Eating Disorder Clinical Trial
Official title:
Randomised Controlled Trial With Acceptance and Commitment Therapy (ACT) for Patients With Eating Disorders - a Manualised Group Therapy to Enhance Body Acceptance
The purpose of this study was to test if an ACT group intervention focusing on body image reduces eating disorders symptoms and reduces care consumption in patients treated at a specialised eating disorder unit.
The study is an RCT in which the ACT-intervention is compared to treatment as usual. The
trial started in 2010, and randomisation of patients continued until 2014, and follow-ups was
completed in 2016.
According to analysis of power, a total of 120 patients needed to be included, 60 in each
arm. Patients eligible for the interventions were invited to participate after their
clinician reported them to the head investigator. The head investigator sent a letter to the
patients with information on the study. The clinician then asked the patient if the letter
had been read. If the patient wanted to participate, he/she was invited to an information and
assessment meeting. The head investigator made sure that the patient understood the
information, and what each study arm might mean for the patient when participating. Consent
to participate was collected both verbally and in writing. At this meeting the patient
received an envelope which contained the randomisation outcome. The patient then received
information regarding the continued treatment according to which research arm he/she was to
participate in.
The participants randomised to treatment as usual continued with the treatment as planned
before enrolment.
Participants in the intervention arm started the group intervention consisting of 12 sessions
over a period of three to four months. The intervention also included one individual meeting
with the group-leaders before and one after the intervention. The intervention is a
manualised application of the book "Lev med din kropp" [Live with your body]. Participants
who were in need of further care after the intervention were offered continued treatment
accordingly at the clinic.
If a participant chose to terminate the intervention, or deteriorated during the intervention
to the point that other treatment was needed, further treatment was agreed upon in dialogue
with the patient. If needed, further assessment and physical examination was conducted in
accordance to the clinics standard procedures.
Data was collected at four times for all participants. At treatment start and end, and
follow-up at 12 and 24 months after inclusion. At each time, the participants were prompted
to fill in five different self-assessment forms.
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