Implementing an Interdisciplinary Eating Disorder Screening and Treatment Program for Post-Bariatric Surgery Patients in Nova Scotia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) Program.
- Who it may be relevant to
- Registry conditions: Bariatric Surgery Patients, Disordered Eating Behaviors. Basic parameters: from 19 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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. Reach (how effectively the program engages the target population \[post-weight loss surgery patients\]) 2. Effectiveness (the extent of the program's impact on key clinical outcomes related to disordered eating and weight management) 3. Adoption (the extent to which the program is adopted and accepted by clinicians) 4. Implementation (how consistent program delivery is and factors impacting consistent delivery) Participants will complete a disordered eating screening questionnaire online every 3 months after weight loss surgery until they reach 18-months post-surgery. Participants found to have disordered eating will be referred to the Nova Scotia Provincial Eating Disorder Service (NSEDPS) for standard disordered eating treatment (brief cognitive behavioral therapy \[CBT-T\]) plus treatment plan oversight by both weight loss surgery and eating disorder specialists. Standard outcome measures will be collected at baseline, during eating disorder treatment, post-treatment, and at follow-ups. Participants may also be asked to do a one-on-one research interview about their experiences with the program.
Interventions
- Behavioral Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) Program
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.
Primary outcome measures
- Screening Engagement Rate [Time frame: 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 outcome measures (12)
- Screening Initiation Rate [Time frame: From 3- to 18-months post-weight loss surgery.]
- Proportion of eligible patients who screen positive for loss of control eating. [Time frame: From 3- to 18-months post-weight loss surgery.]
- Proportion of eligible patients who undergo a disordered eating diagnostic interview. [Time frame: 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. [Time frame: 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. [Time frame: 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.]
- Change in disordered eating symptom frequency from baseline to post-treatment. [Time frame: From baseline to post-treatment (Week 10).]
- Change in disordered eating psychopathology severity from baseline to Week 4. [Time frame: From baseline to Week 4.]
- Change in disordered eating psychopathology severity from baseline to post-treatment (Week 10). [Time frame: From baseline to post-treatment (Week 10).]
- Change in disordered eating psychopathology severity from baseline to 1-month follow-up. [Time frame: From baseline to 1-month follow-up (i.e., 1 month after Week 10).]
- Change in disordered eating psychopathology severity from baseline to 3-month follow-up. [Time frame: From baseline to 3-month follow-up (i.e., 3 months after Week 10).]
- Change in anxiety symptom severity from baseline to Week 4. [Time frame: From baseline to Week 4.]
- Change in anxiety symptom severity from baseline to post-treatment (Week 10). [Time frame: From baseline to post-treatment (Week 10).]
Eligibility criteria
Inclusion criteria
- ≥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).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
Canada · 1 center
- Abbie J Lane Memorial Building, QEII Health Sciences Centre, Nova Scotia Health Authority — Halifax
Identifiers
NCT: NCT06914219 · TEAM-ED