Anorexia Nervosa, Binge-Eating Disorder, Bulimia Nervosa, Eating Disorder
Conditions
Brief summary
The goal of the study is to evaluate two 6-month adjunct interventions (peer mentorship and social support mentorship) for individuals with eating disorders. Individuals will be randomized to peer-mentorship, social support mentorship, or a wait-list and eating disorder symptoms will be evaluated at baseline and post-treatment.
Detailed description
Eating disorders are serious mental illnesses associated with significant morbidity and high relapse rates. Patients are at especially high risk of relapse after leaving structured treatment (e.g., hospitalization). Adjunct interventions targeting patients' motivation and participation in treatment at these times may help patients recover from eating disorders. Project HEAL is a non-profit organization whose mission is to reduce suffering caused by eating disorders, and they have recently developed two adjunct, mentorship-based interventions for patients in recovery. In the peer mentorship condition, individuals meet weekly with a peer mentor who has previously recovered from an eating disorder in order to discuss symptoms and coping strategies. In the social support mentorship condition, individuals meet weekly with a social support mentor who has not personally struggled with an eating disorder in order to engage in activities unrelated to the eating disorder. The aim of the current study is to evaluate the feasibility and efficacy of this intervention. The design of the study is a three-arm randomized controlled trial comparing peer mentorship, social-support mentorship, and wait-list control conditions. Participants in the study will be randomized to one of the three conditions for six months. Wait-list participants will subsequently receive either type of mentorship. Participants will complete assessments of their eating disorder symptoms at baseline, monthly throughout the course of the study, and one year after beginning the study. Outcomes will be compared between groups.
Interventions
Weekly meetings with a recovered peer mentor once per week. Dyads discuss eating disorder symptoms and how to overcome them.
Weekly meetings with a social support mentor who has not personally struggled with an eating disorder, once per week. Dyads engage in activities unrelated to the eating disorder (e.g., a movie, a community event, volunteer work).
Recovery Record is a smart phone or web-based application designed to provide recovery support to eating disorder patients. Includes a number of features aimed to promote recovery, such as a meal tracking, prompts for completing meals/snacks, tracking for additional symptoms such as stress and mood, motivational messages, information about coping strategies, and capacity to share logged data with clinicians and mentors.
Sponsors
Study design
Masking description
Since this is a behavioral intervention, participants, care providers, and investigators are aware of each patient's randomization. Outcomes are assessed electronically.
Intervention model description
Randomization occurs at the beginning of each individual's participation in the study. Participants are randomized to one condition and not re-randomized during any portion of the study
Eligibility
Inclusion criteria
* Current or past 6 months AN, BN, or BED * Recent (within 6 months) discharge from structured treatment * Involved in outpatient treatment at an appropriate level of care * Medical stability * Access to smart phone or computer to complete study assessments
Exclusion criteria
* Evidence of needing specialized treatment for another medical or mental health condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Mass Index | Baseline (month 0, Month 1, Month 2, Month 3, Month 4, Month 5, Month 6 | kg/m2 |
| Binge Days | Baseline through Week 28 | Units on a scale from 0 - 4 ( 0 = 0 days; 1 = A few (1-2) days; 2 = About half (3-4) days; 4 = Most (5-6) days; 4 = All (7) days Range was 0 - 4 |
| Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline, Month 3, Month 6 | The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Body Dissatisfaction subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Body dissatisfaction is 0 - 28. Higher scores are reflective of greater eating pathology. |
| Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline, Month 3, Month 6 | The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Cognitive Restraint subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Cognitive Restraint is 0 - 12. Higher scores are reflective of greater eating pathology. |
| Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline, Month 3, Month 6 | The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Restricting subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Restricting is 0 - 24. Higher scores are reflective of greater eating pathology. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Peer Mentorship Participants meet weekly with an adult peer mentor who has recovered from an eating disorder. The focus of meetings is on eating disorder symptoms and how to overcome them. The goal of this program is to reduce eating disorder symptoms directly by receiving support and guidance from someone who has been through it.
Peer mentorship: Weekly meetings with a recovered peer mentor once per week. Dyads discuss eating disorder symptoms and how to overcome them.
