Optimizing Provider Training in Eating Disorders (OPTED)

Study Overview
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Brief Summary
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This is a randomized controlled trial for mental health clinicians comparing two methods of training in family-based treatment (FBT) for restrictive eating disorders.

Detailed Description
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This is a randomized controlled trial for mental health clinicians comparing two methods of training in family-based treatment (FBT) for restrictive eating disorders. Clinicians who treat youth and accept Medicaid insurance within a predetermined group of participating California counties will be randomized to receive either web-based training (WBT) or live two-day training in FBT. Data will be collected on the feasibility, acceptability, appropriateness, and effectiveness of the training (web-based vs. live). Following training, a subset of clinicians may opt into group consultation for one year. Consultation groups will be kept separate by training condition. Data will also be collected from clinicians on the extent to which they perceive the treatment itself (i.e., FBT) as feasible, acceptable, and appropriate for Medicaid-insured youth. In addition to implementation outcomes, de-identified clinical data will be collected from providers about their cases up to one year following the initial training.

Official Title
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Dissemination and Implementation of Family-Based Treatment in Publicly-Funded Clinics: Optimizing Provider Training in Eating Disorders (OPTED)

Conditions
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Anorexia Nervosa, Atypical Anorexia Nervosa

Intervention / Treatment
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* Behavioral: Web-based training
* Behavioral: Live training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mental health provider licensed to practice in the state of California, or unlicensed mental health providers in California who are formally employed by their agency/clinic and have a licensed clinical supervisor who agrees to take legal responsibility for any cases treated with FBT Must treat patients with Medicaid insurance in a participating county Exclusion criteria: - Students (practicum students, interns, externs) or other learners

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Web-based training<br>Web-based training will provide online training primarily focused on family-based treatment and appropriate adaptations to the treatment model. | Behavioral: Web-based training<br>* Web-based training will be divided into training modules that will be completed by participants over the course of 6-8 weeks. Training will include didactic training videos, knowledge checks, example sessions, and a library of resources.<br>|
| Active Comparator: Live training<br>Live training will include two days of expert-led live training (via zoom). The content of the training will be similar to that provided in web-based training, primarily focused on family-based treatment and appropriate adaptations to the treatment model. | Behavioral: Live training<br>* The live training will be delivered by two trainers over the course of two days via Zoom.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants who complete training | Training completion will be the number of participants who complete the full course of training. | Post-training (measured at the time of planned completion, which will be 10 weeks from the start of web-based training, or on the second day of live training) | 
| Change in Family-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training | The FBT Knowledge Assessment (FBT-KA) is an 18-item multiple-choice test that measures knowledge about FBT. Scores range from 0 to 18, with higher scores indicating more knowledge. Change will be examined from baseline (pre-training) to post-training. | Baseline and post-training (measured immediately following completion of training) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants who receive FBT consultation at 12 months | Providers will report on their receipt (yes/no) of FBT-specific consultation in the 12 months following completion of training. | 12-month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Training, Eating disorders, Family based treatment, Medicaid, Community mental health, Children and adolescents, Mental health clinicians