Motivate: A Web-based Intervention

Motivate: A Web Based Intervention to Increase Attendance at an Eating Disorder Service

The aim of this study is to test whether MotivATE can increase attendance at assessment. This will be done using a single-consent Zelen randomised control trial, with all non-emergency adult clients referred to the Kimmeridge Courte Eating Disorder Service over a one year period being randomised to either treatment as usual (TAU) or TAU plus access to the MotivATE intervention prior to their assessment appointment.

Study Overview

• Status: Completed
• Conditions: Eating Disorders
• Intervention / Treatment: Behavioral: Motivate: a web-based intervention

Detailed Description

MotivATE is a web-based intervention intended to be delivered at the point of referral to an Eating Disorder (ED) service. The intervention focuses on managing expectations of assessment, addressing ambivalence and increasing users' motivation and confidence to attend their initial appointment. This is achieved through the use of information, motivational tools, interactive activities and stories from other individuals with EDs spread across four 15-20 minute modules. These modules have been evaluated by service-users who have an ED.

The aim of this study is to test whether MotivATE can increase attendance at assessment. This will be done using a single-consent Zelen randomised control trial, with all non-emergency adult clients referred to the Kimmeridge Courte Eating Disorder Service over a one year period being randomised to either treatment as usual (TAU) or TAU plus access to the MotivATE intervention prior to their assessment appointment.

Routine audit data will be collected to compare the number of people who attend their assessment appointment in the MotivATE group verses the control group. Usage data generated by the intervention will also be assessed. Twenty participants from the MotivATE group will be invited to give qualitative feedback about their experience of the intervention.

• Study Type: Interventional
• Enrollment (Actual): 313
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion criteria

1) Referrals to the eating disorders service during the study period.

Exclusion criteria

1. Inpatients or emergency and urgent cases.
2. Patients who have already been randomised into the study.
3. Non English speakers

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; Usual Care
Experimental: Intervention; Access to Motivate: a web-based intervention, in addition to Usual Care	Behavioral: Motivate: a web-based intervention; A web-based intervention focuses on managing expectations of assessment, addressing ambivalence and increasing users' motivation and confidence to attend their initial appointment. This is achieved through the use of information, motivational tools, interactive activities and stories from other individuals with EDs spread across four 15-20 minute modules.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Participants Who Attended Initial Assessment Appointment	Attendance at initial assessment appointment	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Participants Who Accessed the Intervention Program	Number of participants who accessed the intervention program	3 months
Number of Participants Who Volunteered to Provide Qualitative Feedback on the Motivate Program	Number of participants who volunteered to provide qualitative feedback on the Motivate Program	3 months

Collaborators and Investigators

• Sponsor: Bournemouth University
• Collaborators: Dorset HealthCare University NHS Foundation Trust
• Investigators: Study Director: Katherine M Appleton, PhD, Bournemouth University

Publications and helpful links

General Publications

• Denison-Day J, Muir S, Newell C, Appleton KM. A Web-Based Intervention (MotivATE) to Increase Attendance at an Eating Disorder Service Assessment Appointment: Zelen Randomized Controlled Trial. J Med Internet Res. 2019 Feb 27;21(2):e11874. doi: 10.2196/11874.

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2016
• Primary Completion (Actual): February 1, 2018
• Study Completion (Actual): September 1, 2018

Study Registration Dates

• First Submitted: May 17, 2016
• First Submitted That Met QC Criteria: May 17, 2016
• First Posted (Estimate): May 19, 2016

Study Record Updates

• Last Update Posted (Actual): August 29, 2019
• Last Update Submitted That Met QC Criteria: August 14, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Keywords: motivation; attendance
• Additional Relevant MeSH Terms: Mental Disorders; Feeding and Eating Disorders
• Other Study ID Numbers: PhDDay

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Group data will be publicly available on completion