Eating DisordersRIDENCT05746364
Case-Series Examination of a Brief CAT-Informed Intervention for Young People Experiencing Difficulties With Eating (RIDE)
A study testing Brief CAT-Informed Intervention for Young People experiencing Difficulties with Eating in people with Eating Disorders, run by University of Manchester at 1 site in United Kingdom.
Trial summary
Eating Disorders (ED) are mental health conditions where people alter food intake in some way to help with weight gain, managing emotions or other situations. EDs are increasingly common in young people. They can cause both the young person and those around them significant distress. Talking therapies can help. Read more about this study
- Who is it for?
- Ages 14 to 25 years
- Conditions the study is for
- Eating Disorders
- What is being tested?
- Brief CAT-Informed Intervention for Young People experiencing Difficulties with Eating
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 8 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 1 May 2023to 1 Aug 2024
- 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 14 to 25 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Participants will be between the ages of 14 - 25 years.
- Participants will be under the care of a mental health team and have a clinician allocated to them within local ED Services.
Who cannot join
- Young people will be excluded if they are currently receiving alternative one-to-one psychological therapy (not including family interventions or skill-based groups).
- Young people will be excluded if they have a moderate to severe intellectual disability which would impair their ability to participate without considerable adaptations being made to the intervention, as judged by the young person or the clinical team.
- Young people will be excluded if they have inadequate English-language speaking skills due to limitations in their ability to engage with talking therapies in the English language.
- Young people will be excluded if they are judged at high risk of harm to themselves, operationalised as having current suicidal thoughts with a high intent or active plan to end their life. This includes individuals who are deemed at risk of harm to themselves by the clinical team due to a sustained trajectory of recent weight loss.
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Greater Manchester Mental Health NHS Foundation Trust
Manchester, Greater Manchester, M13 9WL
About this study
Eating Disorders (ED) are mental health conditions where people alter food intake in some way to help with weight gain, managing emotions or other situations. EDs are increasingly common in young people. They can cause both the young person and those around them significant distress. Talking therapies can help.
Cognitive Analytic Therapy (CAT) is a talking therapy that is becoming increasingly widely used within the NHS to help with a wide range of problems. CAT focuses on the relationships clients have with themselves and others around them. From CAT, we have developed Relational Intervention for Difficulties with Eating (RIDE), This is a brief talking therapy. The aim is to help the young person and those around them build an understanding of their difficulties. This will hopefully mean others can support them with their disordered eating.
Read more
The aim of the study is to examine the feasibility (is it possible to conduct a study about this intervention?) and acceptability (do participants find the therapy is helpful and makes sense to them?) of RIDE. As a secondary aim, the study will look at whether RIDE shows preliminary evidence for positive change on relevant measures of psychological difficulties (e.g. distress, how young people feel about themselves and others).
The study will aim to recruit nine young people (aged between 14-25) with ED. Participants must be under the care of an ED service. They will attend 8 appointments (3 assessment, 5 therapy) either at their home, University of Manchester campus or a health service clinic. A video conferencing platform (e.g. Zoom, Teams) can be used if required. Participants will complete questionnaires before, during and after therapy.
The findings will help to develop the therapy and improve further testing in larger studies. If successful, RIDE could be available as a treatment for young people.
- Conditions
- Eating Disorders
- Being tested
- Brief CAT-Informed Intervention for Young People experiencing Difficulties with Eating
- 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.
Brief CAT-Informed Intervention for Young People experiencing Difficulties with EatingBehavioural
The therapy draws upon the principles of Cognitive Analytic Therapy (CAT), focussing on collaboratively identifying relational patterns (relationships with self and others) that young people experience difficulties with. The young person will be invited to attend 5 weekly sessions, each lasting 30-50 minutes. It will be delivered within a seven-week window (allowing for cancellations/missed sessions). Researchers will follow the RIDE manual treatment guide, which was developed by Clinical Psychologists, CAT accredited therapists and researchers.
| Study group | Role | What they receive |
|---|---|---|
| RIDE intervention | Experimental | Cognitive analytic therapy (CAT)-informed brief therapy for young people struggling with disordered eating Receives: Behavioral: Brief CAT-Informed Intervention for Young People experiencing Difficulties with Eating |
What is being measured
The primary outcome is the main question the study is designed to answer.
Retention rate of participants at all five intervention sessions
At least 70% of those recruited will attend all 5 intervention sessions.
Measured: 12 months
Number of eligible referrals that consent to participate
Over 50% of those who are referred to the study and are eligible to participate, will consent to take part in the study.
