The Library
Evidence for feasibility of implementing online brief cognitive‐behavioral therapy for eating disorder pathology in the workplace
Tools
Toro, Carla T., Payne, Agatha S., Jackson, Tabitha, Russell, Sean, Daly, Guy, Waller, Glenn and Meyer, Caroline (2023) Evidence for feasibility of implementing online brief cognitive‐behavioral therapy for eating disorder pathology in the workplace. International Journal of Eating Disorders, 56 (6). pp. 1254-1268. doi:10.1002/eat.23961 ISSN 0276-3478.
|
PDF
WRAP-evidence-feasibility-implementing-online-brief-cognitive‐behavioral-therapy-eating-disorder-pathology-workplace-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (2852Kb) | Preview |
Official URL: http://dx.doi.org/10.1002/eat.23961
Abstract
Objective:
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.
Method:
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.
Results:
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.
Discussion:
These pilot findings provide a strong rationale for a fully powered randomized controlled trial to determine the effectiveness of CBT-T in the workplace.
Public Significance:
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.
Item Type: | Journal Article | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HN Social history and conditions. Social problems. Social reform R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
||||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Administration > University Executive Office Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||||||
Library of Congress Subject Headings (LCSH): | Cognitive therapy , Compulsive eating, Bulimia , Eating disorders , Mental illness , Psychology, Pathological, Mental health , Work environment, Employee health promotion, Well-being, Quality of work life, Cognitive therapy -- Simulation methods | ||||||||||||
Journal or Publication Title: | International Journal of Eating Disorders | ||||||||||||
Publisher: | John Wiley & Sons | ||||||||||||
ISSN: | 0276-3478 | ||||||||||||
Official Date: | 4 June 2023 | ||||||||||||
Dates: |
|
||||||||||||
Volume: | 56 | ||||||||||||
Number: | 6 | ||||||||||||
Page Range: | pp. 1254-1268 | ||||||||||||
DOI: | 10.1002/eat.23961 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||
Date of first compliant deposit: | 31 August 2023 | ||||||||||||
Date of first compliant Open Access: | 4 September 2023 | ||||||||||||
RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year