An ACT Group Intervention for ED-patients
|Eating Disorder||Behavioral: Acceptance and Commitment Therapy Behavioral: Treatment as usual|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Randomised Controlled Trial With Acceptance and Commitment Therapy (ACT) for Patients With Eating Disorders - a Manualised Group Therapy to Enhance Body Acceptance|
- Eating disorder according to DSM-IV at end of treatment [ Time Frame: 24 months follow up ]Assessed through EDE-Q, and diagnostic interview according to EDE.
- Changes in Mindful awareness [ Time Frame: 24 month follow up ]Assessed through the form Mindful Attention Awareness Scale(MAAS).
- Measure of body shape preoccupations. [ Time Frame: 24 months ]Assessed through the Body Shape Questionnaire - measure of the body shape preoccupations typical of bulimia nervosa and anorexia nervosa.
- Measurement of body checking [ Time Frame: 24 months ]Body checking is considered a behavioral manifestation of the overevaluation of shape and weight, which is characteristic of patients with eating disorders. Assessed through the Body Checking Questionnaire.
- Measure changes in self-concept [ Time Frame: 24 months ]Assessed through the Self-Concept Questionnaire
- Differences in amount of healthcare received after treatment intervention [ Time Frame: 24 months ]Assess the amount of received healthcare at the eating disorder clinic in terms of amounts of sessions after the intervention endpoint.
- The participants opinions regarding the intervention [ Time Frame: 24 months ]After last follow up participants are asked to participate in a qualitative interview, with focus on what was helpful and not in the intervention, according to the participants own reflections
|Study Start Date:||January 2010|
|Study Completion Date:||August 2016|
|Primary Completion Date:||June 2014 (Final data collection date for primary outcome measure)|
|Experimental: Acceptance and Commitment Therapy||
Behavioral: Acceptance and Commitment Therapy
ACT is provided in 12 weekly two hour long sessions in a group setting
|Active Comparator: Treatment as usual||
Behavioral: Treatment as usual
Treatment as usual contains different interventions available at the clinic, such as individual therapy, group therapy, or contact with a dietician and/or physiotherapist.
The study is a RCT in which the ACT-intervention is being compared to treatment as usual. The trial started in 2010, and randomisation of patients will continue until 2014, and follow-ups will be completed in 2016.
According to analysis of power, a total of 120 patients needs to be included, 60 in each arm. Patients eligible for the interventions are offered to participate after their clinician has reported them to the head investigator. The head investigator sends a letter to the patients with information on the study. The clinician then asks the patient if the letter has been read. If the patient chooses to participate, he/she will be summoned to a information and assessment meeting. The head investigator checks that the patient understands the information, and what each study arm can mean for the patient when participating. Consent to participate is collected both verbally and written. At this meeting the patient receives an envelope which contains the randomization outcome. The patient then receives information regarding the continued treatment according to which research arm he/she is to participate in.
The treatment intervention is planned to start within 6 weeks from the first letter of information has been sent. The goal is to start treatment four weeks after randomization, to enable a positive termination of previous treatment. The participants randomized to treatment as usual continues with the treatment as planned before enrollment. Thus, they might end treatment during the study period, or continue treatment after study participation, all according to the treatment plan with the clinician.
Participants in the intervention arm start the group intervention consisting of 12 session over a period of three to four months, and an individual meeting with the group-leaders before and after the intervention. The intervention is a manualized application of the book "Lev med din kropp" [Live with your body]. Participants in need of further care after the intervention are offered continued treatment accordingly at the clinic.
If a participant chooses to terminate the intervention, or deteriorate during the intervention to the point that other treatment is needed, further treatment is agreed upon in dialogue with the patient. If needed, further assessment and physical examination is conducted in accordance to the clinics standard procedures.
Data is being collected at four times for all participants. At treatment start and end, and follow-up at 12 and 24 months after inclusion. At each time, the participants are prompted to fill in five different self-assessment forms, all well used and validated.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02058121
|Eriksbergsgarden, Orebro County Counsil|
|Orebro, Orebro County Counsil, Sweden, 701 85|
|Principal Investigator:||Sanna Gustafsson, PhD||Psychiatric research centre, Orebro County Counsil|