Implementing an Interdisciplinary Eating Disorder Screening and Treatment Program for Post-Bariatric Surgery Patients in Nova Scotia

NCT06914219 | Recruiting

• 1 other identifier: TEAM-ED
• Study Type: interventional
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this interventional study is to evaluate the Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) program, which combines streamlined access to screening, diagnostic assessment, and treatment with an interdisciplinary team approach to treatment planning, for managing disordered eating in adults who have recently had weight loss surgery in Nova Scotia. The main question it aims to answer is 'can an interdisciplinary program for identifying and managing disordered eating after weight loss surgery be implemented in Nova Scotia? This study will determine the feasibility and impact of the TEAM-ED program by assessing the following objectives:

1. 1.Reach (how effectively the program engages the target population \[post-weight loss surgery patients\])
2. 2.Effectiveness (the extent of the program's impact on key clinical outcomes related to disordered eating and weight management)
3. 3.Adoption (the extent to which the program is adopted and accepted by clinicians)
4. 4.Implementation (how consistent program delivery is and factors impacting consistent delivery)

Conditions

Bariatric Surgery Patients; Disordered Eating Behaviors

Outcome Measures

Primary Outcomes (1)

• Screening Engagement Rate

  Percentage of eligible patients (i.e., post-weight loss patients who are enrolled in the screening procedure) who complete the disordered eating screening measure (i.e., Loss of Control Over Eating Scale \[LOCES\]) at each timepoint (3-, 6-, 9-, 12-, 15-, and 18-month). To be calculated with the equation: \[Actual # of LOCES completed at a timepoint\] / \[Total # of eligible patients who could have completed LOCES at that timepoint\]

  From the post-weight loss surgery timepoint when a participant is first enrolled in the screening procedure (3-, 6-, 9-, 12-, 15-, or 18-months) until 18-months post-surgery or until they screen positive for disordered eating.

Secondary Outcomes (32)

• Screening Initiation Rate

  From 3- to 18-months post-weight loss surgery.

• Proportion of eligible patients who screen positive for loss of control eating.

  From 3- to 18-months post-weight loss surgery.

• Proportion of eligible patients who undergo a disordered eating diagnostic interview.

  From the post-weight loss surgery timepoint when a participant is first enrolled in the screening procedure (3-, 6-, 9-, 12-, 15-, or 18-months) until they screen positive for disordered eating.

• Proportion of eligible patients who are diagnosed with disordered eating.

  From the post-weight loss surgery timepoint when a participant is first enrolled in the screening procedure (3-, 6-, 9-, 12-, 15-, or 18-months) until they screen positive for disordered eating.

• Proportion of eligible patients who start disordered eating treatment.

  From the post-weight loss surgery timepoint when a participant is first enrolled in the screening procedure (3-, 6-, 9-, 12-, 15-, or 18-months) until they screen positive for disordered eating.

Study Arms (1)

TEAM-ED Program

EXPERIMENTAL

Behavioral: Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) Program

Interventions

Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) Program BEHAVIORAL

A program that combines a) streamlined access to screening, diagnostic assessment, and treatment (brief cognitive behaviour therapy \[CBT-T\]), b) an interdisciplinary team approach to treatment planning, for managing disordered eating in patients post-weight loss surgery.

TEAM-ED Program

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥19 years old
• Between 3- and 18-months post-weight loss surgery.
• Able to complete English computer-based self-report questionnaires (with adequate accommodation, if necessary).

Sponsors & Collaborators

• Queen Elizabeth II Health Sciences Centre Foundation: collaborator
• Aaron Keshen: lead

Study Sites (1)

Abbie J Lane Memorial Building, QEII Health Sciences Centre, Nova Scotia Health Authority

Halifax, Nova Scotia, B3H 2E2, Canada

RECRUITING

MeSH Terms

Conditions

Disordered Eating Behavior

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Behavior; Feeding and Eating Disorders; Mental Disorders

Study Officials

• Aaron Keshen, MD

  Nova Scotia Health Authority

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Aaron Keshen, MD

CONTACT

902-449-8228; aaron.keshen@nshealth.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Psychiatrist and Co-director of the Nova Scotia Provincial Service for Eating Disorders

Study Record Dates

• First Submitted: March 31, 2025
• First Posted: April 6, 2025
• Study Start: March 4, 2026
• Primary Completion (Estimated): May 1, 2027
• Study Completion (Estimated): May 1, 2027
• Last Updated: March 19, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)