Recovery Record use with mentor: Recovery Record is a smart phone or web-based application designed to provide recovery support to eating disorder patients. Includes a number of features aimed to promote recovery, such as a meal tracking, prompts for completing meals/snacks, tracking for additional symptoms such as stress and mood, motivational messages, information about coping strategies, and capacity to share logged data with clinicians and mentors. | 20 |
| Social Support Mentorship Participants meet weekly with an adult mentor who has not personally struggled with an eating disorder but who is dedicated to offering support. During weekly meetings, participants and mentors (and possibly 1-2 other mentees) engage in activities unrelated to the eating disorder. The goal of this program is to reduce eating disorder symptoms indirectly by exploring aspects of self outside the eating disorder.
Social support mentorship: Weekly meetings with a social support mentor who has not personally struggled with an eating disorder, once per week. Dyads engage in activities unrelated to the eating disorder (e.g., a movie, a community event, volunteer work). | 18 |
| Wait List Participants are on a wait list and then get matched with either type of mentor (of their choice) 6 months later | 22 |
| Total | 60 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Lost to Follow-up | 0 | 3 | 2 |
Baseline characteristics
| Characteristic | Total | Peer Mentorship | Social Support Mentorship | Wait List |
|---|---|---|---|---|
| Age, Continuous | 28.5 years STANDARD_DEVIATION 7 | 27.9 years STANDARD_DEVIATION 7.6 | 31.0 years STANDARD_DEVIATION 5 | 27.1 years STANDARD_DEVIATION 7.5 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants | 2 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 58 Participants | 18 Participants | 18 Participants | 22 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 3 Participants | 2 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 53 Participants | 16 Participants | 17 Participants | 20 Participants |
| Sex/Gender, Customized Female | 59 Participants | 20 Participants | 17 Participants | 22 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 20 | 0 / 18 | 0 / 22 |
| other Total, other adverse events | 5 / 20 | 3 / 18 | 10 / 22 |
| serious Total, serious adverse events | 1 / 20 | 0 / 18 | 5 / 22 |
Outcome results
Binge Days
Units on a scale from 0 - 4 ( 0 = 0 days; 1 = A few (1-2) days; 2 = About half (3-4) days; 4 = Most (5-6) days; 4 = All (7) days Range was 0 - 4
Time frame: Baseline through Week 28
Population: Number of participants with BN or BED
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peer Mentorship | Binge Days | Week 7 | 0 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 25 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 17 | .5 units on a scale | Standard Error 0.7 |
| Peer Mentorship | Binge Days | Week 8 | 0.25 units on a scale | Standard Error 0.5 |
| Peer Mentorship | Binge Days | Week 2 | 1.25 units on a scale | Standard Error 0.5 |
| Peer Mentorship | Binge Days | Week 16 | .43 units on a scale | Standard Error 0.79 |
| Peer Mentorship | Binge Days | Week 9 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Baseline | 1.0 units on a scale | Standard Error 0.7 |
| Peer Mentorship | Binge Days | Week 15 | 0 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 10 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 23 | 0 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 14 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 11 | 0 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 3 | 0.67 units on a scale | Standard Error 0.58 |
| Peer Mentorship | Binge Days | Week 13 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 12 | 0.50 units on a scale | Standard Error 0.71 |
| Peer Mentorship | Binge Days | Week 24 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 21 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 4 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 26 | .13 units on a scale | Standard Error 0.35 |
| Peer Mentorship | Binge Days | Week 20 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 5 Week 5 | 1.5 units on a scale | Standard Error 1 |
| Peer Mentorship | Binge Days | Week 1 | 0.67 units on a scale | Standard Error 0.58 |
| Peer Mentorship | Binge Days | Week 19 | 0 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 6 | .67 units on a scale | Standard Error 0.58 |
| Peer Mentorship | Binge Days | Week 22 | 1 units on a scale | Standard Error 0 |
| Peer Mentorship | Binge Days | Week 18 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 21 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 22 | 3 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 26 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Baseline | 1 units on a scale | Standard Error 2 |
| Social Support Mentorship | Binge Days | Week 14 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 1 | 1.33 units on a scale | Standard Error 2.3 |
| Social Support Mentorship | Binge Days | Week 2 | .33 units on a scale | Standard Error 0.57 |
