Eating Disorders
Conditions
Keywords
motivation, attendance
Brief summary
The aim of this study is to test whether MotivATE can increase attendance at assessment. This will be done using a single-consent Zelen randomised control trial, with all non-emergency adult clients referred to the Kimmeridge Courte Eating Disorder Service over a one year period being randomised to either treatment as usual (TAU) or TAU plus access to the MotivATE intervention prior to their assessment appointment.
Detailed description
MotivATE is a web-based intervention intended to be delivered at the point of referral to an Eating Disorder (ED) service. The intervention focuses on managing expectations of assessment, addressing ambivalence and increasing users' motivation and confidence to attend their initial appointment. This is achieved through the use of information, motivational tools, interactive activities and stories from other individuals with EDs spread across four 15-20 minute modules. These modules have been evaluated by service-users who have an ED. The aim of this study is to test whether MotivATE can increase attendance at assessment. This will be done using a single-consent Zelen randomised control trial, with all non-emergency adult clients referred to the Kimmeridge Courte Eating Disorder Service over a one year period being randomised to either treatment as usual (TAU) or TAU plus access to the MotivATE intervention prior to their assessment appointment. Routine audit data will be collected to compare the number of people who attend their assessment appointment in the MotivATE group verses the control group. Usage data generated by the intervention will also be assessed. Twenty participants from the MotivATE group will be invited to give qualitative feedback about their experience of the intervention.
Interventions
BEHAVIORALMotivate: a web-based intervention
A web-based intervention focuses on managing expectations of assessment, addressing ambivalence and increasing users' motivation and confidence to attend their initial appointment. This is achieved through the use of information, motivational tools, interactive activities and stories from other individuals with EDs spread across four 15-20 minute modules.
Sponsors
Dorset HealthCare University NHS Foundation Trust
Bournemouth University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1\) Referrals to the eating disorders service during the study period.
Exclusion criteria
1. Inpatients or emergency and urgent cases. 2. Patients who have already been randomised into the study. 3. Non English speakers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Attended Initial Assessment Appointment | 3 months | Attendance at initial assessment appointment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Accessed the Intervention Program | 3 months | Number of participants who accessed the intervention program |
| Number of Participants Who Volunteered to Provide Qualitative Feedback on the Motivate Program | 3 months | Number of participants who volunteered to provide qualitative feedback on the Motivate Program |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Intervention Access to Motivate: a web-based intervention, in addition to Usual Care
Motivate: a web-based intervention: A web-based intervention focuses on managing expectations of assessment, addressing ambivalence and increasing users' motivation and confidence to attend their initial appointment. This is achieved through the use of information, motivational tools, interactive activities and stories from other individuals with EDs spread across four 15-20 minute modules. | 157 |
| Control Usual Care | 156 |
| Total | 313 |
Baseline characteristics
| Characteristic | Total | Intervention | Control |
|---|---|---|---|
| Age, Customized | 0 Participants | — | — |
| Race and Ethnicity Not Collected | 0 Participants | — | — |
| Region of Enrollment United Kingdom | 313 Participants | 157 Participants | 156 Participants |
| Sex/Gender, Customized | 0 Participants | — | — |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Primary
Number of Participants Who Attended Initial Assessment Appointment
Attendance at initial assessment appointment
Time frame: 3 months
Population: Number of participants who attended initial assessment appointment
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention | Number of Participants Who Attended Initial Assessment Appointment | 140 Participants |
| Control | Number of Participants Who Attended Initial Assessment Appointment | 134 Participants |
Secondary
Number of Participants Who Accessed the Intervention Program
Number of participants who accessed the intervention program
Time frame: 3 months
Population: Number of participants who accessed the intervention program
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention | Number of Participants Who Accessed the Intervention Program | 53 Participants |
| Control | Number of Participants Who Accessed the Intervention Program | 0 Participants |
Secondary
Number of Participants Who Volunteered to Provide Qualitative Feedback on the Motivate Program
Number of participants who volunteered to provide qualitative feedback on the Motivate Program
Time frame: 3 months
Population: Qualitative feedback on the intervention program
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention | Number of Participants Who Volunteered to Provide Qualitative Feedback on the Motivate Program | 2 Participants |
| Control | Number of Participants Who Volunteered to Provide Qualitative Feedback on the Motivate Program | 0 Participants |