munoz-Solomando A, Townley M, Williams R. Improving transitions for young people who move from child and adolescent mental health services to mental health services for adults: lessons from research and young people's and practitioners' experiences. Curr Opin Psychiatry. 2010 Jul;23(4):311-7. doi: 10.1097/YCO.0b013e32833a51e2.

Reference Type BACKGROUND
PMID: 20520550 (View on PubMed)

Murray SB, Nagata JM, Griffiths S, Calzo JP, Brown TA, Mitchison D, Blashill AJ, Mond JM. The enigma of male eating disorders: A critical review and synthesis. Clin Psychol Rev. 2017 Nov;57:1-11. doi: 10.1016/j.cpr.2017.08.001. Epub 2017 Aug 2.

Reference Type BACKGROUND
PMID: 28800416 (View on PubMed)

Murray SB. Gender Identity and Eating Disorders: The Need to Delineate Novel Pathways for Eating Disorder Symptomatology. J Adolesc Health. 2017 Jan;60(1):1-2. doi: 10.1016/j.jadohealth.2016.10.004. Epub 2016 Nov 10. No abstract available.

Reference Type BACKGROUND
PMID: 27838236 (View on PubMed)

Pottick KJ, Bilder S, Vander Stoep A, Warner LA, Alvarez MF. US patterns of mental health service utilization for transition-age youth and young adults. J Behav Health Serv Res. 2008 Oct;35(4):373-89. doi: 10.1007/s11414-007-9080-4. Epub 2007 Nov 17.

Reference Type BACKGROUND
PMID: 18026842 (View on PubMed)

Sansfacon J, Gauvin L, Fletcher E, Cottier D, Rossi E, Kahan E, Israel M, Steiger H. Prognostic value of autonomous and controlled motivation in outpatient eating-disorder treatment. Int J Eat Disord. 2018 Oct;51(10):1194-1200. doi: 10.1002/eat.22901. Epub 2018 Sep 1.

Reference Type BACKGROUND
PMID: 30171769 (View on PubMed)

Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, Hovish K, Islam Z, Belling R, White S. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study. Br J Psychiatry. 2010 Oct;197(4):305-12. doi: 10.1192/bjp.bp.109.075135.

Reference Type BACKGROUND
PMID: 20884954 (View on PubMed)

Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Procedures and techniques for developing grounded theory.

Reference Type BACKGROUND

Steiger H, Sansfacon J, Thaler L, Leonard N, Cottier D, Kahan E, Fletcher E, Rossi E, Israel M, Gauvin L. Autonomy support and autonomous motivation in the outpatient treatment of adults with an eating disorder. Int J Eat Disord. 2017 Sep;50(9):1058-1066. doi: 10.1002/eat.22734. Epub 2017 Jun 14.

Reference Type BACKGROUND
PMID: 28842966 (View on PubMed)

Thapliyal P, Hay P, Conti J. Role of gender in the treatment experiences of people with an eating disorder: a metasynthesis. J Eat Disord. 2018 Aug 13;6:18. doi: 10.1186/s40337-018-0207-1. eCollection 2018.

Reference Type BACKGROUND
PMID: 30123504 (View on PubMed)

Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237-246.

Reference Type BACKGROUND

Treasure J, Schmidt U, Hugo P. Mind the gap: service transition and interface problems for patients with eating disorders. Br J Psychiatry. 2005 Nov;187:398-400. doi: 10.1192/bjp.187.5.398.

Reference Type BACKGROUND
PMID: 16260812 (View on PubMed)

Wagner R, Stevens JR. Clinical Barriers to Effective Treatment of Eating Disorders and Co-occurring Psychiatric Disorders in Transgendered Individuals. J Psychiatr Pract. 2017 Jul;23(4):284-289. doi: 10.1097/PRA.0000000000000248.

Reference Type BACKGROUND
PMID: 28749833 (View on PubMed)

Williams, G. C., Gagné, M., Ryan, R. M., & Deci, E. L. (1999). Supporting autonomy to motivate smoking cessation: A test of self-determination theory. Unpublished manuscript, University of Rochester, New York.

Reference Type BACKGROUND

Winston AP, Paul M, Juanola-Borrat Y. The same but different? Treatment of anorexia nervosa in adolescents and adults. Eur Eat Disord Rev. 2012 Mar;20(2):89-93. doi: 10.1002/erv.1137. Epub 2011 Sep 13.

Reference Type BACKGROUND
PMID: 21913286 (View on PubMed)

Other Identifiers

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1028566

Identifier Type: -

Identifier Source: org_study_id

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