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Bulimia NervosaFAKTNCT02079935

Treatment of Eating Disorders by Physical Activity and Nutrition Counseling

A study testing Cognitive Behaviour Therapy and Physical Activity and Dietary Therapy in people with Bulimia Nervosa and Binge Eating Disorder, run by Norwegian School of Sport Sciences at 1 site in Norway.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

"Eating disorders" includes anorexia nervosa, bulimia nervosa, binge eating and other specified feeding or eating disorder (OSFED). Common to all is the intensively occupation to control food intake, body image and body weight. Read more about this study

Who is it for?
Ages 18 to 40 years, women only
Conditions the study is for
Bulimia Nervosa, Binge Eating Disorder
What is being tested?
Cognitive Behaviour Therapy and Physical Activity and Dietary Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
128 participants
Where
1 siteNorway
Study dates
Mar 2014to 31 Jan 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 40 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women,
  • BMI 17,5-35,
  • Age of 18-40 years,
  • DSM-5 criteria of bulimia nervosa,
  • DSM-5 criteria of Binge eating disorder
  • Living nearby Norwegian School of Sports Sciences, NSSS, in Oslo (Norway)

Who cannot join

  • Age <18 and >40 years
  • BMI <17,5 and >35
  • Pregnancy
  • Competing/experienced athlete
  • Anorexia nervosa
  • Currently, or during the past 2 years, in active treatment with cognitive therapy
  • Other personality disturbances
  • Suicidality

Trial locations and contacts

1 site in 1 country.

Norway1 site
  • Norwegian School of Sports Sciences

    Oslo, 0806

Other trials in Norway

About this study

Official title: Treatment of Eating Disorders - a Randomised, Controlled, Prospective Study

"Eating disorders" includes anorexia nervosa, bulimia nervosa, binge eating and other specified feeding or eating disorder (OSFED). Common to all is the intensively occupation to control food intake, body image and body weight. Most people with this kind of disorder don't reach for professional help, or there may be more than 4 years before they do. Cognitive behavior therapy is the foremost method of treatment of eating disorders, but up to 30-50% of the patients don't respond to this. The investigators find it important to identify science based alternatives of therapy, as this may reduce the health concern, and broaden the choice of therapy methods. A former study by Sundgot-Borgen et al in 2002, found guided physical activity to reduce symptoms of bulimia nervosa just as good as the traditional cognitive therapy.

The primary objective of the project is to see whether the combination of physical exercise and dietary therapy is more effective in treating eating disorders, than cognitive therapy.

Secondly, the investigators want to see whether there are any differences with regard to the individual satisfaction of treatment method, and to associated costs. Interviews with a sufficient number of participants from the PED-t arm to meet data saturation criteria, and all theraphists in the new treatment offer, will give uniqe insight to experiences with the treatment method and the delivery of treatment.

Read the detailed description

Subjects are recruited through primary doctors, social media and newspapers, and will be included continuously by screening interviews. There will be a randomization into two treatment groups (cognitive behavior, or physical activity and nutrition education) to be followed for 16 weeks. Each week includes one meeting of group therapy (90 minutes) and homework related to treatment, and for 4 weeks midway there will be two therapy meetings pr week (a total of 20 meetings). Post tests are planned at week 17, and at 6, 12, and 24 months after treatment.

Participants reqruited during ongoing treatment groups are placed on a waitlist, serving as controls to the treatment groups.

Being tested
Cognitive Behaviour Therapy, Physical Activity and Dietary Therapy
Keywords
BN, Binge, overconsumption of food, purging, purge
Medical subject headings
Bulimia Nervosa, Binge-Eating Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cognitive Behaviour TherapyBehavioural

    Also called CBT-ED, CBT-enhanced, CBT-e

    Following group-modified protocol for cognitive behavioral therapy, CBT, first described by Fairburn 2008, modified by Modum Bad, Norway.

  • Physical Activity and Dietary TherapyBehavioural

    Also called PADT, FAKT, PED-t

    Guided physical activity and dietary therapy, to (re-)introduce a more healthy lifestyle and help stabilizing a healthy weight. A detailed manual will be published.

Study groups in NCT02079935
Study groupRoleWhat they receive
Cognitive Behaviour TherapyExperimentalTreatment with small groups following a modified protocol first described by Fairburn 2008
Receives: Behavioral: Cognitive Behaviour Therapy
Physical activity and dietary therapyExperimentalTreatment with guided physical activity and dietary therapy in small groups
Receives: Behavioral: Physical Activity and Dietary Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Effectiveness of treatment, evaluated through the change in symptoms of eating disorder

    Change in ED-symptoms are evaluated through screening and surveys: EDE-questionaire (Episodes of binge eating, episodes of purging, concern for body weight and appearance)(Fairburn, 2008), Clinical Impairment Assessment (CIA) (Fairburn, 2008), Eating Disorder Inventory-3 (EDI) (Garner, 2004), Eating Disturbance Scale (EDS-5) (Rosenvinge et al., 2000), DSM-5 (APA, 2013)

    Measured: Pre-test in week 0, Post-tests (week 17), and at 6, 12, and 24 months after intervention.

