- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05563649
Confirming the Effectiveness of Online Guided Self-Help Family-Based Treatment for Adolescent Anorexia Nervosa
February 13, 2024 updated by: James Dale Lock, Stanford University
Confirming the Effectiveness and Efficiency of Online Guided Self-Help Family-Based Treatment for Adolescent Anorexia Nervosa
With an incidence rate of about 1%, Anorexia Nervosa (AN) is a serious mental disorder associated with high mortality, morbidity, and cost.
AN in youth is more responsive to early treatment but becomes highly resistant once it has taken an enduring course.
The first-line treatment for adolescents with AN is Family Based Treatment (FBT).
While FBT can be delivered using videoconferencing (FBT-V), therapists' limited availability hampers scalability.
Guided self-help (GSH) versions of efficacious treatments have been used to scale and increase access to care.
The main aim of this proposed comparative effectiveness study is to confirm that clinical improvements in GSH-FBT are achieved with greater efficiency than FBT-V in generalizable clinical settings.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
200
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Hazal Y Gurcan, B.A.
- Phone Number: 6507239182
- Email: familytreatment@stanford.edu
Study Locations
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Ontario
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Hamilton, Ontario, Canada
- Recruiting
- McMaster University
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Contact:
- Sadaf Sami, MD, CCRA
- Email: samis2@mcmaster.ca
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California
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Stanford, California, United States, 94305
- Recruiting
- Stanford University
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Principal Investigator:
- James D Lock, MD, PhD
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Contact:
- Hazal Y Gurcan, B.A.
- Phone Number: 650-723-9182
- Email: familytreatment@stanford.edu
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Sub-Investigator:
- Brittany E Matheson, PhD
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
12 years to 18 years (Child, Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Participants are 12-18 years of age
- Participants live with a family (some families may contain only one parent)
- Family members fluently speak and read English and have access to a computer with internet
- Participants meet DSM-5 criteria for AN (both subtypes)
- EBW above 75%
- Participants are medically stable for outpatient treatment according to the recommended thresholds of the American Academy of Pediatrics and the Society of Adolescent Medicine
- Participants are not engaged in another individual or family-based psychotherapy trial during the duration of treatment sessions in the study.
- Medications for comorbid psychiatric disorders are OK; randomization will balance groups through tracking.
Exclusion Criteria:
Current psychotic illness or intellectual disability or other mental illnesses that would prohibit the use of psychotherapy; current dependence on drugs or alcohol; physical conditions (e.g. diabetes mellitus, pregnancy) known to influence eating or weight; previous FBT; and inability of the participant and/or family to speak and understand English.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Online Guided Self-Help-Family-based Treatment (GSH-FBT)
GSH-FBT consists of 10 20-minute parent-only sessions over 9 months.
The guidance portion is manualized and will be delivered by a clinician familiar with both the online modules and FBT, who acts as a "coach."
Sessions follow an online curriculum containing a total of 65 short videos.
Each lecture series is comprised of a written introduction orienting the viewer to the videos, 5-9 short videos (< 7 minutes each), and assigned reading from the parent education manual, Help Your Teenager Beat an Eating Disorder.
In line with GSH approaches, coaches direct parents to watch or re-watch specific videos contained in the online platform related to their questions.
|
GSH-FBT consists of 10 20-minute sessions for parents only over 9 months.
Sessions follow an online curriculum of 65 short videos: 62 with an expert clinician instructing parents on the principles of FBT, and 3 reflections from an adolescent who recovered from AN and completed FBT.
Each lecture series contains an introduction orienting the viewer to the videos, 5-9 short videos (< 7 minutes each), and assigned reading from the parent education manual Help Your Teenager Beat an Eating Disorder.
Three lectures include additional resources for parents (e.g., Academy of Eating Disorder (AED) Medical Management Guidelines).
Homework assignments are included with some lectures (e.g., strategies to help the child eat during meals, practice making calorically dense meals).