Measured: 12 months
Proportion of missing data across outcome assessments
The level of missing data on clinical outcome measures at assessments (for those still retained in the study) does not exceed 20% per assessment
Measured: 12 months
Adapted Experiences of Services Questionnaire
Adapted Experiences of Services Questionnaire measures satisfaction with experiences of therapy and will be used to gain feedback and measure aspects of the acceptability of the intervention. Seven items are rated on 0 to 3 scale, With higher item scores indicating greater satisfaction with therapy.
Measured: post-treatment (8 weeks).
Secondary outcomes (5)
The Eating Disorder Examination Questionnaire (EDE-Q)
A 28-item self-reported questionnaire adapted from the semi-structured interview Eating Disorder Examination (EDE) and designed to assess the range and severity of features associated with a diagnosis of eating disorder using 4 subscales (Restraint, Eating Concern, Shape Concern and Weight Concern) and a global score. For each subscale scores range from 0 to 6, with higher scores indicating greater difficulties.
Measured: post-treatment (8 weeks).
The Young Person's Clinical Outcome in Routine Evaluation (YP-CORE)
A 10-item questionnaire that measures psychological distress in young people. An evaluation of the YP-CORE showed good internal reliability and reliable change indices. Scorers range from 0 to 40, with higher scores indicating greater difficulties.
Measured: post-treatment (8 weeks). Follow-up (10 weeks)
Recovery Questionnaire (ReQuest-YP)
Examines recovery of functionality and outlook post-treatment. An evaluation of the psychometric properties of the ReQuest-YP with 65 young people showed good internal consistency and test-retest reliability. Scores range from 0 to 90, with higher scores indicating greater recovery.
Measured: post-treatment (8 weeks). Follow-up (10 weeks)
University of Rode Island Change Assessment Scale (URICA)
Examines a person's motivation to change in relation to a specific 'problem'. It is a 32-item self-report measure that includes 4 subscales to measure what stage of change the individual is currently in: Precontemplation, Contemplation, Action, and Maintenance. The scale consists of 4 subscales, each with scores ranging from 1 to 5, greater scores indicating greater motivation for change.
Measured: post-treatment (8 weeks). Follow-up (10 weeks)
Repertory grid
Repertory grids are a type of interview tool which will be used to explore how participants perceive themselves and others in their lives. This will be developed with the participant prior to the intervention, to get a sense of their relational patterns at baseline. The grid will be developed using established techniques. Participants will then complete the same grid following the intervention to explore any changes in their perceptions of themselves and others.
Measured: post-treatment (8 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2023
- Study start1 May 2023
- Primary completion20 Jan 2024
- Study completion1 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Eating DisordersStudies of the same condition, open and under way.
- More trials run by University of ManchesterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 8 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Manchester
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Peter Taylor, University of Manchester
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05746364
- Sponsor's protocol ID
- NHS002023
- Acronym
- RIDE
- Status last verified
- Aug 2024
- First submitted
- 6 Feb 2023
- Last updated
- 7 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Given the small scale of the project there is no plan to make data available via online repositories. Anonymised data may be made available to other researchers on reasonable request.
Publications
Green C, Mannion G, Gill I, Hartley S, Dunlop BJ, Taylor PJ. Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series. Clin Psychol Psychother. 2025 Mar-Apr;32(2):e70043. doi: 10.1002/cpp.70043.
PubMed 40171882
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Case-Series Examination of a Brief CAT-Informed Intervention for Young People Experiencing Difficulties With Eating (RIDE)
- ClinicalTrials.gov ID
- NCT05746364
- Acronym / sponsor ID
- RIDE / NHS002023
- Conditions
- Eating Disorders
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 8 participants (actual)
- Lead sponsor
- University of ManchesterUniversity, hospital or other
- Study start
- 1 May 2023 (actual)
- Primary completion
- 20 Jan 2024 (actual)
- Study completion
- 1 Aug 2024 (actual)
- First posted
- 27 Feb 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Eating Disorders (ED) are mental health conditions where people alter food intake in some way to help with weight gain, managing emotions or other situations. EDs are increasingly common in young people. They can cause both the young person and those around them significant distress. Talking therapies can help.
Cognitive Analytic Therapy (CAT) is a talking therapy that is becoming increasingly widely used within the NHS to help with a wide range of problems. CAT focuses on the relationships clients have with themselves and others around them. From CAT, we have developed Relational Intervention for Difficulties with Eating (RIDE), This is a brief talking therapy. The aim is to help the young person and those around them build an understanding of their difficulties. This will hopefully mean others can support them with their disordered eating.
