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Evaluation of a Day Hospital Program for Adolescents and Young Adults With Eating Disorders (UDJ-TCA)

12. juni 2026 opdateret af: Fondation Santé des Étudiants de France

Evaluation of the Contribution of a Specialized Day Hospital for Adolescents and Young Adults With Eating Disorders: Long-Term Clinical Outcomes and Cross-Reported Experiences

This study aims to evaluate the clinical, psychological, and functional outcomes of adolescents with anorexia nervosa receiving multidisciplinary care in hospital settings. Participants are treated either in a day hospitalization program or in a full-time inpatient program, in accordance with the French national guidelines (Haute Autorité de Santé, HAS) for the management of anorexia nervosa.

The study seeks to better understand the evolution of patients' health status over time, including nutritional, psychological, and social dimensions, and to identify factors associated with treatment response. Data will be collected as part of routine clinical care without modification of the standard therapeutic management.

The results of this study may help improve clinical practices and optimize care pathways for adolescents with anorexia nervosa.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

307

Fase

  • Ikke anvendelig

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Adolescents and young adults aged 12 to 22 years
  • Diagnosed with an eating disorder
  • Referred for admission to the day hospital program between October 2019 and December 2023
  • Provided informed consent (and parental consent for minors)

Exclusion Criteria:

  • Refusal to participate
  • Age below 12 years or above 22 years

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Day Hospital Program
Participants admitted to a specialized multidisciplinary day hospital program for eating disorders.
Participants admitted to the day hospital receive a multidisciplinary treatment program including psychiatric, medical, nutritional, and psychosocial care, delivered through structured daytime sessions without overnight stay.
Andet: Non-Admitted Participants
Participants who requested admission but were not admitted to the day hospital program.
Participants not admitted to the day hospital program receive usual care according to standard clinical pathways outside the specialized day hospital setting.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Change in Body Mass Index (BMI)
Tidsramme: From admission request to at least 18 months follow-up
From admission request to at least 18 months follow-up

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in eating disorder psychopathology assessed by EDE-Q
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Eating disorder psychopathology will be assessed using the Eating Disorder Examination Questionnaire (EDE-Q), a self-report scale ranging from 0 to 6, with higher scores indicating more severe symptoms. The assessment will be performed at admission and discharge.
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in body image concerns assessed by BSQ
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Body image concerns will be assessed using the Body Shape Questionnaire (BSQ), a self-report scale with higher scores indicating greater body dissatisfaction. The assessment will be performed at admission and discharge.
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in anxiety and depression symptoms assessed by HADS
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Anxiety and depression symptoms will be assessed using the Hospital Anxiety and Depression Scale (HADS), which includes subscales for anxiety and depression, each ranging from 0 to 21, with higher scores indicating greater symptom severity. The assessment will be performed at admission and discharge.
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in obsessive-compulsive symptoms assessed by MOCI
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Obsessive-compulsive symptoms will be assessed using the Maudsley Obsessive-Compulsive Inventory (MOCI), where higher scores indicate more severe symptoms. The assessment will be performed at admission and discharge.
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in eating disorder-related quality of life assessed by EDQoL
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Quality of life related to eating disorders will be assessed using the Eating Disorders Quality of Life (EDQoL) questionnaire, with higher scores indicating greater impairment. The assessment will be performed at admission and discharge
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in autistic traits assessed by AQ-10
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Autistic traits will be assessed using the Autism Spectrum Quotient (AQ-10), a brief screening tool with higher scores indicating more pronounced autistic traits. The assessment will be performed at admission and discharge
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Change in family functioning assessed by FAD-12
Tidsramme: Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission
Family functioning will be assessed using the Family Assessment Device (FAD-12), with higher scores indicating poorer family functioning. The assessment will be performed at admission and discharge.
Baseline (at admission), discharge (end of hospitalization), and follow-up at least 18 months after admission

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

25. maj 2026

Primær færdiggørelse (Anslået)

24. februar 2027

Studieafslutning (Anslået)

24. februar 2027

Datoer for studieregistrering

Først indsendt

12. maj 2026

Først indsendt, der opfyldte QC-kriterier

12. juni 2026

Først opslået (Faktiske)

15. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

15. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

12. juni 2026

Sidst verificeret

1. juni 2026

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