Secondary outcomes (18)
  1. Expectations of treatment method for eating disorders

    Interview on the expectations the patients have to the specified treatment method of eating disorders (arm of intervention) EPDEX (Clinton 2001)

    Measured: Pre-test

  2. Experiences of the treatment method for eating disorders

    Interview on the experiences the patients have to the specified treatment method of eating disorders (arm of intervention), EPDEX (Clinton 2001)

    Measured: Post-test (week 17)

  3. Associated cost with treatment method

    Calculation of the directly and indirectly cost related to treatment method

    Measured: Pre-test

  4. Associated cost with treatment method

    Calculation of the directly and indirectly cost related to treatment method

    Measured: Post-test (week 17)

  5. Associated cost With treatment method

    Calculation of the directly and indirectly cost related to treatment method

    Measured: Post-test (by 6th month post-treatment)

  6. Associated cost With treatment method

    Calculation of the directly and indirectly cost related to treatment method

    Measured: Post-test (by 12th month post-treatment)

  7. Associated cost with treatment method

    Calculation of the directly and indirectly cost related to treatment method

    Measured: Post-test (by 24th month post-treatment)

  8. Global measurement of general psychopathology

    Beck's Anxiety Inventory (BAI), Beck Depression Inventory (BDI), QoL (Diener), Utrecht Coping List, Resilience Scale for Adults, the outcome rating scale (ORS), the three-factor eating questionnaire (TFEQ), Binge eating Scale (BES), Cantril's Ladder, Exercise dependency test, compulsice exercise test

    Measured: Pre-treatment

  9. Global measurement of general psychopathology

    Beck's Anxiety Inventory (BAI), Beck Depression Inventory (BDI), QoL (Diener), Utrecht Coping List, Resilience Scale for Adults, the outcome rating scale (ORS), the three-factor eating questionnaire (TFEQ), Binge eating Scale (BES), Cantril's Ladder, Exercise dependency test, compulsice exercise test

    Measured: Post-treatment (week 17)

  10. Global measurement of general psychopathology

    Beck's Anxiety Inventory (BAI), Beck Depression Inventory (BDI), QoL (Diener), Utrecht Coping List, Resilience Scale for Adults, the outcome rating scale (ORS), the three-factor eating questionnaire (TFEQ), Binge eating Scale (BES), Cantril's Ladder, Exercise dependency test, compulsice exercise test

    Measured: Post-treatment (by the 6th month post-treatment)

  11. Global measurement of general psychopathology

    Beck's Anxiety Inventory (BAI), Beck Depression Inventory (BDI), QoL (Diener), Utrecht Coping List, Resilience Scale for Adults, the outcome rating scale (ORS), the three-factor eating questionnaire (TFEQ), Binge eating Scale (BES), Cantril's Ladder, Exercise dependency test, compulsice exercise test

    Measured: Post-test (by 12th month post-treatment)

  12. Global measurement of general psychopathology

    Beck's Anxiety Inventory (BAI), Beck Depression Inventory (BDI), QoL (Diener), Utrecht Coping List, Resilience Scale for Adults, the outcome rating scale (ORS), the three-factor eating questionnaire (TFEQ), Binge eating Scale (BES), Cantril's Ladder, Exercise dependency test, compulsice exercise test

    Measured: Post-test (by 24th month post-treatment)

  13. Group climate

    coerciveness scale from Therapeutic Factor Inventory (Lese \& MacNair-Semands, 2000).

    Measured: week 1-16

  14. Working AIliance

    Working AIliance Inventory (Horwath \& Greenberg, 1989)

    Measured: week 1-16

  15. Experiences of the treatment method for eating disorders

    Interview on the experiences the patients have to the specified treatment method of eating disorders (arm of intervention) (Clinton 2001)

    Measured: Post-test (6 months)

  16. Experiences of the treatment method for eating disorders

    Interview on the experiences the patients have to the specified treatment method of eating disorders (arm of intervention) (Clinton 2001)

    Measured: Post-test (by 12th month post-treatment)

  17. Experiences of the treatment method for eating disorders

    Interview on the experiences the patients have to the specified treatment method of eating disorders (arm of intervention) (Clinton 2001)

    Measured: Post-test (by 24th month post-treatment)

  18. Change in eating disorder behavior and cognitions related to body figure and bodyweight

    Evaluation after each therapy session on progress in reducing eating disordered behaviour (binging and purging) and on changes of cognitions on body figure and -weight

    Measured: Week 1-16 during treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2014 (estimated)
  2. Study startMar 2014
  3. Primary completion31 Jan 2019
  4. Study completion31 Jan 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Comparing treatment of cognitive behavioural therapy, with treatment of physical exercise and dietary therapy. All participants randomized to either of the two treatment offers. Waitlist serves as control group.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
128 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02079935
Sponsor's protocol ID
2013/344
Other IDs
2013/1871
Acronym
FAKT
Status last verified
Mar 2019
First submitted
17 Feb 2014
Last updated
13 Mar 2019
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Sundgot-Borgen J, Rosenvinge JH, Bahr R, Schneider LS. The effect of exercise, cognitive therapy, and nutritional counseling in treating bulimia nervosa. Med Sci Sports Exerc. 2002 Feb;34(2):190-5. doi: 10.1097/00005768-200202000-00002.

