Mental Health and Wellbeing Unit, Warwick Medical School, University of Warwick, Warwick, UK.
Coventry University, Coventry, UK.
Int J Eat Disord. 2023 Jun;56(6):1254-1268. doi: 10.1002/eat.23961. Epub 2023 Apr 19.
CBT-T is a brief (10-week) cognitive-behavioral therapy for non-underweight eating disorders. This report describes the findings from a single center, single group, feasibility trial of online CBT-T in the workplace as an alternative to health service settings.
This trial was approved by the Biomedical and Scientific Research Ethics committee, University of Warwick, UK (reference 125/20-21) and was registered with ISRCTN (reference number: ISRCTN45943700). Recruitment was based on self-reported eating and weight concerns rather than diagnosis, potentially enabling access to treatment for employees who have not previously sought help and for those with sub-threshold eating disorder symptoms. Assessments took place at baseline, mid-treatment (week 4), post-treatment (week 10), and follow-up (1 and 3 months post-treatment). Participant experiences following treatment were assessed using quantitative and qualitative approaches.
For the primary outcomes, pre-determined benchmarks of high feasibility and acceptability were met, based on recruiting >40 participants (N = 47), low attrition (38%), and a high attendance rate (98%) over the course of the therapy. Participant experiences revealed low previous help-seeking for eating disorder concerns (21%). Qualitative findings indicated a wide range of positive impacts of the therapy and the workplace as the therapeutic setting. Analysis of secondary outcomes for participants with clinical and sub-threshold eating disorder symptoms showed strong effect sizes for eating pathology, anxiety and depression, and moderate effect sizes for work outcomes.
These pilot findings provide a strong rationale for a fully powered randomized controlled trial to determine the effectiveness of CBT-T in the workplace.
This study demonstrates the feasibility of implementing an eating disorders intervention (online CBT-T) in the workplace as an alternative to traditional healthcare settings. Recruitment was based on self-reported eating and weight concerns rather than diagnosis, potentially enabling access to treatment for employees who had not previously sought help. The data also provide insights into recruitment, acceptability, effectiveness, and future viability of CBT-T in the workplace.
CBT-T 是一种针对非低体重进食障碍的简短（10 周）认知行为疗法。本报告描述了一项单中心、单组、在线 CBT-T 在工作场所作为替代传统医疗服务环境的可行性试验的结果。
该试验获得了英国华威大学生物医学和科学研究伦理委员会（参考号 125/20-21）的批准，并在 ISRCTN 注册（参考号：ISRCTN45943700）。招募是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和那些有亚临床进食障碍症状的员工获得治疗机会。评估在基线、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。使用定量和定性方法评估治疗后的参与者体验。
对于主要结果，根据招募的 40 多名参与者（N=47）、低流失率（38%）和治疗过程中高出席率（98%），达到了高可行性和可接受性的预定基准。参与者的经验表明，以前对进食障碍问题的帮助寻求率较低（21%）。定性结果表明，治疗和工作场所对治疗有广泛的积极影响。对有临床和亚临床进食障碍症状的参与者的次要结果进行分析，发现进食障碍、焦虑和抑郁的效果显著，工作结果的效果中等。
这些初步发现为在工作场所进行 CBT-T 的有效性的全面随机对照试验提供了强有力的理由。
这项研究证明了在工作场所实施进食障碍干预（在线 CBT-T）作为传统医疗保健环境的替代方案的可行性。招募是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获得治疗机会。这些数据还提供了关于在工作场所实施 CBT-T 的招募、可接受性、有效性和未来可行性的见解。
