None listed
Conditions
Brief summary
We propose to evaluate an online cognitive behavioural therapy for eating disorders in 125 university students with disordered eating that impairs their quality of life. We will adopt a novel design that can inform translational strategies, with random allocation of people to active conditions (N=100) and wait-list control (N=25). Of the 100 allocated to active conditions, 25 will be randomly allocated to guided self-help (GSH), 25 randomly allocated to pure self-help (PSH), and then the remaining 50 will be allocated to GSH if they have low motivation (GSH-low) and to PSH if they have higher levels of motivation (PSH-high). Hypotheses Significantly better outcomes at end of intervention and follow-up will be produced for the following comparisons, with the first group/s having better outcomes in each case: GSH, GSH-low, PSH-high vs PSH or control; GSH-low vs GSH; PSH-high vs PSH.
Interventions
An online 10-session cognitive behaviour therapy (CBT) for eating disorders that can be used for pure or guided self-help treatment. The protocol has been evaluated as a face-to-face protocol twice previously, as reported in Steele, A. L., & Wade, T. D. (2008). A randomised trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa. Behaviour Research and Therapy, 46, 1316-1323 and ACTRN12621000111875. In addition to a waitlist control group, the active conditions contains 4 arms; guided self-help (GSH), pure self-help (PSH), GSH for participants with low motivation to change (GSH-low), PSH for participants with higher motivation to change (PSH-high). In this case high motivation means scoring 6 or more out of 10 on a Likert scale for the following question: “How ready are you to change your eating?” Participants in the GSH condition will receive an email each week asking if they have any questions or concerns or would like to let us know of their progress. Participants in the PSH will receive no email. The program will be administered over 5 weeks, 2 modules per week. The content will be delivered online via interactive powerpoint available on a Qualtrics platform which includes text, open response format, short videos, quizzes, and relevant pdf readings from the Centre for Clinical Interventions. The program can be accessed via laptop or mobile phone. Website analytics will be used to monitor use of the program.
Sponsors
Study design
Eligibility
Inclusion criteria
University students from Flinders University, aged 17 to 25 years, who meet the cut-off a score of 47 or above on the Weight Concerns Scale (WCS; Killen et al., 1994), which is a range considered to have good predictive validity for development of an ED (Jacobi et al., 2011).
Exclusion criteria
None