Building an Equitable and Accessible System of Eating Disorder Care for VA, DoD, and Underrepresented Americans (EASED)
Binge-Eating Disorder, Bulimia Nervosa, Veterans Health
About this trial
This is an interventional treatment trial for Binge-Eating Disorder
Eligibility Criteria
Inclusion Criteria:
- Aged 18 and older
- Presence of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Bulimia Nervosa (BN) or Binge Eating Disorder (BED)
- Veteran Health Administration (VHA) user
Exclusion Criteria:
- Active psychosis or high acute risk for suicide
- Medical or psychiatric illness, or cognitive deficits, that interfere with providing consent, completing assessments, or engaging in treatment for eating disorders
- Pregnancy or lactation
- Patients with suspected Anorexia or Atypical Anorexia will be excluded and referred to other VA care services
Sites / Locations
- VA Connecticut Healthcare SystemRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Telehealth Cognitive Behavioral Therapy (teleCBT)
Self-Help Cognitive Behavioral Therapy (shCBT)
About one-half of participants will be randomly assigned to Telehealth Cognitive Behavioral Therapy (teleCBT), a virtual Cognitive Behavioral Therapy (CBT) for binge eating disorders delivered via an Office of Information and Technology (OI&T)-approved video platform, by a master's-level research clinician. TeleCBT will be administered in 8 to 10 hourly individual sessions over a three-month treatment period.
About one-half of participants will be randomly assigned to Self-Help Cognitive Behavioral Therapy (shCBT), a Self-Help CBT for binge eating disorders initiated by a research assistant via telephone and then continued by the participant at home. These materials are the same exact ones provided to participants in TeleCBT (i.e., treatments are matched for materials), and will be mailed to participants. They will be instructed to work independently through one chapter per week for the following 12 weeks (i.e., treatment length is matched to TeleCBT).