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

Обзор

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.

Вмешательства

• Поведенческое 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.

Первичные конечные точки

• Screening Engagement Rate [Срок оценки: 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.]

Вторичные конечные точки (12)

• Screening Initiation Rate [Срок оценки: From 3- to 18-months post-weight loss surgery.]
• Proportion of eligible patients who screen positive for loss of control eating. [Срок оценки: From 3- to 18-months post-weight loss surgery.]
• Proportion of eligible patients who undergo a disordered eating diagnostic interview. [Срок оценки: 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. [Срок оценки: 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. [Срок оценки: 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. [Срок оценки: From baseline to post-treatment (Week 10).]
• Change in disordered eating psychopathology severity from baseline to Week 4. [Срок оценки: From baseline to Week 4.]
• Change in disordered eating psychopathology severity from baseline to post-treatment (Week 10). [Срок оценки: From baseline to post-treatment (Week 10).]
• Change in disordered eating psychopathology severity from baseline to 1-month follow-up. [Срок оценки: 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. [Срок оценки: From baseline to 3-month follow-up (i.e., 3 months after Week 10).]
• Change in anxiety symptom severity from baseline to Week 4. [Срок оценки: From baseline to Week 4.]
• Change in anxiety symptom severity from baseline to post-treatment (Week 10). [Срок оценки: From baseline to post-treatment (Week 10).]

Критерии участия

Критерии включения

• ≥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).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Канада · 1 центр

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

Идентификаторы

NCT: NCT06914219 · TEAM-ED

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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