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Trial registered on ANZCTR
Registration number
ACTRN12610000216011
Ethics application status
Approved
Date submitted
11/03/2010
Date registered
16/03/2010
Date last updated
6/10/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A Randomised Controlled Trial of Two Forms of Family-Based Treatment for Adolescent Anorexia Nervosa
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Scientific title
A Randomised Controlled Trial of Two Forms of Family-Based Treatment and the Effect on Percent Ideal Body Weight and Eating Disorders Symptoms in Adolescent Anorexia Nervosa
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Secondary ID [1]
1481
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anorexia Nervosa
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Condition category
Condition code
Mental Health
257092
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Family-based treatment (FBT). In this treatment, the whole family attends 18 50-minute sessions with a trained mental health clinician over 6 months. In the early part of treatment, parents are assisted in finding their own ways to help their child overcome their unhealthy eating habits. This is done through education about the seriousness of eating disorders, as well as coaching parents about how they may go about taking control of their adolescent’s eating. Once symptoms are under control and weight restoration is nearing completion, parents gradually hand eating decisions back to the adolescent. General adolescent issues, such as learning to function more on his/her own, are discussed toward the end of treatment.
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Intervention code [1]
256128
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Treatment: Other
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Comparator / control treatment
Parent-focused treatment (PFT). In this treatment, the parent(s) and the adolescent are seen separately for 18 50-minute sessions over 6 months. The therapist sees only the parent(s) and works through the same phases of treatment as in standard FBT. The adolescent is seen by a trained nurse for medical management and supportive counselling.
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Control group
Active
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Outcomes
Primary outcome [1]
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Percent ideal body weight calculated from height and weight as assessed with standardised stadiometer and scales
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Assessment method [1]
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Timepoint [1]
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Baseline, trhoughout treatment, end of treatment, 6 month follow up, 12 month follow up
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Secondary outcome [1]
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Eating disorders symptoms as assessed by the Eating Disorder Examination
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Assessment method [1]
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Timepoint [1]
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Baseline, mid-treatment, end of treatment, 6 month follow up, 12 month follow up
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Eligibility
Key inclusion criteria
Diagnostic and Statistical Manual of Mental Disorders-IV diagnosis of anorexia nervosa (excluding amenorrhea) or eating disorder not otherwise specified-anorexia nervosa type; living with parents or legal guardians; ideal body weight less than or equal to 90%; medically stable for outpatient treatment
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Minimum age
12
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Psychotic disorder;drug/alcohol dependence; physical condition known to influence weight; previous treatment with FBT
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/07/2010
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Actual
20/07/2010
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Date of last participant enrolment
Anticipated
29/07/2014
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Actual
22/07/2014
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Date of last data collection
Anticipated
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Actual
21/12/2015
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Sample size
Target
110
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Accrual to date
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Final
107
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Royal Childrens Hospital - Parkville
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Baker Foundation
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Address [1]
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GPO Box 389
Melbourne VIC 3000
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Children's Hospital
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Address
Flemington Road
Parkville VIC 3052
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
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Department of Paediatrics Royal Children's Hospital Flemington Road Parkville VIC 3052
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Children's Hospital HREC
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Ethics committee address [1]
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Royal Children's Hospital PARKVILLE VIC 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/04/2010
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Approval date [1]
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05/07/2010
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Ethics approval number [1]
258656
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30035
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Summary
Brief summary
The purpose of this study is to identify an efficacious outpatient treatment for adolescents with anorexia nervosa. Evidence suggests that family-based treatment (FBT) is efficacious. However, FBT is not helpful for all families as it can be complex and requires all family members to be involved. Therefore, this project will examine whether another form of FBT, called Parent-focused Treatment, is a feasible alternative to standard FBT. To do this we will compare the outcomes for families who take part in standard FBT to those of families who take part in Parent-focused Treatment (PFT).
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Trial website
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Trial related presentations / publications
Le Grange D., Hughes E.K., Court A., Yeo M., Crosby C., & Sawyer S. (2016). Randomized clinical trial of parent-focused treatment and family-based treatment for adolescent anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry, 55(8): 683-692. doi: 10.1016/j.jaac.2016.05.007 Hughes, E.K., Le Grange D., Court, A., Yeo, M., Crosby, R., & Sawyer, S.M. (2016, August). Findings from a randomized clinical trial of parent-focused treatment for adolescent anorexia nervosa. The 14th Annual Conference of the Australian and New Zealand Academy of Eating Disorders. Christchurch, New Zealand.
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Public notes
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Contacts
Principal investigator
Name
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Prof Susan Sawyer
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Address
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Royal Children's Hospital, Flemington Road Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 6597
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Libby Hughes
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Address
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Centre for Adolescent Health Royal Children's Hospital Flemington Road Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 4738
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Fax
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+61 3 9345 6273
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Email
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[email protected]
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Contact person for scientific queries
Name
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Libby Hughes
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Address
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Centre for Adolescent Health Royal Children's Hospital Flemington Road Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 4738
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Randomized Clinical Trial of Parent-Focused Treatment and Family-Based Treatment for Adolescent Anorexia Nervosa.
2016
https://dx.doi.org/10.1016/j.jaac.2016.05.007
Embase
Family therapy approaches for anorexia nervosa.
2018
https://dx.doi.org/10.1002/14651858.CD004780.pub3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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