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Eating DisorderPINCT03409809

Implementation Support for Prevention Program Delivery by College Peer Educators

A study testing Training, Training and Technical Assistance and Training, Tech. Assistance, Quality Assurance/Improvement in people with Eating Disorder, run by Oregon Research Institute at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This project will evaluate 3 approaches of implementation support for university peer leaders who will deliver a prevention program with a particularly strong evidence-base compared to changes observed in outcomes in response to usual care at the universities before implementation. Read more about this study

Who is it for?
Ages 17 years and olderHealthy volunteers can take part
Conditions the study is for
Eating Disorder
What is being tested?
Training, Training and Technical Assistance and Training, Tech. Assistance, Quality Assurance/Improvement
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,261 participants
Where
4 sitesUnited States
Study dates
15 Jan 2018to 30 Nov 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 17 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • College undergraduate student Peer Educators with an interest in promoting body satisfaction
  • Willing to attend a 2-day Body Project train-the-trainer (TTT) training
  • College or University* staff members with an interest in promoting body satisfaction
  • Willing to attend a 2-day Body Project train-the-trainer (TTT) training
  • Clinician working at a US College or University*
  • College* students with an interest in promoting body satisfaction
  • College* students with an interest in promoting body satisfaction

Who cannot join

  • Undergraduate college students from a college or university* that does not have a formal Peer Education Program
  • Peer Educator Supervisor
  • Not a staff member
  • Clinician
  • Not a clinician
  • Body Project Group Participant
Show all 11Show fewer
  • Not a college student
  • Usual Care Participant
  • Not a College* student
  • Current or past participant in a Body Project group
  • Participating students and staff are randomized at the school level.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • University of Texas at Austin

    Austin, Texas, 78712

  • Oregon Research Institute

    Eugene, Oregon, 97403

  • Trinity University

    San Antonio, Texas, 78212

  • Stanford University

    Stanford, California, 94305

Other trials in United States

About this study

This project will evaluate 3 approaches of implementation support for university peer leaders who will deliver a prevention program with a particularly strong evidence-base compared to changes observed in outcomes in response to usual care at the universities before implementation. This study aims to advance knowledge of this innovative and economical way to provide college prevention programs to reduce the burden of mental illness in the college student population.

Read the detailed description

Several interventions for mental health problems are efficacious and effective, but few are routinely offered to college students, who represent 59% of young adults. This is regrettable because college students are at high risk for mental health problems (e.g., depression, substance abuse, eating disorders), and college counseling centers lack sufficient clinicians to offer individual therapy to all afflicted students and are not well positioned to deliver prevention programs. One solution for this service shortfall is to have peer educators deliver scripted group-based prevention programs, which can more efficiently reduce the burden of mental illness than individual therapy. Targeting college students is a cost-effective tactic for delivering prevention programs and has vast potential reach because 85% of colleges have peer educator programs. Peer educators have effectively delivered several prevention programs, sometimes producing larger effects than clinicians. This study will investigate 3 levels of implementation support (training, training with technical assistance, and training with technical assistance and quality assurance) and the impacts of differing levels of implementation support on program outcomes across 57 college campuses nationwide. Specifically we have five aims for this study:

Aim 1: Test whether greater implementation support is associated with graded increases in fidelity and competence in delivering the scripted prevention program. This will be assessed by an established procedure for reliably rating fidelity and competence of audio-recorded intervention sessions.

Aim 2: Test whether greater implementation support, which should increase fidelity and competence of intervention delivery, is associated with graded increases in student attendance of intervention sessions (recorded by the peer educators) and effectiveness of the prevention program (measured by pre-to-post changes in core outcomes assessed with anonymous surveys completed by group participants) and compared to parallel pre-to-post change data collected from students at the colleges before implementation is initiated.

Aim 3: Test whether greater implementation support is associated with graded increases in program reach (% of female students at each college who complete the prevention program during the 1-year implementation period) and sustainability (% of female students at each college who complete the prevention program during the subsequent 2-year sustainability monitoring period).

Aim 4: Test whether Consolidated Framework for Implementation of Research (CFIR) indices of perceived intervention factors, outer and inner setting factors, peer educator attributes, and process factors after the initial training correlate with fidelity, competence, attendance, effectiveness, and reach over the 1-year implementation period and with sustainability. We will test whether at the end of the initial implementation period the 3 conditions differ on relevant CFIR indices and on the progress and speed of implementation.

