AzTrials
AzTrials

Anorexia NervosaCAREFREENCT06624397

Evaluation of a New Program for Carers of People with Anorexia Nervosa

A study testing CAREFREE Carer's Programme in people with Anorexia Nervosa and Carer Stress Syndrome, run by NHS Forth Valley at 2 sites in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

CAREFREE is a 12-session Carer's Programme for carers of adults with moderate to severe Anorexia Nervosa. This programme was developed to provide carers with an opportunity to develop an understanding of Anorexia from a Biopsychosocial framework, taking into account the complex array of biological, psychological and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anorexia Nervosa, Carer Stress Syndrome
What is being tested?
CAREFREE Carer's Programme
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
2 sitesUnited Kingdom
Study dates
1 May 2023to 30 Jun 2025
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has a family member, partner or spouse/partner with moderate-severe, treatment resistant and/or co-morbid anorexia nervosa (as diagnosed by a clinician at one these centres)
  • Is over the age of 17
  • Can speak and read English
  • Has access to the internet and is comfortable using an online meeting platform
  • Have moderate-severe, treatment resistant and/or co-morbid anorexia nervosa (as diagnosed by a clinician at one these centres)
  • Is over 17 years of age
  • Can speak and read English

Who cannot join

  • Cannot speak/read English
  • Is currently suffering from acute psychosis
  • Participants with Anorexia
  • Is currently suffering from acute psychotic mental health state

Trial locations and contacts

2 sites in 1 country.

Susan G Simpson, Doctorate Clinical Psychology contact

44 + 1786458549

susan.g.simpson@nhs.scot

United Kingdom2 sites, 2 recruiting
  • NHS Glasgow

    Glasgow, Scotland, G50YZ

    Emma MAwdsley, 44 1412327055, emma.mawdsley@nhs.scot

    Charlotte Nevison, 44 1412327055, Charlotte.Nevison@nhs.scot

    Recruiting
  • NHS Forth Valley

    Stirling, Stirlingshire, FK1 5SU

    Lesley Symon, 44 1324566316, lesley.symon@nhs.scot

    Susan Simpson, 44 1786458549, susan.g.simpson@nhs.scot

    Recruiting

Other trials in United Kingdom

About this study

Official title: Evaluation of a Skills-Based Program for Carers & Families of Patients with Anorexia Nervosa

CAREFREE is a 12-session Carer's Programme for carers of adults with moderate to severe Anorexia Nervosa. This programme was developed to provide carers with an opportunity to develop an understanding of Anorexia from a Biopsychosocial framework, taking into account the complex array of biological, psychological and social/environmental factors associated with the development and maintenance of this disorder. The CAREFREE programme is unique in its focus on providing a framework for understanding AN from a Schema -Compassion Focused framework, incorporating psychoeducation in regard to both Anorexia Nervosa and Carer Burnout. The programme has a relational focus, with an emphasis on improving emotional fluency, family communication skills and self-other compassion. The CAREFREE programme is open to carers from across Scotland and runs online. Outcomes (including carer and patient quality of life, family communication, patient motivation to change) will be analysed and published at the end of the 24-month period. One of the key benefits of this programme is that as it is a cross-regional-NHS project.

Read the detailed description

Moderate to Severe Anorexia Nervosa (AN-MS)is characterised by poor treatment outcomes, poor quality of life, low motivation levels and ambivalence about change, with high burden on families and NHS services. This study aims to improve quality of life and relationships amongst those with AN-MS and their families/partners/carers, and enhance motivation to recover amongst adults with AN-MS, ultimately resulting in enhanced care and reduced inpatient admissions. We will evaluate a new online group intervention for families/carers and partners. This is a two-phase study: Phase 1 feasibility trial will evaluate factors such as recruitment and retention of clinicians and participants, collection of assessment measures and acceptability of the intervention. Phase 2 will use this information to inform the development of a second more robust feasibility study which will enable us to determine whether this new untested intervention is effective in its own right, as a precursor for a larger definitive trial.

