Toro, Carla T., Jackson, Tabitha, Payne, Agatha S., Walasek, Lukasz, Russell, Sean, Daly, Guy, Waller, Glenn and Meyer, Caroline (2022) A feasibility study of the delivery of online brief cognitive‐behavioral therapy (CBT‐T) for eating disorder pathology in the workplace. International Journal of Eating Disorders, 55 (5). pp. 723-730. doi:10.1002/eat.23701 ISSN 0276-3478.

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Abstract

Objective
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.

Method
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.

Results
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.

Discussion
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.

Public Significance Statement
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.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH):	Bulimia , Bulimia -- Treatment , Eating disorders -- Diagnosis , Mental illness -- Alternative treatment, Mental illness -- Nutritional aspects , Cognitive therapy
Journal or Publication Title:	International Journal of Eating Disorders
Publisher:	John Wiley & Sons
ISSN:	0276-3478
Official Date:	May 2022
Dates:	Date Event May 2022 Published 15 March 2022 Available 18 February 2022 Accepted
Volume:	55
Number:	5
Number of Pages:	8
Page Range:	pp. 723-730
DOI:	10.1002/eat.23701
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Description:	Registered Report Stage 1
Date of first compliant deposit:	28 March 2022
Date of first compliant Open Access:	29 March 2022
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED Midlands Engine https://www.midlandsengine.org/

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