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Trial registered on ANZCTR
Registration number
ACTRN12619001438145
Ethics application status
Approved
Date submitted
2/10/2019
Date registered
17/10/2019
Date last updated
12/03/2020
Date data sharing statement initially provided
17/10/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Addressing eating disorder symptoms through a smartphone app
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Scientific title
The efficacy of a app-based smartphone intervention for reducing eating disorder symptoms: A randomized controlled trial
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Secondary ID [1]
299463
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Eating disorder
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Condition category
Condition code
Mental Health
313027
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will be delivered via a smartphone app. The intervention is designed to address core eating disorder symptoms and maintaining factors. There will be 4 modules to this intervention, and participants will be asked to complete these modules in order. The content covering each module is as follows:
1. Psycho-education: information about the eating disorder cycle and relevant maintaining factors of eating disorder behaviors.
2. Self-monitoring and regular eating: module designed to address extreme dietary restraint patterns.
3. Emotion regulation: module designed to promote adaptive emotion regulation strategies (e.g., problem solving, mindfulness)
4. Body image: module designed to provide techniques around how to promote a positive body image and reduce a negative body image.
Participants will be encouraged to commence each new module after around 7 days, although they will be instructed that they can go at a pace that suits them. Each module will take approximately 1 hour to complete, and participants will be encouraged to implement the strategies prescribed in each module on a daily basis.
Each module will contain various audio recordings of a professional describing and guiding the intervention content and what is required; various quizzes to facilitate learning; text boxes for participants to read; and writing spaces for participants to record their thoughts, feelings and behaviors to certain exercises.
Text message reminders will be provided on a weekly basis to enhance adherence to the intervention.
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Intervention code [1]
315714
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Prevention
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Comparator / control treatment
Wait-list control (participants will have access to the smartphone app after the intervention phase)
The wait-list will last 4 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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EDE-Q global scores
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Assessment method [1]
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Timepoint [1]
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Post-test (6 weeks post-baseline)
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Secondary outcome [1]
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Binge eating frequency
This will be assessed via a single item (item 14) on the widely used Eating Disorder Examination Questionnaire (Fairburn & Beglin, 1994).
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Assessment method [1]
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Timepoint [1]
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Post-test (6 weeks post-baseline)
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Secondary outcome [2]
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EDE-Q weight concerns
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Assessment method [2]
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Timepoint [2]
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Post-test (6 weeks post-baseline)
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Secondary outcome [3]
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EDE-Q shape concern
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Assessment method [3]
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Timepoint [3]
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Post-test (6 weeks post-baseline)
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Secondary outcome [4]
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EDE-Q dietary restraint
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Assessment method [4]
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Timepoint [4]
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Post-test (6 weeks post-baseline)
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Secondary outcome [5]
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Clinical Impairment Assessment scores
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Assessment method [5]
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Timepoint [5]
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Post-test (6 weeks post-baseline)
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Secondary outcome [6]
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Depression Anxiety Stress Scale - Total Score
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Assessment method [6]
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Timepoint [6]
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Post-test (6 weeks post-baseline)
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Secondary outcome [7]
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General well-being scores (WEMWBS)
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Assessment method [7]
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Timepoint [7]
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Post-test (6 weeks post-baseline)
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Eligibility
Key inclusion criteria
1) Male or females
2) Aged 18 years or over
3) Owns a smartphone
4) Experienced at least one episode of binge eating over the past 4 weeks.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Minor (< 18 years)
2) Not symptomatic (defined as not having experienced an episode of binge eating over the past 4 weeks)
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
2/03/2020
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Actual
13/02/2020
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Date of last participant enrolment
Anticipated
1/10/2020
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Actual
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Date of last data collection
Anticipated
30/11/2020
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Actual
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Sample size
Target
242
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Accrual to date
153
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Deakin University
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Address [1]
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221 Burwood Hwy, Burwood VIC 3125
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
Melbourne Burwood Campus, 221 Burwood Highway, Burwood, VIC 3125, Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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NA
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Address [1]
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NA
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Country [1]
304133
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Deakin Research Ethics Committee
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Ethics committee address [1]
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Melbourne Burwood Campus, 221 Burwood Highway, Burwood, VIC 3125, Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/04/2019
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Approval date [1]
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29/05/2019
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Ethics approval number [1]
304464
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Summary
Brief summary
Novel methods of intervention delivery that factor in scalability, cost-effectiveness, and engagement of hard-to-reach populations are urgently needed to address concerns that fewer than 25% of people with eating disorder symptoms seek or receive treatment. Preliminary evidence indicates that interventions delivered via smartphone apps can effectively address eating disorder symptoms. However, randomized controlled trials of stand alone app-based smartphone interventions have yet to be conducted. The present RCT examines the efficacy of an app-based cognitive-behavioural intervention delivered via a smartphone on eating disorder symptoms. The hypothesis is: Participants allocated to the smartphone intervention will experience significantly greater reductions in eating disorder symptoms, quality of life impairment, and psychological distress at post-test (6 weeks from baseline) relative to participants allocated to the wait-list control.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Jake Linardon
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Address
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Deakin University
221 Burwood Highway, Burwood, Victoria 3125
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jake Linardon
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Address
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Deakin University
221 Burwood Highway, Burwood, Victoria 3125
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jake Linardon
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Address
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Deakin University
221 Burwood Highway, Burwood, Victoria 3125
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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