In line with GSH approaches, coach-therapists direct parents, to watch or re-watch specific video content contained in the online learning material related to their questions rather than direct behavioral change.
Other Names:
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Active Comparator: FBT via Videoconferencing (FBT-V)
15 60-minute sessions of 3-phase manualized FBT modified for videoconferencing will be delivered to participants randomized to this treatment by therapists trained in FBT.
The first phase encourages parental management of weight restoration (approximately 8 weekly sessions); the second phase promotes a developmentally appropriate transition back to adolescent management of weight restoration and maintenance under parental supervision (approximately 4 bi-weekly sessions), and the third phase focuses on adolescent development (approximately 3 monthly sessions).
Each session consists of 10 minutes with the adolescent individually to discuss progress and the adolescent's perspective on treatment, followed by 50 minutes with the entire family.
|
15 60-minute sessions of 3-phase manualized FBT modified for videoconferencing will be delivered to participants randomized to this treatment by therapists trained in FBT.
The first phase encourages parental management of weight restoration (approximately 8 weekly sessions); the second phase promotes a developmentally appropriate transition back to adolescent management of weight restoration and maintenance under parental supervision (approximately 4 bi-weekly sessions), and the third phase focuses on adolescent development (approximately 3 monthly sessions).
Each session consists of 10 minutes with the adolescent individually to discuss progress and the adolescent's perspective on treatment, followed by 50 minutes with the entire family.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ratio of therapist hours to %EBW change
Time Frame: Assessed from baseline through end of treatment (EOT)
|
The investigators will compare GSH-FBT and FBT-V groups at EOT in terms of the change in %EBW from baseline divided by total therapist time utilized.
Estimated Body Weight (EBW) percentages used will be calculated using Center for Disease Control metrics in children and adolescents.
Total therapist time utilized will be collected based on video records of actual sessions spent with participants.
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Assessed from baseline through end of treatment (EOT)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Eating Disorder Examination (EDE)
Time Frame: Baseline (before beginning treatment); 3 months within treatment; 9 months (EOT); and at 6- and 12-month follow-up
|
The EDE is a standardized investigator-based interview that measures the severity of the characteristic psychopathology of eating disorders.
The psychometric properties of the EDE are sound and validated in diverse samples.
It takes about 1 hour to complete.
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Baseline (before beginning treatment); 3 months within treatment; 9 months (EOT); and at 6- and 12-month follow-up
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Beck Depression Inventory (BDI)
Time Frame: These assessments will be collected bi-weekly (sessions 2, 4, 6, 8) and at all major assessment points (BL, 3 months within treatment, EOT, 6 and 12-month follow-up)
|
The BDI is a measure with sound psychometric properties and was validated on a diverse sample.
It has been used in numerous studies of adolescent depression.
This measure also includes questions about suicidal ideation and intent and will be used to assess suicide during the study.
These assessments will be collected bi-weekly (sessions 2, 4, 6, 8) and at all major assessment points.
It takes about 10 minutes to complete.
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These assessments will be collected bi-weekly (sessions 2, 4, 6, 8) and at all major assessment points (BL, 3 months within treatment, EOT, 6 and 12-month follow-up)
|
Beck Anxiety Inventory (BAI)
Time Frame: Baseline, sessions 2, 4, 6, 8, and EOT
|
The BAI is a 21-item questionnaire about anxiety that has sound psychometric properties and was validated on a diverse sample.
Assessments will be collected at baseline, sessions 2, 4, 6, 8, and EOT.
|
Baseline, sessions 2, 4, 6, 8, and EOT
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 17, 2023
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
October 1, 2027
Study Registration Dates
First Submitted
September 28, 2022
First Submitted That Met QC Criteria
September 28, 2022
First Posted (Actual)
October 3, 2022
Study Record Updates
Last Update Posted (Estimated)
February 15, 2024
Last Update Submitted That Met QC Criteria
February 13, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 67295
- R01MH130388 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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