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.
While many approaches to reducing relapse after hospital care have been tried, there is little information about which treatment elements confer benefit. This trial, Relapse Prevention and Changing Habits (REACH+), targets the habitual control of maladaptive behavior to support patients with AN in the 6 months after acute treatment, a time of high vulnerability to relapse. Each component of REACH+ addresses a question that is critical to answer in order to identify and optimize a relapse prevention treatment package that balances efficacy and burden. We will test the acceptability and feasibility of 5 components that together target habits: 1) Behavioral, 2) Cognitive, 3)Motivation, 4) Food Monitoring, and 5) Skill Consolidation. In the Preparation Phase, 10 participants were enrolled, and accessibility and feasibility of the treatment package was examined. The current Optimization Phase includes a finalized treatment manual (including an online platform) and will test each component's contribution to weight maintenance after acute treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Psychotherapy
New York State Psychiatric Institute
New York, New York, United States
RECRUITINGWeight maintenance
Measured via rate of weight loss (in lbs) following discharge from inpatient unit
Time frame: 6-month end of treatment
Habit strength
Measured via Self-Report Habit Index (SRHI)
Time frame: 6-month end of treatment
Weight/shape distortion
Measured via Eating Disorder Examination, Questionnaire Version (EDE-Q)
Time frame: 6-month end of treatment
Intrinsic motivation
Measured via General Self-Efficacy Scale (GSES)
Time frame: 6-month end of treatment
Dietary restriction
Measured via Food Choice Task
Time frame: 6-month end of treatment
Skill consolidation
Measured via platform utilization time
Time frame: 6-month end of treatment
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