| Social Support Mentorship | Binge Days | Week 3 | 1 units on a scale | Standard Error 2 |
| Social Support Mentorship | Binge Days | Week 4 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 5 Week 5 | 1.3 units on a scale | Standard Error 2.3 |
| Social Support Mentorship | Binge Days | Week 6 | 0.5 units on a scale | Standard Error 0.7 |
| Social Support Mentorship | Binge Days | Week 7 | 1.0 units on a scale | Standard Error 1.7 |
| Social Support Mentorship | Binge Days | Week 8 | 1.3 units on a scale | Standard Error 1.5 |
| Social Support Mentorship | Binge Days | Week 9 | 2 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 10 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 11 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 12 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 13 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 15 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 16 | 2 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 17 | 2 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 18 | 1 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 19 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 20 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 23 | 0 units on a scale | Standard Error 0 |
| Social Support Mentorship | Binge Days | Week 25 | 3 units on a scale | Standard Error 0 |
| Wait List | Binge Days | Week 8 | 1.1 units on a scale | Standard Error 1.3 |
| Wait List | Binge Days | Week 23 | 1.8 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 16 | 0.7 units on a scale | Standard Error 0.8 |
| Wait List | Binge Days | Week 7 | .3 units on a scale | Standard Error 0.6 |
| Wait List | Binge Days | Week 24 | 1.4 units on a scale | Standard Error 1.4 |
| Wait List | Binge Days | Week 17 | 1.0 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 6 | 1.5 units on a scale | Standard Error 0.8 |
| Wait List | Binge Days | Week 1 | 1.0 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 18 | 1.4 units on a scale | Standard Error 1.2 |
| Wait List | Binge Days | Week 5 Week 5 | 1.2 units on a scale | Standard Error 0.8 |
| Wait List | Binge Days | Week 26 | 1.3 units on a scale | Standard Error 1.3 |
| Wait List | Binge Days | Week 19 | 1.0 units on a scale | Standard Error 1.4 |
| Wait List | Binge Days | Week 4 | .8 units on a scale | Standard Error 0.8 |
| Wait List | Binge Days | Week 25 | 0 units on a scale | Standard Error 0 |
| Wait List | Binge Days | Week 20 | 1.2 units on a scale | Standard Error 1.3 |
| Wait List | Binge Days | Week 3 | .7 units on a scale | Standard Error 0.5 |
| Wait List | Binge Days | Week 21 | 1.3 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 22 | 0.9 units on a scale | Standard Error 0.7 |
| Wait List | Binge Days | Week 12 | 1.8 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 11 | .8 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 2 | 1.3 units on a scale | Standard Error 1.4 |
| Wait List | Binge Days | Week 13 | .7 units on a scale | Standard Error 0.7 |
| Wait List | Binge Days | Week 10 | 1.0 units on a scale | Standard Error 1.4 |
| Wait List | Binge Days | Week 14 | 1.0 units on a scale | Standard Error 1.4 |
| Wait List | Binge Days | Week 9 | .6 units on a scale | Standard Error 0.5 |
| Wait List | Binge Days | Baseline | 1.3 units on a scale | Standard Error 1 |
| Wait List | Binge Days | Week 15 | 1.0 units on a scale | Standard Error 0.9 |
Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI)
The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Body Dissatisfaction subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Body dissatisfaction is 0 - 28. Higher scores are reflective of greater eating pathology.
Time frame: Baseline, Month 3, Month 6
Population: Not every person completed this measure at every time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peer Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 18.2 units on scale | Standard Deviation 7.5 |
| Peer Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 19.6 units on scale | Standard Deviation 6.9 |
| Peer Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 23.5 units on scale | Standard Deviation 4.3 |
| Social Support Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 19.9 units on scale | Standard Deviation 6.3 |
| Social Support Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 19.4 units on scale | Standard Deviation 6 |
| Social Support Mentorship | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 21.2 units on scale | Standard Deviation 6.2 |
| Wait List | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 20.9 units on scale | Standard Deviation 6.5 |
| Wait List | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 20.7 units on scale | Standard Deviation 6.1 |
| Wait List | Body Dissatisfaction Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 21.2 units on scale | Standard Deviation 8 |
Body Mass Index
kg/m2
Time frame: Baseline (month 0, Month 1, Month 2, Month 3, Month 4, Month 5, Month 6
Population: Number of subjects with Anorexia Nervosa or Atypical Anorexia Nervosa (n =45). The number of participants with AN or Atypical AN is less than the total sample.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peer Mentorship | Body Mass Index | Month 5 | 21.8 kg/m2 | Standard Deviation 4.2 |