Aim 5: Compare the prevention program delivery cost in the 3 implementation conditions, and the relative cost-effectiveness of each condition in terms of attaining fidelity, competence, attendance, and effectiveness, reach, and sustainability, plus cost-savings from and reductions in waitlists and eating disorder prevalence at clinics.

Starting in March of 2020, virtually-hosted Body Project groups are being recommended to participating Peer Education teams in contexts where in-person groups can not be offered due to COVID-19 social distancing guidelines. Existing research indicates that virtual Body Project groups are a viable and effective alternative in-person groups.

Conditions
Eating Disorder
Being tested
Training, Training and Technical Assistance, Training, Tech. Assistance, Quality Assurance/Improvement
Keywords
Implementation Support, Eating Disorder, Dissemination, Prevention, Peer Leader
Medical subject headings
Feeding and Eating Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TrainingBehavioural

    Level of Support: Intensive 2-day train-the-trainer workshop, facilitator guide and facilitator support website.

  • Training and Technical AssistanceBehavioural

    Level of Support: Intensive 2-day train-the-trainer workshop, facilitator guide, and facilitator support website, plus half-day implementation training to further define goals, needs, leadership structure and strategy for adoption and recruitment.

  • Training, Tech. Assistance, Quality Assurance/ImprovementBehavioural

    Level of Support: As for "Training and Technical Assistance" arm, plus 1-year of technical assistance, coaching, and quality assurance to enhance skills for implementation and sustainability.

Study groups in NCT03409809
Study groupRoleWhat they receive
Training AloneExperimentalThis condition involves an intensive 2-day initial train-the-trainer workshop that simultaneously trains peer educators to deliver the intervention and campus supervisors to train and support future peer educators, plus the facilitator guide and facilitator support website.
Receives: Behavioral: Training
Training and Technical AssistanceExperimentalThis condition involves an intensive 2-day initial train-the-trainer workshop that simultaneously trains peer educators to deliver the intervention and campus supervisors to train and support future peer educators, plus the facilitator guide and facilitator support website. This condition additionally contains a 1/2 day implementation training to articulate goals, needs, leadership structure, adoption options, recruitment strategies, and communication.
Receives: Behavioral: Training and Technical Assistance
Training, Tech. Assist., Qual. AssuranceExperimentalThis condition involves an intensive 2-day initial train-the-trainer workshop that simultaneously trains peer educators to deliver the intervention and campus supervisors to train and support future peer educators, plus the facilitator guide and facilitator support website. This condition additionally contains a 1/2 day implementation training to articulate goals, needs, leadership structure, adoption options, recruitment strategies and communication. Furthermore, this condition will have 1 year of technical assistance, coaching, and quality assurance to enhance implementation skills and sustainability.
Receives: Behavioral: Training, Tech. Assistance, Quality Assurance/Improvement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fidelity of Program Implementation as assessed by 25-item Session Adherence Scale (Stice et al., 2013a)

    Peer educators' adherence to scripted intervention manual and accuracy of script delivery as coded through evaluation of audio-recorded sessions by two clinicians independently coding a random selection of sessions using the Session Adherence Scale. Coders will indicate the extent to which peer leaders adhere to the 25 total total necessary components of the 4-session intervention script using a scoring guide ranging from 10 (indicating no adherence) to 100 (indicating perfect adherence) with a possible total score range of 250 to 2500. Inter-rater agreement for Session Adherence Scale has been found to be .92 (Stice et al., 2013a).

    Measured: 12 months

  2. Competence of Program Implementation as assessed by 12-item Group Leader Competence Scale (Stice et al., 2013a)

    Peer educators' competence with intervention delivery as assessed by 12-item Group Leader Competence Scale measuring various indicators of a competent group facilitator (e.g. leaders allot equal speaking time for all members.) Coders will indicate the extent to which peer leaders show competence in their delivery of the scripted intervention across 12 items using a scoring guide ranging from 10 (indicating poor competence) to 100 (indicating superior competence) with a possible total score range of 120 to 1200. Inter-rater agreement for Group Leader Competence Scale has been found to be .96 (Stice et al., 2013a).

