Longitudinal Follow Up of Eating Disorder Treatment

NCT03946540 | Unknown

• 1 other identifier: L-FED2019
• Study Type: observational
• Target: 159
• Locations: 1 country
• Sites: 1

Brief Summary

The research proposed here seeks to delineate the outcomes of people who have received treatment for an eating disorder at a specialist eating disorder service in childhood or adolescence (hereafter 'former patients'). This will inform our understanding of the maintenance of treatment effects beyond initial trial follow-ups, and together with data collected during treatment will allow for identification of factors predicting chronicity which will inform further treatment development.

Conditions

Feeding and Eating Disorders of Childhood; Anorexia Nervosa; Bulimia Nervosa

Outcome Measures

Primary Outcomes (3)

• Receipt of further treatment for an eating disorder in the first four years after discharge from treatment

  Self report of whether subsequent treatment for an eating disorder has been received since discharge. Self report of treatment received in the period between discharge and research follow up - including number and duration of outpatient treatment, hospital admission and day patient treatment. The four year outcome is the primary outcome as it allows for the most complete dataset for follow up.

  From discharge from service to L-FED research assessment. Discharges between 2009 and 2014 (4-10) year follow up. Proportion of sample needing treatment in the first four years post discharge will be reported

• Eating Disorder Examination Questionnaire (EDEQ). Fairburn & Beglin, 1994

  Self reported eating disorder symptoms. This is a 28 item self report questionnaire which is scored using a 7 - point (0-6) rating scale. Four subscales are derived through adding together relevant items and diving by the number of items to give a score range for each subscale of 0-6. A total score is derived by adding together the subscales and diving by the number of subscales (ie 4) also giving a score range of 0-6. Higher scores indicate greater impairment.

  28 days prior to L-FED research assessment

• Work and social adjustment scale (WSAS) Mundt, J. C., I. M. Marks, et al. (2002).

  Self reported impact of symptoms on functioning. This is a self report measure of the impact of illness on work and social functioning. It is a five item questionnaire with each item scored 0-8 giving a total score range of 0-40 where high scores indicate greater impairment.

  At time of L-FED research assessment. Discharges between 2009 and 2014 (4-10) year follow up. Variation in time since discharge will be stratified in analysis.

Secondary Outcomes (2)

• Receipt of treatment for an eating disorder >4 years after discharge from treatment

  From four years post discharge from service to L-FED research assessment. Proportion

• Psychosocial wellbeing

  At time of L-FED assessment.Discharges between 2009 and 2014 (4-10) year follow up. Variation in time since discharge will be stratified in analysis.

Other Outcomes (3)

• Receipt of treatment for any other mental health difficulties in four years post discharge, and at >4 years post discharge.

  1: Up to four years post discharge. 2: as applicable up to 10 years post discharge as described able for receipt of treatment for an eating disorder

• Self harm since discharge

  Four time points assesed: while in treatment, since discharge, in the past three months on in the past month. Variation in time since discharge will be stratified in analysis.

• Current eating disorder symptoms

  At time of L-FED assessment. Discharges between 2009 and 2014 (4-10) year follow up. Variation in time since discharge will be stratified in analysis.

Study Arms (1)

L-FED sample

All young people treated in Maudsley Child and Adolescent Eating Disorder Service between 1/8/2009 and 31/1/2014.

Eligibility Criteria

• Age: 16 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

People who were assessed and offered treatment at the National and Specialist CAMHS Eating Disorder Service, South London and Maudsley NHS Foundation Trust between 1/8/2009 and 31/1/2014

You may qualify if:

• People who were assessed and offered treatment at the National and Specialist CAMHS Eating Disorder Service, South London and Maudsley NHS Foundation Trust between 1/8/2009 and 31/1/2014.

You may not qualify if:

• young people who were referred for treatment but did not attend assessment
• young people who were referred for treatment but did not meet criteria for an eating disorder
• young people who were referred for treatment but did not accept treatment (or attended for fewer than 3 sessions).

Sponsors & Collaborators

• South London and Maudsley NHS Foundation Trust: lead

Study Sites (1)

Maudsley Centre for Child and Adolescent Eating Disorders

London, SE5 8AZ, United Kingdom

Location

MeSH Terms

Conditions

Feeding and Eating Disorders of Childhood; Anorexia Nervosa; Bulimia Nervosa

Condition Hierarchy (Ancestors)

Feeding and Eating Disorders; Mental Disorders

Study Officials

• Catherine s Stewart, }hD DClinPsy

  South London and Maudsley NHS Foundation Trust

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Clinical Psychologist

Study Record Dates

• First Submitted: April 10, 2019
• First Posted: May 10, 2019
• Study Start: July 14, 2019
• Primary Completion: July 27, 2020
• Study Completion: February 28, 2021
• Last Updated: January 5, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)