| Peer Mentorship | Body Mass Index | Month 6 | 22.8 kg/m2 | Standard Deviation 4.3 |
| Peer Mentorship | Body Mass Index | Month 4 | 21.3 kg/m2 | Standard Deviation 3.5 |
| Peer Mentorship | Body Mass Index | Baseline (month 0) | 21.9 kg/m2 | Standard Deviation 3.6 |
| Peer Mentorship | Body Mass Index | Month 1 | 21.9 kg/m2 | Standard Deviation 4 |
| Peer Mentorship | Body Mass Index | Month 2 | 22.6 kg/m2 | Standard Deviation 3.8 |
| Peer Mentorship | Body Mass Index | Month 3 | 21.6 kg/m2 | Standard Deviation 4.1 |
| Social Support Mentorship | Body Mass Index | Month 3 | 21.6 kg/m2 | Standard Deviation 4.1 |
| Social Support Mentorship | Body Mass Index | Month 4 | 21.3 kg/m2 | Standard Deviation 3.5 |
| Social Support Mentorship | Body Mass Index | Month 2 | 21.4 kg/m2 | Standard Deviation 3.3 |
| Social Support Mentorship | Body Mass Index | Baseline (month 0) | 20.7 kg/m2 | Standard Deviation 2.7 |
| Social Support Mentorship | Body Mass Index | Month 1 | 21.1 kg/m2 | Standard Deviation 2.8 |
| Social Support Mentorship | Body Mass Index | Month 5 | 21.8 kg/m2 | Standard Deviation 4.2 |
| Social Support Mentorship | Body Mass Index | Month 6 | 22.8 kg/m2 | Standard Deviation 4.3 |
| Wait List | Body Mass Index | Month 3 | 21.7 kg/m2 | Standard Deviation 3.7 |
| Wait List | Body Mass Index | Month 6 | 23.4 kg/m2 | Standard Deviation 4.1 |
| Wait List | Body Mass Index | Month 4 | 24.4 kg/m2 | Standard Deviation 3.4 |
| Wait List | Body Mass Index | Month 5 | 23.5 kg/m2 | Standard Deviation 3.4 |
| Wait List | Body Mass Index | Month 1 | 21.5 kg/m2 | Standard Deviation 4.5 |
| Wait List | Body Mass Index | Baseline (month 0) | 21.5 kg/m2 | Standard Deviation 4 |
| Wait List | Body Mass Index | Month 2 | 21.6 kg/m2 | Standard Deviation 4.9 |
Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI)
The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Cognitive Restraint subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Cognitive Restraint is 0 - 12. Higher scores are reflective of greater eating pathology.
Time frame: Baseline, Month 3, Month 6
Population: Not every participant filled out this measure at every time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peer Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 6.2 units on scale | Standard Deviation 3.3 |
| Peer Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 7.1 units on scale | Standard Deviation 2.8 |
| Peer Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 5.6 units on scale | Standard Deviation 2.8 |
| Social Support Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 6.8 units on scale | Standard Deviation 3 |
| Social Support Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 7.3 units on scale | Standard Deviation 3 |
| Social Support Mentorship | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 7.0 units on scale | Standard Deviation 2.7 |
| Wait List | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 7.1 units on scale | Standard Deviation 2.4 |
| Wait List | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 7.4 units on scale | Standard Deviation 2.3 |
| Wait List | Cognitive Restraint Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 7.3 units on scale | Standard Deviation 2.1 |
Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI)
The Eating Pathology Symptoms Inventory (EPSI) is a self-report questionnaire that includes 8 subscales and we used the Restricting subscale. Each item is rated on a 5-point Likert-style scale (0 = Never; 4= Often) to describe how well each item describes the participant's experiences. Scores are derived by summing responses across the questions included in each subscale. The range for Restricting is 0 - 24. Higher scores are reflective of greater eating pathology.
Time frame: Baseline, Month 3, Month 6
Population: Not every participant completed this measure at every timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peer Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 11.7 units on a scale | Standard Deviation 6.6 |
| Peer Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 11.5 units on a scale | Standard Deviation 7.2 |
| Peer Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 9.5 units on a scale | Standard Deviation 6.1 |
| Social Support Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 10.6 units on a scale | Standard Deviation 5.9 |
| Social Support Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 10.8 units on a scale | Standard Deviation 6.4 |
| Social Support Mentorship | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 10.2 units on a scale | Standard Deviation 5.2 |
| Wait List | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Baseline | 8.4 units on a scale | Standard Deviation 4.6 |
| Wait List | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 6 | 9.4 units on a scale | Standard Deviation 4.9 |
| Wait List | Restricting Subscale of the Eating Disorder Symptom Inventory (EPSI) | Month 3 | 9.6 units on a scale | Standard Deviation 4.9 |