Relapse Prevention and Changing Habits in Anorexia Nervosa

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorNew York State Psychiatric Institute

About this trial

This study aims to optimize a treatment package for the relapse prevention treatment of AN. In the Preparation Phase, we examined accessibility and feasibility of the treatment package.

In the current Optimization Phase, we will identify which components of treatment contribute to positive outcomes after acute hospitalization. We will carefully evaluate maintenance of remission, measured by rate of weight loss and end-of-trial status.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of Anorexia Nervosa at hospital admission

Medically Stable

Internet capability with videoconferencing

Weight restored (BMI > 19 kg/m2) at New York State Psychiatric Institute

Disqualifiers

Current substance use or other comorbid disorder requiring specialized treatment

Pregnancy

Imminent risk of suicide

Serious medical illness

Trial design

Design model

Factorial

Treatments tested in this trial

  • Relapse Prevention and Changing Habits (REACH+)

    Behavioral

    Psychotherapy

Treatment groups

60 Participants
are divided into 26 treatment groups

26

Treatment groups

See each treatment group below.

Group A: Do, Accept, Motivation Through Values, Sessions, Long-Term Food Logs,Experimental treatment 1 intervention
Group B: Do, Accept, Motivation through Values, Sessions, Short-Term Food LogsExperimental treatment 1 intervention
Group C: Do, Accept, Motivation through Values, Check-Ins, Short-Term Food LogsExperimental treatment 1 intervention
Group D: Do, Accept, Motivation through Values, Check-Ins, No Food LogsExperimental treatment 1 intervention
Group E: Do, Accept, Motivation through Narratives, Sessions, Short-Term Food LogsExperimental treatment 1 intervention
Group F: Do, Accept, Motivation through Narratives, Sessions, No Food LogsExperimental treatment 1 intervention
Group G: Do, Accept, Motivation through Narratives, Check-Ins, Long-Term Food LogsExperimental treatment 1 intervention
Group H: Do, Change, Motivation Through Values, Sessions, Short-Term Food LogsExperimental treatment 1 intervention
Group I: Do, Change, Motivation Through Values, Sessions, No Food LogsExperimental treatment 1 intervention
Group J: Do, Change, Motivation through Values, Check-Ins, Long-Term Food LogsExperimental treatment 1 intervention
Group K: Do, Change, Motivation Through Narratives, Sessions, Long-term Food LogsExperimental treatment 1 intervention
Group L: Talk, Accept, Motivation through Values, Sessions, Short-Term Food LogsExperimental treatment 1 intervention
Group M: Talk, Accept, Motivation through Values, Sessions, No Food LogsExperimental treatment 1 intervention
Group N: Talk, Accept, Motivation through Narratives, Check-Ins, Short-Term Food LogsExperimental treatment 1 intervention
Group O: Talk, Accept, Motivation through Narratives, Check-Ins, No Food LogsExperimental treatment 1 intervention
Group P: Talk, Change, Motivation Through Values, Sessions, Long-Term Food LogsExperimental treatment 1 intervention
Group Q: Talk, Change, Motivation Through Values, Sessions, No Food LogsExperimental treatment 1 intervention
Group R: Talk, Change, Motivation through Values, Check-Ins, Short-Term Food LogsExperimental treatment 1 intervention
Group S: Talk, Change, Motivation through Values, Check-Ins, No Food LogsExperimental treatment 1 intervention
Group T: Talk, Change, Motivation through Narratives, Sessions, Short-Term Food LogsExperimental treatment 1 intervention
Group U: Talk, Change, Motivation through Narratives, Sessions, No Food LogsExperimental treatment 1 intervention
Group V: Talk, Change, Motivation through Narratives, Check-Ins, Long-Term Food LogsExperimental treatment 1 intervention
Group W: Do, Change, Motivation through Narratives, Check-Ins, Short-Term Food LogsExperimental treatment 1 intervention
Group X: Do, Change, Motivation through Narratives, Check-Ins, No Food LogsExperimental treatment 1 intervention
Group Y: Talk, Accept, Motivation through Values, Check-Ins, Long-Term Food LogsExperimental treatment 1 intervention
Group Z: Talk, Accept, Motivation through Narratives, Sessions, Long-Term Food LogsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Weight maintenance

Measured via rate of weight loss (in lbs) following discharge from inpatient unit

Time frame
6-month end of treatment

Secondary outcomes

1

Habit strength

Measured via Self-Report Habit Index (SRHI)

Time frame
6-month end of treatment
2

Weight/shape distortion

Measured via Eating Disorder Examination, Questionnaire Version (EDE-Q)

Time frame
6-month end of treatment
3

Intrinsic motivation

Measured via General Self-Efficacy Scale (GSES)

Time frame
6-month end of treatment
4

Dietary restriction

Measured via Food Choice Task

Time frame
6-month end of treatment

Other outcomes

Sponsors and contacts

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

New York State Psychiatric Institute

Lead sponsor

Columbia University

Collaborator

Brown University

Collaborator

National Institute of Mental Health (NIMH)

Collaborator