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| Name | Class |
|---|---|
| NHS Tayside | OTHER_GOV |
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A pilot study exploring whether individuals receiving usual treatment (CBT) from the specialist NHS Tayside Eating Disorders Service and accessing the online self-help "Smart Eating" programme have improved treatment outcomes compared to those receiving usual treatment only. The study will also explore acceptability of the "Smart Eating" self-help programme via a feedback questionnaire.
This controlled-comparison pilot study will explore whether individuals receiving usual treatment (CBT) from the specialist NHS Tayside Eating Disorders Service and accessing the online self-help "Smart Eating" programme have improved treatment outcomes compared to those receiving usual treatment only. All participants would be involved in the trial for 6 months, capturing their motivation for change, eating disorder psychopathology and quality of life at four time-points (pre-treatment, mid-treatment, end of treatment, 3-month follow-up). Some participants may continue to receive usual treatment after study end, which will be detailed in the study analysis. Following trial completion, all participants will be able to access the "Smart Eating" programme. The study will also explore acceptability of the "Smart Eating" self-help programme via a feedback questionnaire to inform programme adaptations and a possible pragmatic randomised controlled trial planned for the future. Currently, no other UK study is piloting the use of the "Smart Eating" programme as an adjunct to specialist NHS eating disorder treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Access to online self-help programme "Smart Eating" along with usual treatment from a specialist eating disorder service |
|
| Control | No Intervention | Usual treatment from a specialist eating disorder service |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| "Smart Eating" internet-based self-help programme | Behavioral | An internet-based self-help programme using cognitive behavioural therapy principles to treat individuals receiving input from a specialist eating disorders service. The programme takes 3 months to complete. |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in eating disorder behaviours captured by the Eating Disorders Examination Questionnaire (EDE-Q) | Improvement will be captured by a reduction in the frequency of behaviours indicative of an eating disorder over a 28-day period across the 41-item Eating Disorders Examination Questionnaire (EDE-Q) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of "Smart Eating" programme will be captured through qualitative information gathered by a feedback questionnaire | Acceptability will be evaluated via a participant feedback questionnaire | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in eating psychopathology captured by the Eating Disorders Inventory 3 | Improvement will be captured by a reduction in symptoms indicative of an eating disorder as captured by the 91-item Eating Disorders Inventory (3 scales specific to eating disorders, 9 non-specific, general psychological scales). | 6 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eleanor Filgate, MSc | NHS Tayside/University of Edinburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NHS Tayside Eating Disorders Service | Dundee | Tayside | DD3 6HH | United Kingdom |
A summary of study findings for participants are available on request
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| ID | Term |
|---|---|
| D000856 | Anorexia Nervosa |
| D052018 | Bulimia Nervosa |
| D056912 | Binge-Eating Disorder |
| D001068 | Feeding and Eating Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Improvement in quality of life captured by an increase in scores on the SF-36 formal measure |
Improvement in quality of life will be captured by an increase in scores on the 36-Item Short Form Health Survey (SF-36) formal measures, whereby high scores indicate good quality of life. |
| 6 months |
| Change in stage of motivation for change captured by the MSCARED formal measure | Motivation for change is identified by the formal measure: Motivational Stage of Change for Adolescents Recovering from an Eating Disorder (MSCARED). The measure captures participants' current stage of change, and whether they play an active participation in recovery as identified by whether in the active, maintenance or recovery stage. | 6 months |
| Reduction in symptoms of anxiety captured by the Beck Anxiety Inventory | Improvement will be captured by a reduction in physiological and cognitive symptoms of anxiety by the 21-item formal measure the Beck Anxiety Inventory | 6 months |
| Reduction in symptoms of depression captured by the Beck Depression Inventory II | Improvement will be captured by a reduction in physiological and cognitive symptoms of depression by the 21-item formal measure the Beck Depression Inventory II. | 6 months |