Clinical trial NCT02079142: Implementation of Evidence-based Treatments for On-campus Eating Disorders
Official title: Implementation of Evidence-based Treatments for On-campus Eating Disorders
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Eating Disorders (Excluding Anorexia Nervosa)
Depression
Lead sponsor: Washington University School of Medicine
Sponsor class: OTHER
Collaborators: name: Department of Health and Human Services
name: National Institutes of Health (NIH)
name: National Institute of Mental Health (NIMH)
First posted: 2014-03-05
Enrollment: 223
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The purpose of this study is to evaluate two training methods of IPT with mental health service providers in college counseling centers.

Detailed description: Although there have been major advances in developing evidence-based psychotherapies, the adoption of such treatments by community therapists has been slow. One of the problems is the difficulty therapists in practice have in learning how to conduct an evidence-based psychotherapy. Hence, this study will investigate two methods of teaching therapists interpersonal therapy (IPT), an evidence based treatment for eating disorders and depression, at 40 college or University counseling centers.

Current approaches to training therapists to conduct new treatments typically consist of a one or two day workshop delivered by an expert and provision of a manual for the therapy in question. Recent reviews have concluded that while workshops increase therapists' knowledge, their impact on skills may be short-lived without further consultation. Thus, investigators will supplement IPT training manuals and workshops by offering monthly consultation calls to participating therapists for 12 months following the workshop. The consultation calls are not designed to be case supervision per se. Rather, they are to be seen as extended training on IPT. This training condition is referred to as expert consultation.

The second training strategy, referred to as train-the-trainer, features expertise capacity building within each organization. There is a strong theoretical case for this implementation strategy as it is based on the principles of social cognitive theory, featuring active learning via modeling, feedback on performance, building self-efficacy, and supportive interactions among therapists developing IPT skills. This 'train-the-trainer' approach involves active learning which centers around development of an internal coach and champion, and has been recommended as the most effective means of changing actual therapist behaviors rather than just attitudes and self-reported proficiency. Roth et al. have made the case that effective implementation of evidence-based treatment in routine clinical services requires that the training approximate that which characterized the research context (e.g., continuing feedback and supervision and monitoring of treatment fidelity). Our train-the-trainer strategy offers a practical means of accomplishing this goal.

Eligibility criteria: Inclusion Criteria:

* Currently employed in a participating university counseling center
* Providing regular student-client services

Primary outcomes:
measure: Treatment Fidelity
timeFrame: up to 53 months
Secondary outcomes:
measure: Student Symptom
timeFrame: up to 53 months
Other outcomes:
Locations:
city: Saint Louis
country: United States
facility: Washington University in St. Louis
state: Missouri
Study officials:
affiliation: Washington University School of Medicine
name: Denise E Wilfley, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Stanford University
name: Stewart Agras, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Rutgers University
name: Terrance G Wilson, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wilfley DE, Agras WS, Fitzsimmons-Craft EE, Bohon C, Eichen DM, Welch RR, Jo B, Raghavan R, Proctor EK, Wilson GT. Training Models for Implementing Evidence-Based Psychological Treatment: A Cluster-Randomized Trial in College Counseling Centers. JAMA Psychiatry. 2020 Feb 1;77(2):139-147. doi: 10.1001/jamapsychiatry.2019.3483.