WMG, University of Warwick, Coventry, UK.
Department of Psychology, University of Warwick, Coventry, UK.
Int J Eat Disord. 2022 May;55(5):723-730. doi: 10.1002/eat.23701. Epub 2022 Mar 15.
CBT-T is a brief (10 sessions) version of cognitive behavioral therapy for non-underweight eating disorders. This report describes the protocol for a single center, single group, feasibility trial of online CBT-T in the workplace as an alternative to the health-service setting. By offering mental health services for eating disorders in the workplace, greater accessibility and increased help-seeking behaviors could be achieved.
Treatment will be delivered online over 10 weeks and offered to employees based on self-referral rather than meeting diagnostic criteria, making treatment available to employees with sub-threshold eating disorder symptoms.
Assessments will be conducted at baseline, mid-treatment (week 4), posttreatment (week 10) and at follow-up (1 month and 3 months posttreatment). For the primary outcome, measures will include recruitment, attrition and attendance data using pre-set benchmarks to determine high, medium or low feasibility and acceptability. Qualitative participant experiences data will be analyzed using thematic analysis. Impact on work engagement and effect sizes will be determined from secondary outcome measures; the latter enabling sample size calculations for future study.
These pilot data will provide insights to recruitment, acceptability, effectiveness and viability of a future fully powered clinical trial of online CBT-T in the workplace.
This study will present feasibility data from an eating disorders intervention (online CBT-T) using the workplace as an alternative to the healthcare setting to recruit and treat workers. Recruitment will be based on self-reported eating and weight concerns rather than diagnosis potentially enabling treatment to employees who have not previously sought help. The data will also provide insights to recruitment, acceptability, effectiveness, and future viability of CBT-T in the workplace.
CBT-T 是一种针对非体重不足进食障碍的简短（10 个疗程）认知行为疗法。本报告介绍了一项单中心、单组、可行性试验的方案，即在工作场所采用在线 CBT-T 作为医疗服务模式的替代方案。通过在工作场所提供进食障碍的心理健康服务，可以提高可及性和增加寻求帮助的行为。
治疗将在 10 周内在线进行，并根据自我推荐而不是符合诊断标准来提供给员工，从而使有亚阈值进食障碍症状的员工也能获得治疗。
评估将在基线、治疗中期（第 4 周）、治疗后（第 10 周）和随访（治疗后 1 个月和 3 个月）进行。对于主要结局，将使用预先设定的基准来衡量招募、流失和参与数据，以确定高、中或低的可行性和可接受性。将使用主题分析对定性参与者体验数据进行分析。从次要结局衡量标准中确定工作投入的影响和效应大小，从而为未来的研究计算样本量。
这些初步数据将为未来在工作场所中进行在线 CBT-T 的全面临床试验提供有关招募、可接受性、有效性和可行性的见解。
这项研究将展示一项进食障碍干预（在线 CBT-T）的可行性数据，该干预将工作场所作为医疗保健环境的替代方案，以招募和治疗员工。招募将基于自我报告的饮食和体重问题，而不是诊断，这可能使那些以前没有寻求帮助的员工也能得到治疗。这些数据还将为 CBT-T 在工作场所的招募、可接受性、有效性和未来可行性提供见解。