The aim of the study is to examine the feasibility (is it possible to conduct a study about this intervention?) and acceptability (do participants find the therapy is helpful and makes sense to them?) of RIDE. As a secondary aim, the study will look at whether RIDE shows preliminary evidence for positive change on relevant measures of psychological difficulties (e.g. distress, how young people feel about themselves and others).
The study will aim to recruit nine young people (aged between 14-25) with ED. Participants must be under the care of an ED service. They will attend 8 appointments (3 assessment, 5 therapy) either at their home, University of Manchester campus or a health service clinic. A video conferencing platform (e.g. Zoom, Teams) can be used if required. Participants will complete questionnaires before, during and after therapy.
The findings will help to develop the therapy and improve further testing in larger studies. If successful, RIDE could be available as a treatment for young people.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| RIDE intervention | Experimental | Behavioral: Brief CAT-Informed Intervention for Young People experiencing Difficulties with EatingCognitive analytic therapy (CAT)-informed brief therapy for young people struggling with disordered eating |
Who may qualify
- Ages
- 14 to 25 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (2 listed)
- Participants will be between the ages of 14 - 25 years.
- Participants will be under the care of a mental health team and have a clinician allocated to them within local ED Services.
Key exclusion criteria (4 listed)
- Young people will be excluded if they are currently receiving alternative one-to-one psychological therapy (not including family interventions or skill-based groups).
- Young people will be excluded if they have a moderate to severe intellectual disability which would impair their ability to participate without considerable adaptations being made to the intervention, as judged by the young person or the clinical team.
- Young people will be excluded if they have inadequate English-language speaking skills due to limitations in their ability to engage with talking therapies in the English language.
- Young people will be excluded if they are judged at high risk of harm to themselves, operationalised as having current suicidal thoughts with a high intent or active plan to end their life. This includes individuals who are deemed at risk of harm to themselves by the clinical team due to a sustained trajectory of recent weight loss.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Brief CAT-Informed Intervention for Young People experiencing Difficulties with EatingThe therapy draws upon the principles of Cognitive Analytic Therapy (CAT), focussing on collaboratively identifying relational patterns (relationships with self and others) that young people experience difficulties with. The young person will be invited to attend 5 weekly sessions, each lasting 30-50 minutes. It will be delivered within a seven-week window (allowing for cancellations/missed sessions). Researchers will follow the RIDE manual treatment guide, which was developed by Clinical Psychologists, CAT accredited therapists and researchers. | Behavioural | RIDE intervention |
Primary outcome
Retention rate of participants at all five intervention sessions
Time frame: 12 months
At least 70% of those recruited will attend all 5 intervention sessions.
Number of eligible referrals that consent to participate
Time frame: 12 months
Over 50% of those who are referred to the study and are eligible to participate, will consent to take part in the study.
Proportion of missing data across outcome assessments
Time frame: 12 months
The level of missing data on clinical outcome measures at assessments (for those still retained in the study) does not exceed 20% per assessment
Adapted Experiences of Services Questionnaire
Time frame: post-treatment (8 weeks).
Adapted Experiences of Services Questionnaire measures satisfaction with experiences of therapy and will be used to gain feedback and measure aspects of the acceptability of the intervention. Seven items are rated on 0 to 3 scale, With higher item scores indicating greater satisfaction with therapy.
5 secondary outcomes
The Eating Disorder Examination Questionnaire (EDE-Q)
Time frame: post-treatment (8 weeks).
The Young Person's Clinical Outcome in Routine Evaluation (YP-CORE)
Time frame: post-treatment (8 weeks). Follow-up (10 weeks)
Recovery Questionnaire (ReQuest-YP)
Time frame: post-treatment (8 weeks). Follow-up (10 weeks)
University of Rode Island Change Assessment Scale (URICA)
Time frame: post-treatment (8 weeks). Follow-up (10 weeks)
Repertory grid
Time frame: post-treatment (8 weeks)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2024.
- Derived from this study: PubMed 40171882Green C, Mannion G, Gill I, Hartley S, Dunlop BJ, Taylor PJ. Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series. Clin Psychol Psychother. 2025 Mar-Apr;32(2):e70043. doi: 10.1002/cpp.70043.
- Individual participant dataSharing planned: No. Given the small scale of the project there is no plan to make data available via online repositories. Anonymised data may be made available to other researchers on reasonable request.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Brief CAT-Informed Intervention for Young People experiencing Difficulties with Eating in people with Eating Disorders, run by University of Manchester at 1 site in United Kingdom.
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 2 inclusion and 4 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 7 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. 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?
Retention rate of participants at all five intervention sessions (time frame: 12 months). The study lists 4 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 NCT05746364, which also lists 1 linked publication.
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 7 Aug 2024.