Being tested
CAREFREE Carer's Programme
Keywords
Anorexia Nervosa, Burnout, Carer Burnout, CAREFREE
Medical subject headings
Anorexia Nervosa, Burnout, Psychological

What participants receive

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

  • CAREFREE Carer's ProgrammeOther

    This programme was developed to provide carers with an opportunity to develop an understanding of Anorexia from a Biopsychosocial framework, taking into account the complex array of biological, psychological and social/environmental factors associated with the development and maintenance of this disorder. CAREFREE programme is unique in its focus on providing a framework for understanding AN from a Schema - Compassion Focused framework, incorporating psychoeducation in regard to both Anorexia Nervosa and Carer Burnout. The programme has a relational focus, with an emphasis on improving emotional fluency, family communication skills and self-other compassion.

Study groups in NCT06624397
Study groupRoleWhat they receive
CAREFREE is a 12-session Carer's ProgrammeExperimentalThis programme was developed to provide carers with an opportunity to develop an understanding of Anorexia from a Biopsychosocial framework, taking into account the complex array of biological, psychological and social/environmental factors associated with the development and maintenance of this disorder. CAREFREE programme is unique in its focus on providing a framework for understanding AN from a Schema Therapy - Compassion Focused framework, incorporating psychoeducation in regard to both Anorexia Nervosa and Carer Burnout. The programme has a relational focus, with an emphasis on improving emotional fluency, family communication skills and self-other compassion.
Receives: Other: CAREFREE Carer's Programme

What is being measured

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

  1. (SRS-Version 3) (Johnson, Miller, & Duncan, 2000).

    Therapeutic alliance will be evaluated using this 4-item Session Rating Scale after each session

    Measured: Weekly after each Carer group Session

  2. Short Rating Scales

    • VAS scales will used to assess carers' ratings of: (1) Quality of life (taken from the WHOQOL-BREF) and (2) Quality of relationship with the patient with AN. (taken from SCORE-15)

    Measured: Pre (0-6 weeks before group programme begins); Weekly throughout programme; and Post (0-4 weeks after group programme ends)

  3. Experiences in Close Relationships Revised (ECR-R; Fraley et al., 2000; 36 items)

    Assesses self reported individual differences regarding attachment-related anxiety and avoidance.

    Measured: Pre (0-6 weeks before group programme begins) and Post (0-4 weeks after group programme ends) and at 3-months followup

  4. WHOQOL-BREF (WhoQol Group, 1998)

    This is a World Health Organisation Quality of Life Assessment and is a widely used quality of life instrument which contains 26 items over 4 dimensions - physical health, psychological health, social relationships, environment, quality of life and general health.

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  5. Depression, anxiety, and stress scale (DASS)

    Depression, anxiety, and stress scale (DASS) is a 21-item measure assessing depression, anxiety, and stress over the past seven days using a four-point Likert scale. Scores of these three subscales can be added to obtain a total score for psychological distress.

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  6. SCORE-15 Index of Family Functioning and Change (Stratton et al., 2010)

    • SCORE is a self report outcome measure designed to be sensitive to the kinds of changes in family relationships that systemic family and couples' therapists see as indications of useful therapeutic change.

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  7. Family Questionnaire (Wiedemann et al 2002)

    This questionnaire will be used to measure expressed emotion within the family system.

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  8. Schema Mode Inventory (Young et al., 2007)

    5 items of this scale are included in the outcomes to measure healthy functioning.

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  9. Eating disorder symptom impact scale (EDSIS; Sepulveda et al., 2008)

    This is a 24-item self-report measure of caregiving burden in eating disorders. The scale comprises of subjective and objective burden across four subscales: managing nutritional situations, dealing with dysregulated behaviors, guilt, and social isolation. Scores are obtained on a five-point Likert scale. Higher scores indicate higher caregiving burden and more negative appraisal of caregiving

    Measured: Pre (0-6 weeks before group programme begins); Post (0-4 weeks after group programme ends) and at 3-months followup

  10. Young Parenting Inventory-revised (YPI-R2; Louis, Wood and Lockwood, 2018)

    This scale assesses perceived parenting experiences. The YPI-R2 is a 36-item questionnaire measuring parenting styles, namely: Competitiveness and Status seeking; Degradation and Rejection; Emotional Inhibition and Deprivation; Overprotection and Overindulgence; Punitiveness; Controlling. Subscale scores are calculated as mean scores with higher scores indicating stronger perceived negative parenting.

