Psychological Wellbeing in Clients in Tier 3 Weight Management Service

Canterbury Christ Church University

Status

Not yet enrolling

Conditions

Body Image

Obesity

Disordered Eating

Shame

Psychological Distress

Treatments

Other: Psychological therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT05400096

DClinPsych2020UTartilaite

Details and patient eligibility

About

This study aims to conduct an initial, single case investigation of changes in feelings of shame, overall psychological wellbeing, body image and disordered eating in patients in naturalistic setting, Tier 3 weight management service, following CFT based, online group intervention that runs for 12 weeks.

Full description

Tier 3 weight management services are led by multidisciplinary teams (MDTS) what usually include physicians, dieticians, nurses, physiotherapist, psychiatrists, and psychologists. In the service where the study is conducted referrals to psychology are often made by a dietician. The psychologist in the service also accepts self referrals from patients either during initial assessment with dieticians or at any point of their journey in the service. The psychology pathway is "opt-in", in other words, only patient who actively express interest, motivation and wish to make use of the additional psych resource and accepted.

The participants will be offered the intervention by the group facilitating clinician (who is a part of care team). Initially the principal supervisor was meant to facilitate group intervention, but because the principal supervisor is going on maternity leave the group will be facilitated by a qualified substitute clinician. This clinician will offer an assessment of needs to all patients referred for psychological support. The clinician will act as a gatekeeper and will offer CFT based group intervention when clinically and ethically appropriate (see the exclusion and inclusion criteria below). Taking part in the intervention and signing up for the research will not affect the care patients receive from MDT in the service.

Enrollment

12 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

adults with BMI over 30 who have been referred to Tier 3 weight management service.
Adults with BMI over 25 with Diabetes who have been referred to Tier 3 weight management service.

Exclusion criteria

group intervention not considered clinically appropriate, following specialist assessment of needs
not being able to commit to 12-week intervention
severe interpersonal difficulties that would be disruptive to other group's participants
moderate to severe learning difficulties
current alcohol or drug abuse.