    PubMed 11828224
  • Mathisen TF, Sundgot-Borgen J, Rosenvinge JH, Bratland-Sanda S, Svendsen M, Pettersen G, Vrabel K, Friborg O. Metabolic profile in women with bulimia nervosa or binge-eating disorder before and after treatment: secondary analysis from the randomized PED-t trial. Eat Weight Disord. 2023 Apr 27;28(1):41. doi: 10.1007/s40519-023-01567-y.

    PubMed 37103592
  • Mathisen TF, Rosenvinge JH, Friborg O, Vrabel K, Bratland-Sanda S, Pettersen G, Sundgot-Borgen J. Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies. Int J Eat Disord. 2020 Apr;53(4):574-585. doi: 10.1002/eat.23228. Epub 2020 Jan 16.

    PubMed 31944339
  • Pettersen G, Rosenvinge JH, Skomakerstuen T, Sordal S, Mathisen TF, Sundgot-Borgen J. Patient expectations of a new treatment for eating disorders combining guided physical exercise and dietary therapy: an interview study of women participating in a randomised controlled trial at the Norwegian School of Sport Sciences. BMJ Open. 2019 Apr 20;9(4):e025344. doi: 10.1136/bmjopen-2018-025344.

    PubMed 31005919
  • Mathisen TF, Bratland-Sanda S, Rosenvinge JH, Friborg O, Pettersen G, Vrabel KA, Sundgot-Borgen J. Treatment effects on compulsive exercise and physical activity in eating disorders. J Eat Disord. 2018 Dec 13;6:43. doi: 10.1186/s40337-018-0215-1. eCollection 2018.

    PubMed 30559966
  • Mathisen TF, Rosenvinge JH, Friborg O, Pettersen G, Stensrud T, Hansen BH, Underhaug KE, Teinung E, Vrabel K, Svendsen M, Bratland-Sanda S, Sundgot-Borgen J. Body composition and physical fitness in women with bulimia nervosa or binge-eating disorder. Int J Eat Disord. 2018 Apr;51(4):331-342. doi: 10.1002/eat.22841. Epub 2018 Feb 23.

    PubMed 29473191
  • Mathisen TF, Engen KM, Sundgot-Borgen J, Stensrud T. Evaluation of a short protocol for indirect calorimetry in females with eating disorders and healthy controls. Clin Nutr ESPEN. 2017 Dec;22:28-35. doi: 10.1016/j.clnesp.2017.09.003. Epub 2017 Oct 5.

    PubMed 29415831
  • Bakland M, Sundgot-Borgen J, Wynn R, Rosenvinge JH, Stornaes AV, Pettersen G. Therapists' experiences with a new treatment combining physical exercise and dietary therapy (the PED-t) for eating disorders: an interview study in a randomised controlled trial at the Norwegian School of Sport Sciences. BMJ Open. 2018 Jan 11;8(1):e019386. doi: 10.1136/bmjopen-2017-019386.

    PubMed 29330176
  • Pettersen G, Rosenvinge JH, Bakland M, Wynn R, Mathisen TF, Sundgot-Borgen J. Patients' and therapists' experiences with a new treatment programme for eating disorders that combines physical exercise and dietary therapy: the PED-t trial. A qualitative study protocol. BMJ Open. 2018 Jan 8;8(1):e018708. doi: 10.1136/bmjopen-2017-018708.

    PubMed 29317417
  • Pettersen G, Sordal S, Rosenvinge JH, Skomakerstuen T, Mathisen TF, Sundgot-Borgen J. How do women with eating disorders experience a new treatment combining guided physical exercise and dietary therapy? An interview study of women participating in a randomised controlled trial at the Norwegian School of Sport Sciences. BMJ Open. 2017 Dec 19;7(12):e018588. doi: 10.1136/bmjopen-2017-018588.

    PubMed 29259061
  • Mathisen TF, Rosenvinge JH, Pettersen G, Friborg O, Vrabel K, Bratland-Sanda S, Svendsen M, Stensrud T, Bakland M, Wynn R, Sundgot-Borgen J. The PED-t trial protocol: The effect of physical exercise -and dietary therapy compared with cognitive behavior therapy in treatment of bulimia nervosa and binge eating disorder. BMC Psychiatry. 2017 May 12;17(1):180. doi: 10.1186/s12888-017-1312-4.

    PubMed 28494809

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive Behaviour Therapy and Physical Activity and Dietary Therapy in people with Bulimia Nervosa and Binge Eating Disorder, run by Norwegian School of Sport Sciences at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Effectiveness of treatment, evaluated through the change in symptoms of eating disorder (time frame: Pre-test in week 0, Post-tests (week 17), and at 6, 12, and 24 months after intervention.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02079935, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2019.

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