    Measured: Pre -group (0-6 weeks before group programme begins)

Secondary outcomes (5)
  1. Eating Disorder Quality of Life questionnaire (EDQoL; Engel et al., 2006).

    Measures Quality of Life of the Patient with Anorexia Nervosa

    Measured: Pre (0-6 weeks before group programme begins) and Post (0-4 weeks after group programme ends)

  2. SCORE-15 and Young Parenting Inventory (YPI-R))

    These measure family functioning in the patient with Anorexia Nervosa

    Measured: Pre (0-6 weeks before group programme begins); and Post (0-4 weeks after group programme ends)

  3. Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ; Rieger et al., 2002)

    This scale measures motivation to recover in the person with Anorexia Nervosa

    Measured: Pre (0-6 weeks before group programme begins); and Post (0-4 weeks after group programme ends)

  4. Demographics Questionnaire

    A demographics questionnaire will be filled out by the person with Anorexia Nervosa to ascertain details including: age, age of onset of eating disorder, occupation, relationship with the patient/carer, level of education, postcode, whether or not the person with anorexia is living from home and/or what age they moved out; relationship status, receipt of patient/carer benefits.

    Measured: 0-6 weeks before attending group programme

  5. Qualitative Interview with person with Anorexia Nervosa

    A Qualitative Interview will be carried out with the person with Anorexia Nervosa whose carers are attending the CAREFREE programme, to ascertain their views on the degree to which the programme has impacted family functioning and relationships, as well as their own perspectives in regard to Anorexia Nervosa.

    Measured: 0-4 weeks after group intervention is completed

Timeline

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

  1. First posted3 Oct 2024
  2. Study start1 May 2023
  3. Primary completion30 Jun 2025 (estimated)
  4. Study completion30 Jun 2025 (estimated)

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
Health services research
Allocation
Not applicable
Intervention model
Single group
Model description
CAREFREE is a 12-session Carer's Programme for carers of adults with moderate to severe Anorexia Nervosa. This programme was developed to provide carers with an opportunity to develop an understanding of Anorexia from a Biopsychosocial framework, taking into account the complex array of biological, psychological and social/environmental factors associated with the development and maintenance of this disorder. CAREFREE is based on a Schema Therapy - Compassion Focused framework, incorporating psychoeducation in regard to both Anorexia Nervosa and Carer Burnout. The programme has a relational focus, with an emphasis on improving emotional fluency, family communication skills and self-other compassion.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06624397
Sponsor's protocol ID
FV1421
Other IDs
TCS/22/05
Acronym
CAREFREE
Status last verified
Sep 2024
First submitted
23 Sep 2024
Last updated
3 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: De-identified patient data will only be shared with researchers who are directly involved in the project in some capacity

Publications

  • Mawdsley E, McNicol S, Rutherford AC, Symon L, Smith D, Elliott H, Simpson S. A case series evaluation of a schema therapy-coaching programme for carers of patients with moderate to severe anorexia nervosa: the CAREFREE programme. J Eat Disord. 2026 Jul 16. doi: 10.1186/s40337-026-01704-9. Online ahead of print.

    PubMed 42458655

Questions about this trial

What is this clinical trial studying?

A study testing CAREFREE Carer's Programme in people with Anorexia Nervosa and Carer Stress Syndrome, run by NHS Forth Valley at 2 sites in United Kingdom.

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 7 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 3 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United Kingdom. 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?

Results are not available in the source record.

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

Contact Susan G Simpson, Doctorate Clinical Psychology (44 + 1786458549, susan.g.simpson@nhs.scot), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

(SRS-Version 3) (Johnson, Miller, & Duncan, 2000). (time frame: Weekly after each Carer group Session). The study lists 10 primary outcomes in all. 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 NCT06624397, which also lists 1 linked publication.

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 3 Oct 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in