Clinical trial NCT05389657: Optimizing Provider Training in Eating Disorders (OPTED)
Official title: Dissemination and Implementation of Family-Based Treatment in Publicly-Funded Clinics: Optimizing Provider Training in Eating Disorders (OPTED)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Anorexia Nervosa
Atypical Anorexia Nervosa
Keywords: Training
Eating disorders
Family based treatment
Medicaid
Community mental health
Children and adolescents
Mental health clinicians
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2022-05-25
Enrollment: 85
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Number of participants who complete training
timeFrame: 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)
measure: Change in Family-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training
timeFrame: Baseline and post-training (measured immediately following completion of training)
Secondary outcomes:
measure: Number of participants who receive FBT consultation at 12 months
timeFrame: 12-month follow-up
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: University of California, San Francisco
state: California
Study officials:
affiliation: University of California, San Francisco
name: Erin C Accurso, PhD
role: PRINCIPAL_INVESTIGATOR
References: