What question did this study set out to answer?

To evaluate the feasibility, acceptability, and preliminary clinical outcomes of a randomized clinical trial comparing Family-Based Treatment for avoidant/restrictive food intake disorder (FBT-ARFID) to usual care.

March 29, 2019International Journal of Eating Disorders

Feasibility of conducting a randomized clinical trial using family‐based treatment for avoidant/restrictive food intake disorder

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To evaluate the feasibility, acceptability, and preliminary clinical outcomes of a randomized clinical trial comparing Family-Based Treatment for avoidant/restrictive food intake disorder (FBT-ARFID) to usual care.
Conducted a randomized clinical trial allocating 28 children with ARFID and their families to either FBT-ARFID or usual care (UC).
Evaluated primary feasibility outcomes via recruitment rates, study attrition, therapeutic suitability, and treatment expectancy.
Measured secondary outcomes from baseline to post-treatment, including percent estimated body weight, eating-related psychopathology, and parental self-efficacy.
Achieved a recruitment rate of 1.87 participants per month (N=28 randomized) with an attrition rate of 21%, alongside acceptable therapeutic suitability and expectancy ratings.
Yielded moderate-to-large effect sizes favoring FBT-ARFID over UC for improvements in percent estimated body weight and clinical symptom severity.
Observed a large effect size favoring FBT-ARFID for improvements in parental self-efficacy, which correlated with reductions in ARFID symptoms.

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Implication

Randomized trial demonstrates the feasibility of family-based treatment in pediatric ARFID, indicating strong potential for full-scale efficacy trials.

Cite This Study

Lock et al. (2019) studied this question.

synapsesocial.com/papers/69dc818925b1b6cb333593b3 https://doi.org/10.1002/eat.23077

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Implication

Randomized trial demonstrates the feasibility of family-based treatment in pediatric ARFID, indicating strong potential for full-scale efficacy trials.

Feasibility of conducting a randomized clinical trial using family‐based treatment for avoidant/restrictive food intake disorder

Key Points

Discussion

Implication

Cite This Study

Feasibility of conducting a randomized clinical trial using family‐based treatment for avoidant/restrictive food intake disorder

Key Points

Discussion

Implication

Cite This Study

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