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The proportion of eligible participants consenting was too low (21%) too draw any conclusions.
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| Name | Class |
|---|---|
| Rådgivning om Spiseforstyrrelser | UNKNOWN |
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The goal of this observational study is to compare short and long-term effects of manualised Family Based Treatment for adolescent anorexia nervosa to those of non-manualised family therapy. The study will approach former patients who were treated before and after Family Based Therapy was adopted in an outpatient clinic, and extract data from electronic health records and public registries.
A two-group retrospective exploratory cohort study with longitudinal follow-up comparing adolescents with anorexia nervosa treated with generic family therapy to those treated with the manualised Family Based Treatment (FBT). The primary aim is to investigate whether adoption of FBT has led to faster normalisation of weight and lower rates of eating disorder in early adulthood. Secondary aims are to investigate whether implementation of FBT has changed the time to discharge, heterogeneity of patient weight change across treatment, rates of adverse events, rates of readmission, patient experiences of the treatment, long term functional outcomes and mortality. Data are extracted from patient health records, reported by participants and extracted from public registries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2015-2017 | Patients treated for anorexia nervosa in the years 2015-2017 at Nedre Romerike outpatient clinic, Department of child and adolescent mental health services, Akershus university hospital. |
| |
| 2018-2020 | Patients treated for anorexia nervosa in the years 2018-2020 at Nedre Romerike outpatient clinic, Department of child and adolescent mental health services, Akershus university hospital. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-manualised family therapy. | Behavioral | Family therapy provided by qualified therapists without reference to a specific therapy manual. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to weight restoration | Number of days from start of treatment to a weight measurement placing the patient at or above 95% of expected body weight (50. percentile) for age and sex given Norwegian population norms. | Assessed retrospectively at enrolment. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to discharge from treatment | Number of days from start of treatment to the date of discharge from the outpatient clinic. | Assessed retrospectively at enrolment. |
| Time to readmission to treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Participant experiences and satisfaction with services | Generic Short Patient Experiences Questionnaire (GS-PEQ) | Assessed retrospectively at enrolment. |
Inclusion Criteria:
• Clinical diagnosis of F50.0 Anorexia nervosa or F50.1 Atypical anorexia nervosa according to the International Classification of Diseases-10.
Exclusion Criteria:
• Patient was treated during the years 2018-2020 and FBT was never initiated according to patient health records.
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Patients initiating treatment during the years 2015-2020 with the eating disorder team at Nedre Romerike outpatient clinic at Akershus university hospital, Department of child and adolescent mental health services.
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| Name | Affiliation | Role |
|---|---|---|
| Erling W Rognli, PhD | University Hospital, Akershus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nedre Romerike BUP | Lillestrøm | Norway |
Individual participant data cannot be shared for legal reasons.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 14, 2022 | Oct 21, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D000856 | Anorexia Nervosa |
| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
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| Family Based Treatment | Behavioral | Family therapy implemented according to the published "Treatment manual for anorexia nervosa: A family-based approach" by Lock & Le Grange (2nd edition, 2015). |
|
Number of days from start of treatment to any date of readmission to the outpatient clinic.
| Assessed retrospectively at enrolment. |
| Mortality | Death from any cause. | Assessed 5, 10, 15 and 20 years post treatment. |
| Level of education | Highest level of education achieved, obtained from national registries. | Assessed 5, 10, 15 and 20 years post treatment. |
| Employment status and welfare benefits | Employment status or receipt of welfare benefits, obtained from national registries. | Assessed 5, 10, 15 and 20 years post treatment. |
| Treatment for eating disorder in adulthood | Treatment in specialist mental health services for any eating disorder. | Assessed 5, 10, 15 and 20 years post treatment. |