Clinical trial NCT05400096: Psychological Wellbeing in Clients in Tier 3 Weight Management Service
Official title: Body Image, Psychological Distress, Shame and Disordered Eating in Patients in a Tier 3 Weight Management Service Receiving an Online Delivered, Group Based Compassion Focused Therapy (CFT) Informed Psychological Intervention
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Psychological Distress
Obesity
Disordered Eating
Shame
Body Image
Lead sponsor: Canterbury Christ Church University
Sponsor class: OTHER
First posted: 2022-06-01
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This study aims to conduct an initial, single case investigation of changes in feelings of shame, overall psychological wellbeing, body image and disordered eating in patients in naturalistic setting, Tier 3 weight management service, following CFT based, online group intervention that runs for 12 weeks.

Detailed description: Tier 3 weight management services are led by multidisciplinary teams (MDTS) what usually include physicians, dieticians, nurses, physiotherapist, psychiatrists, and psychologists. In the service where the study is conducted referrals to psychology are often made by a dietician. The psychologist in the service also accepts self referrals from patients either during initial assessment with dieticians or at any point of their journey in the service. The psychology pathway is "opt-in", in other words, only patient who actively express interest, motivation and wish to make use of the additional psych resource and accepted.

The participants will be offered the intervention by the group facilitating clinician (who is a part of care team). Initially the principal supervisor was meant to facilitate group intervention, but because the principal supervisor is going on maternity leave the group will be facilitated by a qualified substitute clinician. This clinician will offer an assessment of needs to all patients referred for psychological support. The clinician will act as a gatekeeper and will offer CFT based group intervention when clinically and ethically appropriate (see the exclusion and inclusion criteria below). Taking part in the intervention and signing up for the research will not affect the care patients receive from MDT in the service.

Eligibility criteria: Inclusion Criteria:

* adults with BMI over 30 who have been referred to Tier 3 weight management service.
* Adults with BMI over 25 with Diabetes who have been referred to Tier 3 weight management service.

Exclusion Criteria:

* group intervention not considered clinically appropriate, following specialist assessment of needs
* not being able to commit to 12-week intervention
* severe interpersonal difficulties that would be disruptive to other group's participants
* moderate to severe learning difficulties
* current alcohol or drug abuse.

Primary outcomes:
measure: Experiential Shame Scale
timeFrame: 20 weeks
measure: Clinical Outcomes in Routine Evaluation 10
timeFrame: 20 weeks
measure: Disordered Eating Questionnaire
timeFrame: 20 weeks
measure: The Three-Factor Eating Questionnaire-Revised
timeFrame: 20 weeks
measure: The Body Appreciation Scale-2
timeFrame: 20 weeks
Secondary outcomes:
Other outcomes:
measure: Experience of the intervention after it has ended
timeFrame: 20 weeks
Locations:
Study officials:
References: