FlexED: National Substudy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-25
SponsorDuke University

About this trial

The purpose of this study is to test the feasibility of disseminating an intervention broadly. "FlexED" is a digital gamified intervention targeting eating disorder symptoms in young women and girls at risk by changing how they experience thoughts and feelings about their body. The digital intervention is based on Acceptance and Commitment Therapy (ACT).

Participants complete seven 20-minute sessions of the intervention using their smartphone over about 8 weeks. Participants also complete questionnaires bi-weekly as they go through the intervention. A final measurement is taken one month after the last digital intervention session. These surveys are all conducted online. Participants are in the study for up to 12 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female between the age of 18-25 years old.

Disqualifiers

Non-English speaking

Trial design

Design model

Single group

Treatments tested in this trial

  • FlexED

    Behavioral

    Intervention consists of seven 20-minute sessions of a digital intervention based on Acceptance and Commitment Therapy (ACT). Participants learn psychological flexibility skills for body-image distress by completing interactive exercises and games with a relatable character and story line and receive rewards that reinforce learning.

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: FlexEDExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change from Baseline in the Body Image - Acceptance and Action Questionnaire (BI-AAQ)-5

Self-report measure of body-image psychological flexibility. The measure consists of 5 items that ask about the degree to which thoughts and feelings about the body interfere with living. Scores range from 5-35, with higher scores indicating greater flexibility/adaptability.

Time frame
Baseline, Week 4, Week 8, Week 12
2

Change from Baseline in the Comprehensive Assessment of Acceptance and Commitment Therapy Processes -10 (CompACT-10)

A 10-item measure of psychological flexibility as a multidimensional construct with subscales of Openness, Awareness and Engagement. Openness scores range from 0-18, Awareness 0-18, and Engagement 0-24. Higher scores indicate greater flexibility/adaptability.

Time frame
Baseline, Week 4, Week 8, Week 12
3

Change in Weight Concern Scale Score

5-item measure of weight concerns (worry about weight, fear of weight gain, dieting history, importance of weight, fear of fatness). Scores range from 0-100, with elevated scores (scores \>= 47) having been associated with an increased risk of developing an eating disorder.

Time frame
Baseline, Week 8, Week 12
4

Change from Baseline in the Eating Disorder Examination Questionnaire - Short (EDE-QS)

Short questionnaire format (12 items) of the clinician-administered interview assessing eating disorder symptom severity. Scores range from 0-36, with higher scores indicating greater symptomatology.

Time frame
Baseline, Week 8, Week 12

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Duke University

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator