A Web-Based Intervention (MotivATE) to Increase Attendance at an Eating Disorder Service Assessment Appointment: Zelen Randomized Controlled Trial

Journal of Medical Internet Research
James DayKatherine M Appleton

Abstract

Early assessment and treatment of eating disorder patients is important for patient outcomes. However, up to a third of people referred for treatment do not access services and 16.4% do not attend their first scheduled assessment appointment. MotivATE is a fully automated, novel, Web-based program intended to increase motivation to change eating disorder behaviors, designed for delivery at the point of invitation to an eating disorder service, with the aim of increasing service attendance. This paper assesses the impact of MotivATE on attendance at assessment when compared with treatment-as-usual. A Zelen randomized controlled design was used. All individuals referred to a specialist eating disorder service, Kimmeridge Court in Dorset, UK, over the course of a year (October 24, 2016-October 23, 2017) were randomized to treatment-as-usual only or treatment-as-usual plus an additional letter offering access to MotivATE. Attendance at the initial scheduled assessment appointment was documented. Logistic regression analysis assessed the impact of MotivATE on attendance at assessment. Additional analyses based on levels of engagement with MotivATE were also undertaken. A total of 313 participants took part: 156 (49.8%) were randomiz...Continue Reading

Associated Clinical Trials

References

May 31, 1979·The New England Journal of Medicine·M Zelen
Oct 13, 1998·Health Education & Behavior : the Official Publication of the Society for Public Health Education·L K BartholomewG Kok
Jan 6, 2005·Journal of Medical Internet Research·Dean J WantlandEva M McGhee
Apr 15, 2005·Journal of Medical Internet Research·Gunther Eysenbach
Feb 1, 2007·Early Intervention in Psychiatry·Daniel Le Grange, Katharine L Loeb
Dec 23, 2011·Eating Disorders·Eva G SchoenJessica Kelly Martens
Mar 28, 2012·Journal of Advanced Nursing·Sau Fong LeungJanice Russell
Aug 14, 2012·International Journal of Mental Health Nursing·Sau Fong LeungJanice Russell
Oct 15, 2013·European Eating Disorders Review : the Journal of the Eating Disorders Association·Ana R VazPaulo P P Machado
Jan 1, 2013·Journal of Eating Disorders·Sau F LeungJanice Russell
Feb 19, 2017·Journal of Medical Internet Research·Elena HeberHeleen Riper
Sep 7, 2018·The International Journal of Eating Disorders·James Denison-DaySarah Muir

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Clinical Trials Mentioned

NCT02777944

Software Mentioned

Power
MotivATE
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