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Trial registered on ANZCTR
Registration number
ACTRN12621000111875
Ethics application status
Approved
Date submitted
8/12/2020
Date registered
4/02/2021
Date last updated
4/02/2021
Date data sharing statement initially provided
4/02/2021
Date results provided
4/02/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
STED: Shorter therapies for non-underweight Eating Disorders
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Scientific title
Comparison of two 10-session cognitive behaviour therapies for non-underweight eating disorders on symptom severity: A randomised controlled trial
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Secondary ID [1]
302975
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None
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Universal Trial Number (UTN)
U1111-1262-4919
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Trial acronym
STED
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-underweight eating disorders
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Condition category
Condition code
Mental Health
317949
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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
Two ten session face-to-face cognitive behaviour therapies for non-underweight eating disorders delivered over 10 consecutive weeks were compared. The first was Ten-session cognitive behaviour therapy (CBT-T), using the protocol outlined in Waller G, Turner H, Tatham M, Mountford VA, Wade TD. (2019). Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders. Abingdon: Routledge, Taylor & Francis Group. The second was CBT using guided self-help (GSH) based primarily on the self-help books Cooper, P. (2009). Overcoming Bulimia Nervosa and Binge Eating (3rd ed). London, UK: Little, Brown Book Group and Cooper, M., Todd, G., & Wells, A. (2001). Bulimia Nervosa: A Cognitive Therapy Programme for Clients. London, UK: Jessica Kingsley Publisher Ltd. Both were delivered by postgraduate trainee therapists. Both therapies are conducted weekly over 10 weeks (50 minute sessions) and both address eating diaries to promote regular eating and to connect in-session weighing to changes in eating. The CBT-T addresses changes to eating more quickly than GSH and also includes content on body image. The GSH includes several initial sessions on motivation. The number of sessions attended was recorded.
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Intervention code [1]
319262
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Treatment: Other
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Comparator / control treatment
CBT-T was compared to a "reference comparatory" intervention (GSH).
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Control group
Active
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Outcomes
Primary outcome [1]
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The global score on the Eating Disorder Examination Questionnaire
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Assessment method [1]
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Timepoint [1]
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10 weeks following start of intervention
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Secondary outcome [1]
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Eating disorder behaviours: EDE-Q
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Assessment method [1]
390332
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Timepoint [1]
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10 weeks following start of intervention
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Secondary outcome [2]
390333
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Body mass index - height and weight assessed in session by therapist using digital scales and stadiometer
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Assessment method [2]
390333
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Timepoint [2]
390333
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10 weeks following start of intervention
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Secondary outcome [3]
390334
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The Body Image Acceptance and Action Questionnaire
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Assessment method [3]
390334
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Timepoint [3]
390334
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10 weeks following start of intervention
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Secondary outcome [4]
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Body Image Avoidance Questionnaire
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Assessment method [4]
390335
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Timepoint [4]
390335
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10 weeks following start of intervention
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Secondary outcome [5]
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Body Checking Questionnaire
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Assessment method [5]
390336
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Timepoint [5]
390336
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10 weeks following start of intervention
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Secondary outcome [6]
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Negative Affect (depression, anxiety and stress): DASS21
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Assessment method [6]
390337
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Timepoint [6]
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10 weeks following start of intervention
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Secondary outcome [7]
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Clinical impairment: Clinical Impairment Assessment
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Assessment method [7]
390338
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Timepoint [7]
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10 weeks following start of intervention
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Eligibility
Key inclusion criteria
1. Be at least 16 years in age
2. Have a body mass index (BMI) more than 17.5,
3. Meet DSM-5 criteria for an eating disorder
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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
1. A severe physical/ psychiatric condition that would hinder treatment (e.g., psychosis, substance dependence)
2. Those already engaged with psychological treatment for an eating disorder
3. Difficulty speaking English
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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)
Allocation was concealed using sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised 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
Linear mixed models including all participants randomized to the two treatment groups.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
5/06/2017
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Date of last participant enrolment
Anticipated
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Actual
30/04/2020
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Date of last data collection
Anticipated
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Actual
9/11/2020
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Sample size
Target
100
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Accrual to date
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Final
98
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Australian Psychological Society - Clinical College
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Address [1]
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PO Box 38
Flinders Lane VIC 8009
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Country [1]
307391
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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, 5001, SA
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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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Sheffield University
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Address [1]
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Western Bank
Sheffield
S10 2TN
UK
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Country [1]
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United Kingdom
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Adelaide Clinical Human Research Ethics Committee
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Ethics committee address [1]
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Flinders Medical Centre, Level 6, Ward 6C, Room 6A219 Flinders Drive, Bedford Park, SA 5042 Southern Adelaide Local Health Network
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
307478
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05/05/2015
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Approval date [1]
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07/07/2015
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Ethics approval number [1]
307478
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204.15
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Summary
Brief summary
Cognitive-behavioural therapy approaches for eating disorders (CBT-ED) are typically 20 sessions duration and can be challenging to access for consumers due to the time, cost and difficulty finding therapists who have the required expertise. While shorter guided-self interventions (GSH-CBT) designed to be used by non-experts have existed for a while as a first option in a stepped care approach, it has only been recently that a 10-session version of CBT-ED (CBT-T) has been available. This study compares these two brief CBT interventions to determine if either one is superior in treating non-underweight individuals with eating disorders.
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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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Prof Tracey Wade
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Address
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Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia
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Country
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Australia
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Phone
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+61882013736
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Fax
107370
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+61882013877
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Email
107370
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[email protected]
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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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Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia
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Country
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Australia
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Phone
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+61882013736
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Fax
107371
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+61882013877
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Email
107371
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[email protected]
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Contact person for scientific queries
Name
107372
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Tracey Wade
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Address
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Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia
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Country
107372
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Australia
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Phone
107372
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+61882013736
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Fax
107372
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+61882013877
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Email
107372
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
after de-identification; individual participant data underlying published results only
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When will data be available (start and end dates)?
After publication of the results for a maximum of 5 years
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Available to whom?
Any reasonable requests directed to Tracey Wade
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Available for what types of analyses?
Meta-analyses
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How or where can data be obtained?
Request to Tracey Wade,
[email protected]
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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
A randomized controlled trial of two 10-session cognitive behaviour therapies for eating disorders: An exploratory investigation of which approach works best for whom.
2021
https://dx.doi.org/10.1016/j.brat.2021.103962
N.B. These documents automatically identified may not have been verified by the study sponsor.
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