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Trial registered on ANZCTR
Registration number
ACTRN12610000229077
Ethics application status
Approved
Date submitted
16/03/2010
Date registered
18/03/2010
Date last updated
11/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A case series evaluation of the Maudsley Model for Treatment of Adults with Anorexia nervosa (MANTRA)
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Scientific title
A case series evaluation of the Maudsley Model for Treatment of Adults with Anorexia nervosa (MANTRA) using body mass index and global Eating Disorder Examination as indicators of good outcome
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Secondary ID [1]
1510
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None
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Universal Trial Number (UTN)
U1111-1114-4246
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Trial acronym
MANTRA
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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
257118
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0
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Eating disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Eligibility criteria for the study included meeting the diagnostic criteria for anorexia nervosa (AN) with the exception that body mass index (BMI) was less than 19 as previously adopted in other treatment studies and amenorrhea was not required. Additional eligibility criteria required that person was medically stable as assessed by their general practitioner, and was aged 16 years and over. There was no exclusion based on BMI or comorbidity in order to make the study as inclusive as possible. The study was advertised to eating disorder service providers in South Australia, as well as the consumer support organisation and people were entered into the trial between 2005 and 2007. Data were collected at baseline, sessions 5 and 10, and at post-treatment, 3-month and 12-month follow-up. The outpatient therapy for AN was based on MANTRA, the treatment developed by Professors Ulrike Schmidt and Janet Treasure, designed specifically to treat AN and formulated from the cognitive-interpersonal maintenance model. MANTRA aims to tackle maintaining factors related to perfectionism and obsessive-compulsive personality traits, avoidance, pro-anorectic beliefs, and the responses of close others. The modularised treatment that has resulted from this model maintains a focus on specific changes required in eating and weight within a motivational interviewing and cognitive behavioural therapy framework, including individualised case conceptualisation, in addition to summary letters from the therapist to the patient. Due to its modularized nature, it results in a targeted treatment of AN that is matched to the clinical symptoms, personality traits and neuropsychological profile of participants, an approach that has been successfully used in people with addictions.
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Intervention code [1]
256151
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Treatment: Other
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Intervention code [2]
256166
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Other interventions
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Comparator / control treatment
case series design, no comparator
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
258013
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Body mass index >= 18.5 and global Eating Disorder Examination score within one Standard Deviation (SD) of the community norm
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Assessment method [1]
258013
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Timepoint [1]
258013
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post-treatment, 3-month follow-up, 12-month follow-up
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Secondary outcome [1]
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motivation to change behaviour and increase weight using the self-report questionnare, the Anorexia Nervosa Stages of Change Questionnaire
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Assessment method [1]
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Timepoint [1]
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post-treatment, 3-month follow-up, 12-month follow-up
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Eligibility
Key inclusion criteria
Body mass index <19, meeting all other criteria for anorexia nervosa with exception of amenorrhea
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Minimum age
16
Years
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Maximum age
No limit
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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
medically unstable at baseline
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Study design
Purpose
Psychosocial
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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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
1/01/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
256656
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Charities/Societies/Foundations
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Name [1]
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Rotary
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Address [1]
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PO Box 3455
Parramatta, NSW 2124
Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
GPO Box 2100, Adelaide, SA, 5001
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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]
255944
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Flinders University Clinical Research Ethics Committee
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Ethics committee address [1]
258678
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Flinders University
GPO Box 2100, Adelaide, SA, 5001
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Ethics committee country [1]
258678
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Australia
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Date submitted for ethics approval [1]
258678
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Approval date [1]
258678
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Ethics approval number [1]
258678
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Summary
Brief summary
There were two main aims of the current study. The first was to examine outcome in a new outpatient therapy for AN, MANTRA, in order to decide whether these pilot data was supportive of such a therapy being further investigated in more robust designs such as a randomized controlled trials. The second aim was to investigate the moderating impact of randomization to an extra therapeutic writing module, in order to make conclusions about whether such an addition to therapy was worth pursuing in future development of this new therapy.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Tracey Wade
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Address
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School of Psychology
Flinders University
GPO Box 2100
Adelade, SA, 5001
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Country
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Australia
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Phone
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+61-8-8201-3736
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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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Tracey Wade
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Address
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School of Psychology
Flinders University
GPO Box 2100
Adelade, SA, 5001
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Country
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Australia
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Phone
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+61-8-8201-3736
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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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