Maudsley Model of Anorexia Nervosa Treatment for Adults

ISRCTN ISRCTN62920529
DOI https://doi.org/10.1186/ISRCTN62920529
Secondary identifying numbers 29 Eating Disorders (79)
Submission date
01/10/2009
Registration date
14/10/2009
Last edited
08/05/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Ulrike Schmidt
Scientific

PO Box 59
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom

Phone +44 (0)20 7848 0181
Email u.schmidt@iop.kcl.ac.uk

Study information

Study designTwo-armed single-blind randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA preliminary randomised controlled trial of the efficacy and acceptability of a new cognitive-interpersonal treatment of anorexia nervosa versus non-specific supportive clinical management
Study acronymMANTRA
Study objectivesA specific, empirically-based treatment model focusing on four core maintenance factors (Maudsley model of Anorexia Nervosa Treatment for Adults [MANTRA]) will be superior to non-specific supportive clinical management (SSCM) in producing greater weight gain and greater improvement in eating-disorder related psychopathology in adults with anorexia nervosa (AN) at end of treatment (6 months) and follow-up (12 months).
Ethics approval(s)The Institute of Psychiatry/South London and Maudsley NHS Foundation Trust Research Ethics Committee approved on the 20th November 2006 (ref: 06/Q0706/105)
Health condition(s) or problem(s) studiedAnorexia nervosa
InterventionTwo different psychological interventions of 20 individual sessions each plus four follow-up meetings, two sessions with close others and two sessions with a dietician:
1. Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): This is a manualised cognitive-interpersonal treatment which focuses on addressing four key maintaining factors of anorexia nervosa
2. Specialist Supportive Clinical Management (SSCM): This manualised treatment is designed to be delivered by health professionals trained in the treatment of eating disorders and aims "to mimic outpatient treatment that could be offered to individuals with AN in usual clinical practice"

Total duration of treatment is 6 months and total duration of follow-up is also 6 months (after the end of treatment). This is the same for both treatments.
Intervention typeOther
Primary outcome measureMeasured at pre-treatment (baseline), 6 months and 12 months post-randomisation:
1. Body mass index
2. Eating Disorders Examination Global Score
Secondary outcome measuresMeasured at pre-treatment (baseline), 6 months and 12 months post-randomisation:
1. Eating Disorders Examination Subscales
2. Clinical Impairment Assessment (CIA) questionnaire
3. Hospital Anxiety and Depression Scale (HADS)
4. Embedded Figures Task
5. Brixton Spatial Anticipation Task
6. Wisconsin Card Sorting Task
7. Trail making task
Overall study start date01/03/2007
Completion date01/06/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants66
Key inclusion criteria1. Outpatients aged 18 or over, either sex
2. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) anorexia nervosa or Eating Disorder Not Otherwise Specified
3. Body mass index of 18.5 kg/m^2 or below
Key exclusion criteria1. Life-threatening AN requiring immediate in-patient treatment as defined in the UK National Institute for Health and Clinical Excellence (NICE) guidelines for eating disorders
2. Insufficient knowledge of English to understand the treatment
3. Learning disability, severe mental or physical illness
4. Needing treatment in its own right (e.g. psychosis or diabetes mellitus)
5. Substance dependency
6. Pregnancy
Date of first enrolment01/03/2007
Date of final enrolment01/06/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

PO Box 59
London
SE5 8AF
United Kingdom

Sponsor information

King's College London (UK)
University/education

c/o Jenny Liebscher
R&D Governance and Delivery Manager
SLaM/IoP R&D Office, Room W 1.08
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
England
United Kingdom

Phone +44 (0)20 7848 0251
Email jennifer.liebscher@kcl.ac.uk
Website http://www.iop.kcl.ac.uk
ROR logo "ROR" https://ror.org/0220mzb33

Funders

Funder type

Charity

Psychiatry Research Trust (UK) - http://www.psychiatryresearch.org.uk (ref: 29 Eating Disorders (79))

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/11/2012 Yes No