NCT03405077

Brief Summary

Interpersonal psychotherapy (IPT) is an evidence-based therapy for the treatment of eating disorders (including binge eating disorder, bulimia nervosa, and disordered eating not meeting full diagnostic criteria). On a basic level, IPT is a time-limited treatment that helps the client understand the relationship between symptoms and social interactions. Traditional training methods require substantial cost, time, and resources, making evidence-based treatments difficult to disseminate. As such, college clinicians are not typically trained in IPT delivery, which prevents their clients from reaping the potential benefits of treatment. This study will attempt to show how technology can overcome such barriers to training dissemination. The purpose of this study is to see if online training in IPT is as effective as in-person training. To find out, the following procedures will occur: First, college mental health clinicians will complete baseline online questionnaires and deliver their usual treatment to 1 or 2 clients with symptoms of eating disorders. Then, they will complete the guided online training program and post-training assessments. Next, they will treat 1 or 2 different clients with eating disorders and complete post-training assessments. As part of the baseline and post-training assessments, clinicians will complete a telephone-based simulation assessment with staff raters, in which the investigators will recreate a client session and rate how well the clinicians adhere to IPT in treating the simulated client. The guided on-line training program will ultimately be compared to the "gold standard" training (the group receiving in-person training in an associated, IRB-approved study, # 201111113).

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2016

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2016

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

December 12, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 19, 2018

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 26, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 26, 2019

Completed
Last Updated

March 28, 2019

Status Verified

March 1, 2019

Enrollment Period

3.2 years

First QC Date

December 12, 2017

Last Update Submit

March 27, 2019

Conditions

Keywords

interpersonal psychotherapytreatmenttrainingdissemination and implementationeating disorders

Outcome Measures

Primary Outcomes (1)

  • Treatment fidelity: Adherence

    Therapist's adherence to the procedures of IPT. This will be assessed using the IPT Fidelity Assessment. This scale was developed for the current study and was informed by work done by the Veterans' Health Administration, previous work conducted by the Principal Investigators of the current trial, and by other IPT researchers training therapists to conduct evidence-based treatments.

    1-3 years

Secondary Outcomes (1)

  • Treatment fidelity: Competence

    1-3 years

Study Arms (1)

IPT Online Training

EXPERIMENTAL

Therapists in this study will be trained in IPT using an online platform. The program is self-paced but will have a deadline; the suggested pace is at least 12 hours spaced over 2 months. The guided online training program was developed in collaboration with 3C institute, an award-winning research and development company that creates web- and evidence-based programs. Content will be adapted from "gold-standard" training.

Behavioral: IPT Online Training

Interventions

First, college mental health clinicians will complete baseline online questionnaires and deliver their usual treatment to 1 or 2 clients with symptoms of eating disorders. Then, they will complete the guided online training program and post-training assessments. Next, they will treat 1 or 2 different clients with eating disorders and complete post-training assessments. As part of the baseline and post-training assessments, clinicians will complete a telephone-based simulation assessment with staff raters, in which the investigators will recreate a client session and rate how well the clinicians adhere to IPT in treating the simulated client. The guided on-line training program will ultimately be compared to the "gold standard" training.

IPT Online Training

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Therapist must be a staff member at the counseling center and have a patient case-load large enough to be able to complete data collection at the different time points (\>8 hours/week)
  • Staff member is expected to continue working at the counseling center for several years • Postdocs who anticipate to be at their center for at least one year are eligible

You may not qualify if:

  • Therapists from all universities affiliated with the NIH-funded trial (IRB# 201111113)
  • Therapists working less than 8 hours/week
  • Therapists who are anticipating leaving employment at the recruited counseling center within the time frame of the study including, but not limited to trainees and interns
  • Therapists for whom their administrative duties preclude seeing a sufficient number of clients to be able to complete data collection at the different study time points
  • Therapists who do not see students seeking treatment for eating disorders
  • Individuals who are non-degreed trainees (i.e., psychology interns)
  • STUDENTS:
  • Student patients of therapists who seek counseling services at their respective schools
  • Students exhibiting symptoms of an eating disorder
  • Students exhibiting symptoms of anorexia nervosa

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Feeding and Eating Disorders

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsMental Disorders

Study Officials

  • Denise Wilfley, PhD

    Scott Rudolph University Professor of Psychiatry, Medicine, Pediatrics, and Psychological & Brain Sciences, Washington University School of Medicine

    PRINCIPAL INVESTIGATOR
  • Terry Wilson, PhD

    Oscar K. Buros Professor of Psychology, Rutgers University

    STUDY DIRECTOR
  • Stewart Agras, MD

    Professor of Psychiatry (Emeritus), Stanford University, School of Medicine

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 12, 2017

First Posted

January 19, 2018

Study Start

January 1, 2016

Primary Completion

February 26, 2019

Study Completion

February 26, 2019

Last Updated

March 28, 2019

Record last verified: 2019-03

Data Sharing

IPD Sharing
Will not share