Project CORE: Disseminating Eating Disorders Treatment
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric, Psychiatric, Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 12 - 18 |
| Updated: | 2/28/2019 |
| Start Date: | January 1, 2019 |
| End Date: | December 2020 |
| Contact: | Erin R. Stalvey |
| Email: | estalvey@lifespan.org |
| Phone: | (401) 793-8962 |
Disseminating Eating Disorders Education and Treatment Across Multiple Levels of Care: Improving Access in the Rhode Island Medicaid Population
The goals of this project are to 1) develop training opportunities for master's-level and
pre-doctoral psychology students in evidence-based assessment and treatment of adolescent
EDs; 2) to provide the healthcare workforce, including licensed health professionals such as
primary care physicians and behavioral health interventionists, with knowledge and competence
to recognize early symptoms of and intervention strategies for EDs; and 3) to test the
efficacy of delivering two evidence-based treatments for adolescent eating disorders, Family
Based Treatment (FBT) and Enhanced Cognitive Behavioral Therapy (CBT-E), in the home-based
setting.
pre-doctoral psychology students in evidence-based assessment and treatment of adolescent
EDs; 2) to provide the healthcare workforce, including licensed health professionals such as
primary care physicians and behavioral health interventionists, with knowledge and competence
to recognize early symptoms of and intervention strategies for EDs; and 3) to test the
efficacy of delivering two evidence-based treatments for adolescent eating disorders, Family
Based Treatment (FBT) and Enhanced Cognitive Behavioral Therapy (CBT-E), in the home-based
setting.
The complete project will incorporate three phases. Phase I is designed to gather information
from existing licensed health professionals in the community who serve Medicaid populations
on their knowledge needs and priorities related to screening and intervening with patients
with eating disorders. Phase I will comprise eating disorder psycho-education, implementation
of workshops, and supervision among primary care professionals and mental health workers.
Responses will inform the content of in-services and program development (e.g., monthly
consultation services, ongoing multi-family support groups) provided in Phase II.
During Phase II, families containing a child with a restrictive-type eating disorder will be
recruited to receive treatment from the clinicians assessed and trained during Phase I.
Families will be assigned to receive either Family Based Treatment (FBT) or Enhanced
Cognitive Behavioral Therapy (CBT-E) to treat their adolescent's eating disorder. Treatment
will occur over 10-16 weeks, depending on the family's needs and availability. Families will
be assessed at pre-treatment, post-treatment, and 1-year follow-up.
Phase III will consist of follow-up with the families and clinicians, and further development
of training/education approaches for the Rhode Island healthcare workforce.
from existing licensed health professionals in the community who serve Medicaid populations
on their knowledge needs and priorities related to screening and intervening with patients
with eating disorders. Phase I will comprise eating disorder psycho-education, implementation
of workshops, and supervision among primary care professionals and mental health workers.
Responses will inform the content of in-services and program development (e.g., monthly
consultation services, ongoing multi-family support groups) provided in Phase II.
During Phase II, families containing a child with a restrictive-type eating disorder will be
recruited to receive treatment from the clinicians assessed and trained during Phase I.
Families will be assigned to receive either Family Based Treatment (FBT) or Enhanced
Cognitive Behavioral Therapy (CBT-E) to treat their adolescent's eating disorder. Treatment
will occur over 10-16 weeks, depending on the family's needs and availability. Families will
be assessed at pre-treatment, post-treatment, and 1-year follow-up.
Phase III will consist of follow-up with the families and clinicians, and further development
of training/education approaches for the Rhode Island healthcare workforce.
Inclusion criteria include:
- meets criteria for AN, atypical AN, or BN according to DSM-5 diagnostic criteria
- is currently living at home
- is medically stable for outpatient treatment according to the recommended thresholds
of the American Academy of Pediatrics and the Society of Adolescent Medicine (e.g.,
≥75% of expected body weight, heartrate ≥50 beats per minute)
- if on a psychotropic medication, meets all eligibility criteria while on stable dose
of psychotropic medication (8 weeks) for a co-morbid condition
- speaks English
- be available for long-term follow-up.
Exclusion criteria include:
- associated physical illness that necessitates hospitalization
- psychotic illness/other mental illness requiring hospitalization
- current dependence on drugs or alcohol
- physical conditions (e.g. diabetes mellitus, pregnancy) known to influence eating or
weight
- concurrent involvement in other psychological treatment for an eating disorder
- developmental delay that would preclude participation in the intervention.
We found this trial at
1
site
Providence, Rhode Island 02903
Principal Investigator: Andrea B. Goldschmidt, Ph.D.
Phone: 401-793-8962
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