Clinical trial NCT03405077: Interpersonal Psychotherapy Online Training Study
Official title: Harnessing Technology for Training Clinicians to Deliver Interpersonal Psychotherapy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Eating Disorder
Keywords: interpersonal psychotherapy
treatment
training
dissemination and implementation
eating disorders
Lead sponsor: Washington University School of Medicine
Sponsor class: OTHER
First posted: 2018-01-19
Enrollment: 43
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: Interpersonal psychotherapy (IPT) is an evidence-based therapy for the treatment of eating disorders (including binge eating disorder, bulimia nervosa, and disordered eating not meeting full diagnostic criteria). On a basic level, IPT is a time-limited treatment that helps the client understand the relationship between symptoms and social interactions. Traditional training methods require substantial cost, time, and resources, making evidence-based treatments difficult to disseminate. As such, college clinicians are not typically trained in IPT delivery, which prevents their clients from reaping the potential benefits of treatment. This study will attempt to show how technology can overcome such barriers to training dissemination.

The purpose of this study is to see if online training in IPT is as effective as in-person training. To find out, the following procedures will occur: First, college mental health clinicians will complete baseline online questionnaires and deliver their usual treatment to 1 or 2 clients with symptoms of eating disorders. Then, they will complete the guided online training program and post-training assessments. Next, they will treat 1 or 2 different clients with eating disorders and complete post-training assessments. As part of the baseline and post-training assessments, clinicians will complete a telephone-based simulation assessment with staff raters, in which the investigators will recreate a client session and rate how well the clinicians adhere to IPT in treating the simulated client. The guided on-line training program will ultimately be compared to the "gold standard" training (the group receiving in-person training in an associated, IRB-approved study, # 201111113).


Eligibility criteria: THERAPISTS:

Inclusion criteria:

* Therapist must be a staff member at the counseling center and have a patient case-load large enough to be able to complete data collection at the different time points (\>8 hours/week)
* Staff member is expected to continue working at the counseling center for several years • Postdocs who anticipate to be at their center for at least one year are eligible

Exclusion criteria:

* Therapists from all universities affiliated with the NIH-funded trial (IRB# 201111113)
* Therapists working less than 8 hours/week
* Therapists who are anticipating leaving employment at the recruited counseling center within the time frame of the study including, but not limited to trainees and interns
* Therapists for whom their administrative duties preclude seeing a sufficient number of clients to be able to complete data collection at the different study time points
* Therapists who do not see students seeking treatment for eating disorders
* Individuals who are non-degreed trainees (i.e., psychology interns)

STUDENTS:

Inclusion criteria:

* Student patients of therapists who seek counseling services at their respective schools
* Students exhibiting symptoms of an eating disorder

Exclusion criteria:

• Students exhibiting symptoms of anorexia nervosa

Primary outcomes:
measure: Treatment fidelity: Adherence
timeFrame: 1-3 years
Secondary outcomes:
measure: Treatment fidelity: Competence
timeFrame: 1-3 years
Other outcomes:
Locations:
Study officials:
affiliation: Scott Rudolph University Professor of Psychiatry, Medicine, Pediatrics, and Psychological & Brain Sciences, Washington University School of Medicine
name: Denise Wilfley, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Oscar K. Buros Professor of Psychology, Rutgers University
name: Terry Wilson, PhD
role: STUDY_DIRECTOR
affiliation: Professor of Psychiatry (Emeritus), Stanford University, School of Medicine
name: Stewart Agras, MD
role: STUDY_DIRECTOR
References: