Evaluation of Eating Difficulties Assessment Measures in Clinical Practice and in Epidemiological Surveys

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

The hypothesis of the study is that low-cost self-completion questionnaires relating to eating disorder symptoms will predict the subsequent results of a detailed, semi-structured interview assessment of eating disorder symptoms that has been calibrated according to expert clinical diagnostic case thresholds. Eating disorders are recognised as a research priority among healthcare professionals, adults with lived experience, and their carers alike. There is a need for measurement methods that can reliably and systematically identify symptoms of common forms of eating disorder, including those fulfilling agreed diagnostic criteria for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Effective diagnostic interview tools can facilitate early detection of eating disorders. To develop rules for determining whether diagnostic criteria for eating disorders are met, a study involving adults referred to specialist eating disorder services is required. In this study, assessments by eating disorder clinicians will be compared with researcher assessments using a semi-structured interview assessment, the Schedules for Clinical Assessment in Neuropsychiatry version 3 section 9 (SCANv3s9). The study population will consist of 100 adult patients referred to specialist eating disorder services, including patients whose referrals are accepted by these services, as well as those who are not. Clinical assessments and structured interview assessment findings will also be compared with those from widely used screening tools for eating disorders, the Eating Disorder Examination Questionnaire short-form and the SCOFF (Sick, Control, One, Fat, Food) questionnaire. The aim of this study is to evaluate the accuracy of the Eating Disorder Examination Questionnaire Short-Form (EDE-QS) and the SCOFF (Sick, Control, One, Fat, Food) questionnaire in adults referred to specialist eating disorder services, in a comparison with the Schedules for Clinical Assessment in Neuropsychiatry subsection on eating disorders and specialist NHS clinician assessments of the probability of eating disorder. This will help develop appropriate and accurate benchmarks for estimating the prevalence of eating disorder symptoms and clinical diagnoses, in adults referred to specialist eating disorder services, as well as the wider population (through combining the findings from this study with those of the community 2023 Adult Psychiatric Morbidity Survey).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 16
View:

• Individuals aged 16 years or older (on the date of referral to specialist eating disorder services)

• Individuals referred to specialist adult eating disorder services during the study period

Locations
Other Locations
United Kingdom
Leicestershire Partnership NHS Trust
RECRUITING
Leicester
Contact Information
Primary
Associate Professor of Psychiatry & Honorary Consultant Psych, MRCPsych,PhD
st386@leicester.ac.uk
+44 (0)116 252 5451
Backup
Traolach S. Brugha, FRCPsych,MD
tsb@leicester.ac.uk
+44 (0)116 252 3211
Time Frame
Start Date: 2024-01-15
Estimated Completion Date: 2027-05
Participants
Target number of participants: 100
Treatments
Adults referred to eating disorder services
A cohort of adults referred to a specialist adult eating disorders service will be recruited. A stratified sample of patients will be approached about participating in the study, providing the study inclusion criteria are met, and their responsible clinician does not express concerns about their participation. All study participants will be assessed with the SCAN semi-structured interview (including version 2 of the SCAN, SCANv3s0, SCANv3s1, and SCANv3s9) and will also complete two self-completion measures, the EDE-QS and the SCOFF, randomly ordered. The SCAN items will be asked about in the context of the past 4 weeks and the directly preceding 11 months (i.e., the past year), unless otherwise stated. Additionally, a subset of study participants (n = 25) will be reassessed with the SCANv3s0, SCANv3s1, SCANv3s9, EDE-QS, and SCOFF, for test-retest reliability.
Related Therapeutic Areas
Sponsors
Collaborators: Leicestershire Partnership NHS Trust, University of London, National Centre for Social Research, London, UK, City, University of London
Leads: University of Leicester

This content was sourced from clinicaltrials.gov