TEAM-ED Program for Eating Disorders After Bariatric Surgery

(TEAM-ED Trial)

Overseen By Aaron Keshen, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Aaron Keshen

Disqualifiers: Under 19, Not post-surgery, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 4

Duration: 10 weeks

250 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

What data supports the effectiveness of the TEAM-ED treatment for eating disorders after bariatric surgery?

Research suggests that psychological interventions, like the adapted Dialectical Behavior Therapy-Skills Training (DBT-ST), can help reduce problematic eating behaviors in bariatric surgery patients, potentially improving outcomes. This indicates that similar therapeutic approaches, such as the TEAM-ED program, might be effective in addressing eating disorders after surgery. ^{1 2 3 4 5}

Is the TEAM-ED Program for Eating Disorders After Bariatric Surgery safe?

Research shows that some people develop eating disorders after bariatric surgery, which suggests that careful monitoring and support are important. While the TEAM-ED Program aims to address these issues, it's crucial to work closely with healthcare providers to ensure safety. ^{1 2 6 7 8}

How is the TEAM-ED treatment for eating disorders after bariatric surgery different from other treatments?

The TEAM-ED program is unique because it specifically targets eating disorders that develop or persist after bariatric surgery, a condition for which there are no standard treatments. It likely involves a tailored approach to address the psychological and behavioral aspects of eating disorders in this specific population, which is not typically covered by general eating disorder treatments. ^{2 4 5 7 9}

What is the purpose of this trial?

The goal of this interventional study is to evaluate the Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) program, which is a combined screening and treatment program for managing disordered eating in adults who have recently had weight loss surgery in Nova Scotia. The main question it aims to answer is 'can an interdisciplinary program for screening, diagnosing, and treating disordered eating after weight loss surgery be implemented in Nova Scotia? This study will determine the feasibility and impact of the TEAM-ED program by assessing the following objectives: 1. Reach (how effectively the program engages the target population \[post-weight loss surgery patients\]) 2. Effectiveness (the extent of the program's impact on key clinical outcomes related to disordered eating and weight management) 3. Adoption (the extent to which the program is adopted and accepted by clinicians) 4. Implementation (how consistent program delivery is and factors impacting consistent delivery) Participants will complete a disordered eating screening questionnaire online every 3 months after weight loss surgery until they reach 18-months post-surgery. Participants found to have disordered eating will be offered TEAM-ED treatment (Cognitive Behavioral Therapy, and treatment plan oversight by both weight loss surgery and eating disorder specialists). Standard outcome measures will be collected at baseline, during eating disorder treatment, post-treatment, and at follow-ups. Participants may also be asked to do a one-on-one research interview about their experiences with the program.

Research Team

Aaron Keshen, MD

Principal Investigator

Nova Scotia Health Authority

Eligibility Criteria

This trial is for adults in Nova Scotia who have recently undergone weight loss surgery and may be experiencing disordered eating. Participants will be screened and treated if necessary, with the aim to manage their eating habits post-surgery.

Inclusion Criteria

I had weight loss surgery between 3 and 18 months ago.

I am 19 years old or older.

Able to complete English computer-based self-report questionnaires (with adequate accommodation, if necessary)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

3-18 months

Online questionnaire every 3 months

Treatment

Participants receive Cognitive Behavioral Therapy and treatment plan oversight by specialists

10 weeks

Weekly sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

3 months

1-month and 3-month follow-up assessments

Extension

Participants may be asked to do a one-on-one research interview about their experiences with the program

Treatment Details

Interventions

• Treatment and Evaluation for After Metabolic Surgery with Eating Disorders (TEAM-ED) Program

Trial Overview The TEAM-ED program being tested includes regular online screening questionnaires for disordered eating, Cognitive Behavioral Therapy (CBT), and coordinated care from specialists. The study measures how well this program works in practice.

Participant Groups

Group I: TEAM-ED Program Experimental Treatment 1 Intervention

Who Is Running the Clinical Trial?

Aaron Keshen

Lead Sponsor

Trials

1

Recruited

20+

Queen Elizabeth II Health Sciences Centre Foundation

Collaborator

Trials

1

Recruited

20+

References

1. United States pubmed.ncbi.nlm.nih.gov

The development of eating disorders after bariatric surgery. [2017]

2. Germany pubmed.ncbi.nlm.nih.gov

Associations among psychopathology and eating disorder symptoms and behaviors in post-bariatric surgery patients. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Examination of the Effectiveness of a Brief, Adapted Dialectical Behavior Therapy-Skills Training Group for Bariatric Surgical Candidates. [2020]

4. United States pubmed.ncbi.nlm.nih.gov

Disordered eating following bariatric surgery: a review of measurement and conceptual considerations. [2022]

5. United States pubmed.ncbi.nlm.nih.gov

Maladaptive eating behavior assessment among bariatric surgery candidates: Evaluation of the Eating Disorder Diagnostic Scale. [2019]

6. Germany pubmed.ncbi.nlm.nih.gov

Development of significant disordered eating in an adolescent following gastric bypass surgery. [2018]

7. United States pubmed.ncbi.nlm.nih.gov

Interrater reliability of the Eating Disorder Examination among postbariatric patients. [2021]

8. United States pubmed.ncbi.nlm.nih.gov

Eating disorders after bariatric surgery: a case series. [2022]

9. Netherlands pubmed.ncbi.nlm.nih.gov

Measurement of disordered eating in bariatric surgery candidates: a systematic review of the literature. [2018]