    Measured: 12 months

Secondary outcomes (12)
  1. Attendance

    Attendance levels of participants as recorded by peer educators

    Measured: 12 months

  2. Reach

    Percentage of students who complete the prevention program at 1 year post-educator training

    Measured: 12 months

  3. Sustainability

    Percentage of students who complete the prevention program during the subsequent 2-year sustainability monitoring period

    Measured: 24 months

  4. Delivery Cost

    Dollar amount delivery cost for each arm of the implementation support model

    Measured: 12 months

  5. Relative Cost-Effectiveness

    Relative cost-effectiveness of each arm of the implementation support model

    Measured: 12 months, 24 months

  6. Perceived Characteristics of the Intervention as measured by the 28-item Provider Intervention Adoption Scale

    Perceived Characteristics of the Intervention as measured by the 28-item Provider Intervention Adoption Scale. Respondents will indicate their level of agreements with the 27 items using a 5-point Likert-type scale ranging from 1 ("Strongly Disagree") to 5 ("Strongly Agree) with a possible score ranging from 27 to 135.

    Measured: 1 Week or less post training

  7. Project Knowledge

    Peer educators' declarative project knowledge as measured by the 20-item Body Project Knowledge Scale. Peer educators will indicate whether the statements in this scale are "true" or "false," with a possible score ranging from 0 for no correct replies to 20 for every answer correct.

    Measured: Baseline, 1 week or less post-training, 12 months

  8. Provider Attitudes Towards Evidence-Based Interventions

    Provider Attitudes Towards Evidence-Based Interventions as measured by the 50-item Evidence-Based Practice Attitude Scale (EBPAS-50), which will assess provider attitudes toward adopting evidence-based intervention (Aarons, 2004); it has four subscales: Appeal (intuitive appeal of evidence-based interventions), Requirements (likelihood of adopting evidence-based interventions given supervisor, organizational, or system requirements), Openness (general openness to new practices), and Divergence (perceived divergence between research developed interventions and current practice), which sum up to a total score representing respondents' global attitude toward adopting and using evidence-based practice. Respondents will indicate the extent to which they agree with each item on a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very great extent). A higher total score indicates a more positive attitude toward adopting and using evidence-based practice. 23 items are reverse-scored.

    Measured: Baseline, 1 week or less post-training, 12 months

  9. Implementation Progress

    Implementation Progress as measured by the Prevention Implementation Progress Scale

    Measured: Baseline, 12 months

  10. Peer Educator Self-Efficacy

    Peer Educator Self-Efficacy as measured by the 14-item Peer Educator Self-Efficacy Questionnaire. Respondents will degree of confidence on a 6-point scale ranging from 1 (No Confidence) to 6 (Complete Confidence). Scores will range from 14 (no demonstrated peer educator self-efficacy) to 84 (high peer educator self-efficacy.)

    Measured: Baseline, 1 week or less post-training, 12 months

  11. Inner Setting

    Inner Setting sub domains assessed using the Team Climate Inventory

    Measured: Baseline, 12 months

  12. Outer Setting

    Evaluate presence or absence of formal policies related to evidence-based programs, fiscal and other organizational resources for peer educators based on two coded interviews

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2018
  2. Study start15 Jan 2018
  3. Primary completion15 Nov 2023
  4. Study completion30 Nov 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
2,261 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03409809
Sponsor's protocol ID
MH112743
Acronym
PI
Status last verified
Jan 2024
First submitted
7 Dec 2017
Last updated
17 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Duru C, Bearman SK, Rohde P, Shaw H, Stice E. A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses. Eat Disord. 2026 Jul-Aug;34(4):397-413. doi: 10.1080/10640266.2025.2497638. Epub 2025 Apr 30.

    PubMed 40305559
  • Bearman SK, Rohde P, Pauling S, Gau JM, Shaw H, Stice E. Predictors of the sustainability for an evidence-based eating disorder prevention program delivered by college peer educators. Implement Sci. 2024 Jul 4;19(1):47. doi: 10.1186/s13012-024-01373-9.

    PubMed 38965587
  • Stice E, Rohde P, Gau JM, Shaw H. Implementation factors that predict larger effects from a peer educator delivered eating disorder prevention program at universities. J Consult Clin Psychol. 2023 Feb;91(2):60-70. doi: 10.1037/ccp0000783. Epub 2023 Feb 23.

    PubMed 36821334

Questions about this trial

What is this clinical trial studying?

A study testing Training, Training and Technical Assistance and Training, Tech. Assistance, Quality Assurance/Improvement in people with Eating Disorder, run by Oregon Research Institute at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fidelity of Program Implementation as assessed by 25-item Session Adherence Scale (Stice et al., 2013a) (time frame: 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03409809, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jan 2024.

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