None listed
Conditions
Brief summary
Temperament-Based Therapy with Support (TBT-S) is an innovative, adjunctive eating disorder treatment that incorporates the neurobiology of eating disorders. Patients and their support person(s) attend a 5 day intensive multi-family therapy program that involves psychoeducation, group activities and meals. This study will investigate both the feasibility and acceptability of the TBT-S program in Victorian mental health services from the experience of the patient, their support person and the clinicians involved in the program. It is hypothesised that TBT-S will be an acceptable and feasible treatment option for patients and their supports.
Interventions
TBT-S is a neurobiologically informed, support-based treatment that highlights the neurobiological underpinnings of ED psychopathology, the personality traits, and the family and interpersonal dynamics of eating disorders (EDs). .
The TBT-S program in this intervention is a 4-5 day intensive multi-family program. The TBT-S program runs each day: approximately from 9am-4pm (these hours may vary slightly at each site to allow for adequate staffing). Group numbers will range between 4-8 individual
TBT-S is a neurobiologically informed, support-based treatment that highlights the neurobiological underpinnings of ED psychopathology, the personality traits, and the family and interpersonal dynamics of eating disorders (EDs). . The TBT-S program in this intervention is a 4-5 day intensive multi-family program. The TBT-S program runs each day: approximately from 9am-4pm (these hours may vary slightly at each site to allow for adequate staffing). Group numbers will range between 4-8 individuals plus their support person(s). Individuals may bring up to two support people each. Both the individual experiencing an eating disorder and their support person(s) attends the duration of the program. The program structure consists of: psychoeducation delivered by powerpoint slides in workshop style, experiential activities designed to highlight key psychoeducation points through creative, playful games involving role play and group discussions with content focusing on the neurobiology, dietetic information and temperament of people with restrictive eating disorders. Opportunities for the group to divide into support people and individuals experiencing an eating disorder will be provided. The program involves morning tea, lunch and afternoon tea breaks in which the individuals experiencing an eating disorder will be supported by both their support person and the TBT-S facilitators to complete meals. Meals are supplied by the support person and the patient. Both the support person and patient will meet with the TBT-S dietitian prior to the program to develop a meal plan and to ensure meals brought to the program align with treatment goals. They will also meet with a TBT-S facilitator to ensure they understand the expectations of the program and group guidelines. To ensure adherence to the intervention, each program will be supervised by direct observation by an accredited TBT-S trainer and supervisor. The TBT-S facilitation team meet daily pre and post the program to ensure adequate time for supervision and feedback.
Sponsors
Victorian Centre of Excellence in Eating Disorders (CEED)
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participation is sought from three population groups: 1. Consumers: People diagnosed with anorexia nervosa-restrictive subtype, atypical anorexia nervosa, anorexia binge-purge subtype who attend the TBT-S program at their relevant mental health service. Consumers will be aged 16 or older. The consumer will be required to meet medical stability criteria as determined by their treatment team (outlined in the eating disorder management guideline at each health service) and complete the TBT-S program. 2. Support person: The term support person is used in this project to define a person who provides support for the consumer. This could be a parent, partner, relative or friend. Support people will be 16 years or older. The term ‘support’ replaces the term ‘carer’ this is to ensure the project remains aligned with the correct terminology used by the TBT-S program 3. Clinicians: Clinicians involved in the facilitation of the TBT-S program at each health service. All participants will have the option of opting into the research project alongside the TBT-S program. In the event one of the participants choose not to engage in the research project, their engagement and attendance in the TBT-S will not be impacted in any way.
Exclusion criteria
Participants will be excluded from the project for the following reasons: 1. Consumer: - Participants aged 15 years or younger - Diagnosed with an eating disorder other than of the anorexia subset of disorders - People not attending the TBT-S program - Diagnosed with an intellectual disability based on the criteria in DSM-V - People experiencing an anorexia type disorder who are medically unstable as determined by their treatment team. Due to the complications both physical and mental associated with medical instability, the participants ability to comply with the study protocol will be limited. Medical stability is determined by the eating disorder management protocol in place at each health service. 2. Supports: support people who are not attending the TBT-S program 3. Clinicians: clinicians not involved in the delivery of the TBT-S program
Outcome results
None listed