Evolution of cognitive-behavioral therapy for eating disorders.
W Stewart Agras, Ellen E Fitzsimmons-Craft, Denise E Wilfley
https://pubmed.ncbi.nlm.nih.gov/28110674Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID05304104
Building an Equitable and Accessible System of Eating Disorder Care for VA, DoD, and Underrepresented Americans With Eating Disorders (EASED Study)
Led by VA Connecticut Healthcare System · Updated on 2025-11-25
144
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
V
VA Connecticut Healthcare System
Lead Sponsor
U
United States Department of Defense
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are studying ways to improve access to evidence-based treatments for eating disorders, specifically Bulimia Nervosa and Binge Eating Disorder, among active duty Service members and Veterans. This trial compares two types of cognitive behavioral therapy (CBT) delivered virtually or as self-help, aiming to reduce binge eating frequency and improve mental health outcomes. The study also seeks to inform VA Clinical Practice Guidelines to better serve diverse and underrepresented populations affected by eating disorders. Participants will be randomly assigned to one of two groups: Telehealth Cognitive Behavioral Therapy (TeleCBT) or Self-Help Cognitive Behavioral Therapy (shCBT). TeleCBT involves 8 to 10 individual sessions conducted by a master's-level clinician over three months using an approved video platform. The shCBT group will receive the same treatment materials by mail and complete one chapter per week independently over 12 weeks. Both treatments use the same CBT manual adapted for Veterans. During the study, participants will have assessments at baseline, 3 months (post-treatment), and 6 months to measure changes in binge frequency using interviews and questionnaires. Additional evaluations will track depression, PTSD symptoms, overall wellness, and participant engagement and satisfaction. Researchers will monitor progress via surveys and clinical interviews to understand treatment effects and support future implementation. The total participation duration spans at least six months, including follow-up evaluations.
CONDITIONS
Brief Title
Building an Equitable and Accessible System of Eating Disorder Care for VA, DoD, and Underrepresented Americans
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Aged 18 and older
- Diagnosed with Bulimia Nervosa or Binge Eating Disorder based on DSM-5 criteria
- Current user of Veteran Health Administration (VHA) services
You will not qualify if you...
- Active psychosis or high acute risk for suicide
- Medical or psychiatric illness, or cognitive issues that prevent consent, assessments, or treatment participation
- Pregnancy or lactation
- Suspected Anorexia or Atypical Anorexia (referred to other VA services)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Outpatient Treatment
Duration - 3 months
Participants receive Cognitive Behavioral Therapy (CBT) either through Telehealth sessions or self-help materials to reduce binge eating behaviors.
8 to 10 hourly sessions for TeleCBT or weekly self-help chapters for shCBT
Follow-up
Duration - 3 months
Participants are monitored after treatment to assess ongoing changes in eating behavior and mental health outcomes.
Assessments at 3 and 6 months post-baseline
Trial Site Locations
Total: 1 location
1
VA Connecticut Healthcare System
West Haven, Connecticut, United States, 06516
Actively Recruiting
Loading map...
Research Team
R
Robin M Masheb, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome.
Kelly C Allison, Jennifer D Lundgren, John P O'Reardon...
https://pubmed.ncbi.nlm.nih.gov/18167324Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies.
Jon Arcelus, Alex J Mitchell, Jackie Wales...
https://pubmed.ncbi.nlm.nih.gov/21727255Eating disorders in military and veteran men and women: A systematic review.
Brooke A Bartlett, Karen S Mitchell
https://pubmed.ncbi.nlm.nih.gov/26310193Validation of the Insomnia Severity Index as an outcome measure for insomnia research.
C H. Bastien, A Vallières, C M. Morin
https://pubmed.ncbi.nlm.nih.gov/11438246Healthcare costs and resource utilization of patients with binge-eating disorder and eating disorder not otherwise specified in the Department of Veterans Affairs.
Brandon K Bellows, Scott L DuVall, Aaron W C Kamauu...
https://pubmed.ncbi.nlm.nih.gov/25959636Automated identification of patients with a diagnosis of binge eating disorder from narrative electronic health records.
Brandon K Bellows, Joanne LaFleur, Aaron W C Kamauu...
https://pubmed.ncbi.nlm.nih.gov/24201026Reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) imbedded within a general health risk screening questionnaire: results of a survey in 332 primary care patients.
J B Daeppen, B Yersin, U Landry...
https://pubmed.ncbi.nlm.nih.gov/10832907Assessment of eating disorders: interview or self-report questionnaire?
C G Fairburn, S J Beglin
https://pubmed.ncbi.nlm.nih.gov/7866415Development and validation of the Eating Pathology Symptoms Inventory (EPSI).
Kelsie T Forbush, Jennifer E Wildes, Lauren O Pollack...
https://pubmed.ncbi.nlm.nih.gov/23815116