A randomized controlled evaluation of the cost effectiveness of cognitive-behavioural guided self-care versus family therapy for adolescent bulimia nervosa in a catchment area-based population

ISRCTN ISRCTN70120585
DOI https://doi.org/10.1186/ISRCTN70120585
Secondary identifying numbers 1206/88
Submission date
12/09/2002
Registration date
12/09/2002
Last edited
09/05/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Ulrike Schmidt
Scientific

Eating Disorder Research Unit
Division of Psychological Medicine
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom

Phone +44 (0)20 7919 3180/7848 0181
Email ulrike.schmidt@slam-tr.nhs.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study hypothesis1. In adolescents with bulimia nervosa or eating disorder not otherwise specified (EDNOS), family therapy (FT) will produce higher rates of abstinence from bingeing and vomiting, both post-treatment (6 months) and at follow-up (12 months) than individual cognitive behavioural guided self-care (CBT-GSC).
2. CBT-GSC will be less costly to implement than FT.
Ethics approval(s)Institute of Psychiatry Research and South London and Maudsley NHS Trust Research Ethics Committee. Date of approval 17/09/1999, reference number 163/99.
ConditionBulimia nervosa
InterventionPatients randomly assigned to one of two groups: family therapy or guided-self care.
1. Family Therapy: 15 conjoint family therapy sessions over 6 months
2. Guided-self Care: 10 individual weekly sessions, up to two additional sessions with a close other, then three follow-up sessions over the next 3 months
Intervention typeOther
Primary outcome measureAbstinence rates from binging and vomiting over the previous month, assessed at 6 and 12 months on an observer-rated interview measure.
Secondary outcome measures1. Abstinence rates from bingeing and vomiting over the previous month, assessed at 6 and 12 months on a questionnaire measure
2. Longitudinal assessment of bingeing and vomiting by interview
3. Other eating disorder symptoms
4. Cost of care
Overall study start date20/09/1999
Overall study end date31/07/2004

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants42 per group; 84 in total
Participant inclusion criteria1. Aged 20 years or under, referred to one of the following study centres: Maudsley Eating Disorders Services, Surrey-Hampshire Borders Child and Adolescent Eating Disorders Services, Royal Free Eating Disorders Services, Phoenix Eating Disorders Service at St Ann's Hospital
2. Fulfil criteria for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) bulimia nervosa or eating disorders not otherwise specified
Participant exclusion criteria1. A body mass index below the 10th centile for age and sex
2. Insufficient knowledge of English to understand the treatment manual
3. Learning disability, severe mental illness or alcohol/substance dependence
Recruitment start date20/09/1999
Recruitment end date31/07/2004

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Eating Disorder Research Unit
London
SE5 8AF
United Kingdom

Sponsor information

The Health Foundation (UK)
Charity

90 Long Acre
London
WC2E 9RA
United Kingdom

Phone +44 (0)20 7257 8000
Email info@health.org.uk
Website http://www.pppfoundation.org.uk/
ROR logo "ROR" https://ror.org/02bzj4420

Funders

Funder type

Charity

The Health Foundation

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 01/04/2007 Yes No