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Trial registered on ANZCTR
Registration number
ACTRN12614000867695
Ethics application status
Approved
Date submitted
3/07/2014
Date registered
13/08/2014
Date last updated
21/05/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The use of patient symptom feedback to enhance therapy outcomes in a sample of eating disorder outpatients.
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Scientific title
The use of patient symptom feedback to enhance therapy outcomes (remission and retention rates) in a sample of eating disorder outpatients.
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Secondary ID [1]
284908
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Nil
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Universal Trial Number (UTN)
U1111-1158-7700
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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:
Eating disorders
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Condition category
Condition code
Mental Health
292689
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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
A clinical feedback tool that provides a trajectory of eating disorder symptomatology for both "good" and "poor" outcomes over the course of therapy. It will be implemented into a regime of enhanced CBT for individuals with eating disorders.
A subset of Eating Disorder Examination- Questionnaire (EDE-Q; Fairburn & Beglin, 2008) items will be administered at pre-treatment and every subsequent week during treatment. (duration 20-40 weeks). This brief questionnaire will take approximately 2-3 minutes to complete. The scores will be utilised by the clinician between sessions to monitor the patient's progress. This will enable the clinician to to examine whether clients are making reliable change in their questionnaire scores (and thus eating disorder psychopathology), and to monitor when clients are approaching, or have reached, a score indicative of reaching the "healthy" range.. Patients' individual progress will be monitored weekly by the clinician.
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Intervention code [1]
289726
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Treatment: Other
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Comparator / control treatment
Use of a similar existing feedback tool that focuses on general process-based outcomes as opposed to specific eating disorder symptoms.
The Outcome Rating Scale (ORS; Miller et al., 2003) is a self-report, brief visual analogue measure, providing a measure of general patient progress in relation to overall wellbeing, and individual, interpersonal, and social wellbeing.
In the control group this questionnaire will be administered weekly over the course of treatment, (duration 20-40 weeks), and takes no more than 2-3 minutes to complete.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in eating disorder psychopathology over the course of treatment. To assess this, the EDE-Q global score will be used to assess change in eating disorder psychopathology over the course of treatment.
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Assessment method [1]
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Timepoint [1]
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Pre and post-treatment, and at 5-session intervals over the course of treatment
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Secondary outcome [1]
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Remission versus non-remission. Full Remission is defined as complete absence of eating disorder symptoms in the last 28 days, that is, 1) cessation of all key eating disorder behaviours, 2) BMI > or equal to 18.5, 3) not meeting the DSM criteria for an Eating Disorder Partial remission is defined as meeting all but 1 of the above criteria for full remission
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Assessment method [1]
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Timepoint [1]
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End of treatment (post-treatment, at 20 weeks for patients with a BMI > 18.5, post-treatment at 40 weeks for patients with a BMI < 18.5)
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Secondary outcome [2]
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Treatment completion versus drop out
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Assessment method [2]
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Timepoint [2]
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End of treatment (post-treatment, at 20 weeks for patients with a BMI > 18.5, post-treatment at 40 weeks for patients with a BMI < 18.5)
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Eligibility
Key inclusion criteria
Diagnosis of an eating disorder according to DSM 5
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
BMI < 14
Unsuitable for outpatient eating disorder treatment
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
1/07/2016
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Actual
1/05/2016
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Date of last participant enrolment
Anticipated
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Actual
19/07/2017
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Date of last data collection
Anticipated
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Actual
21/05/2018
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Sample size
Target
140
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Accrual to date
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Final
56
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Western Australia
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Address [1]
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Stirling Highway
Crawley, WA, 6009
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Western Australia
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Address
Stirling Highway
Crawley, WA, 6009
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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West Australian Department of Health
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Ethics committee address [1]
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Department of Health 189 Royal Street East Perth WA 6004 Australia
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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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14/08/2014
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Approval date [1]
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Ethics approval number [1]
291274
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Ethics committee name [2]
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University of Western Australia
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Ethics committee address [2]
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Stirling Hwy Crawley WA 6009
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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23/07/2014
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Approval date [2]
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03/02/2015
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Ethics approval number [2]
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09_2014
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Summary
Brief summary
Eating Disorders are a very serious illness with severe and psychiatric and health consequences. Current treatment outcomes are less than optimal, with room for improvement. Research is required to find out ways in which these outcomes can be improved. Research has shown that the provision of patient progress feedback to clinicians can enhance therapy outcomes, although the body of literature into the provision of feedback within an eating disorder treatment setting is minimal. This study seeks to implement a symptom based clinical feedback tool into the course of eating disorder therapy, and compare it to an already established, more general, therapy process-based feedback tool.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Sue Byrne
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Address
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School of Psychology
The University of Western Australia (M304)
35 Stirling Highway
CRAWLEY WA 6009
Australia
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Country
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Australia
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Phone
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+61 (08) 6488 8079
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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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Sue Byrne
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Address
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School of Psychology
The University of Western Australia (M304)
35 Stirling Highway
CRAWLEY WA 6009
Australia
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Country
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Australia
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Phone
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+61 (08) 6488 8079
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Fax
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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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Sue Byrne
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Address
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School of Psychology
The University of Western Australia (M304)
35 Stirling Highway
CRAWLEY WA 6009
Australia
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Country
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Australia
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Phone
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+61 (08) 6488 8079
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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
No additional documents have been identified.
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