Motivation-Oriented Versus Psychoeducation-Oriented Day Hospital Treatment for Eating Disorders

NCT03643445 | Completed DMC

• 1 other identifier: 160064
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.Study Objectives To evaluate changes in general symptomatology in patients undergoing the day hospital eating disorders program at North York General Hospital and compare symptoms between treatment groups (motivation-oriented vs. psychoeducation-oriented).
2. 2.Study Hypotheses:

Conditions

Motivational Interviewing; Psychoeducation

Keywords

motivational Interviewing; motivation; psychoeducation; psychoeducational-oriented treatment

Outcome Measures

Primary Outcomes (1)

• Eating Disorder Symptomatology

  Standard questionnaire package that determines eating disorder symptomatology in eating disorder patients

  8 weeks

Secondary Outcomes (3)

• Self-ratings of motivation to recover

  8 weeks

• Self-ratings of Treatment Satisfaction

  up to 24 weeks

• Completion of Program

  up to 24 weeks

Study Arms (2)

Motivational Interviewing (MI) Treatment

EXPERIMENTAL

Motivational interviewing is a psychotherapeutic stance aimed at helping patients in resolving ambivalence toward change and increasing their intrinsic motivation to engage in healthy behaviour choices. Patients assigned to these MI-trained therapists will be in the motivation-oriented condition. All individual meetings patients have with their therapist while they are in the program will entail sessions that are guided by MI principles. That is, revisiting patients' motivation to recover and overcoming obstacles to ambivalence or low motivation.

Behavioral: Motivational Orientated Treatment

Psychoeducation-Oriented Treatment

ACTIVE COMPARATOR

The psychoeducation-oriented treatment condition is intended to teach patients about the causes of eating disorders, the expected course of recovery, obstacles to recovery, and the importance of behavioural changes required for recovery from an eating disorder. Two staff members in the eating disorders program will deliver the psychoeducation-infused interventions, which are intended to be equivalent to treatment-as-usual in many eating disorder programs, but in a structured and standardized way, and with the use of the self-help manual. Psychoeducation is a very common intervention, often used as part of cognitive-behavioural treatment for eating disorders. The idea is that information about eating disorders and their health risks facilitates recovery and allows patients to "buy in" to treatment.

Behavioral: Psychoeducation-Oriented Treatment

Interventions

Motivational Orientated Treatment BEHAVIORAL

The motivation-oriented treatment condition is intended to create a context for treatment that is patient-centered, non-judgmental, and will create a therapeutic environment wherein patients can make an informed decision around their goals for treatment and their willingness to commit to the behavioural changes required for recovery from an eating disorder. In general, MI is a psychotherapeutic stance aimed at helping patients in resolving ambivalence toward change and increasing their intrinsic motivation to engage in healthy behaviour choices.

Motivational Interviewing (MI) Treatment

Psychoeducation-Oriented Treatment BEHAVIORAL

The psychoeducation-oriented treatment condition is intended to teach patients about the causes of eating disorders, the expected course of recovery, obstacles to recovery, and the importance of behavioural changes required for recovery from an eating disorder. In this condition, in order to maximize the differences between groups, no attention will be given to discussing the patient's stage of change, their level of motivation, or their own personal values around recovery. Rather, emphasis during individual meetings with their therapist will be on the importance of symptom abstinence and normal eating.

Psychoeducation-Oriented Treatment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Receiving treatment at NYGH in the Adult Eating Disorders Program
• Over 17 years old
• Able to speak and read English (minimum Grade 6 reading level)
• Able to provide informed consent

You may not qualify if:

• \. Not Applicable

Sponsors & Collaborators

• York University: lead
• North York General Hospital: collaborator

Study Sites (1)

North York General Hospital

Toronto, Ontario, M2K 1E1, Canada

Location

Related Publications (1)

• Mills JS, Poulin LE, Kirsh G. Comparison of MI-oriented versus CBT-oriented adjunctive treatments: impacts on therapeutic alliance and patient engagement during hospital treatment for an eating disorder. J Eat Disord. 2023 Jun 20;11(1):98. doi: 10.1186/s40337-023-00818-8.

  PMID: 37340439 DERIVED

Related Links

• Website of Principal Investigator

Study Officials

• Jennifer Mills, Ph.D.

  North York General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Eating disorder participants will be randomly assigned either the motivation-oriented treatment condition or the psychoeducation-oriented treatment condition. Patients in both groups will receive the same care in terms of their hospital treatment and opportunities for interaction with the staff. The only difference will be that for ½ of participants, their treatment will be infused with motivation-oriented interventions. For the others, their interactions will be infused with psychoeducation-oriented interventions. All patients have interactions with an individual therapist at various time points in their hospital treatment. The points at which a patient meets with his or her individual therapist are as follows: at the orientation to the program, a 6-week check-in, and a 10-12 week check-in. As well, patients typically meet with their individual therapist whenever the treatment team determines that a patient may be struggling in the program and is at risk of premature drop-out.

Study Record Dates

• First Submitted: December 14, 2017
• First Posted: August 22, 2018
• Study Start: August 1, 2017
• Primary Completion: August 1, 2019
• Study Completion: January 30, 2020
• Last Updated: April 26, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: approximately 6-7 months, post the study completion date, will the data be available.
• Access Criteria: An independent external review board will be responsible for reviewing requests for data access.

Locations

CA (1)