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Trial registered on ANZCTR
Registration number
ACTRN12625000704493p
Ethics application status
Submitted, not yet approved
Date submitted
17/06/2025
Date registered
2/07/2025
Date last updated
2/07/2025
Date data sharing statement initially provided
2/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Helping Adults With Binge Eating: Testing an Online Program With Optional Follow-Up Support
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Scientific title
Efficacy of A Stepped-Care Online Program in Treating Objective Binge Eating Frequency and Eating Disorder Psychopathology for Adults With Recurrent Binge Eating: A Randomised Controlled Trial
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Secondary ID [1]
314687
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
eating disorder
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Condition category
Condition code
Mental Health
334187
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study is testing a two-step online program for adults who experience recurrent binge eating.
Everyone in the study will first complete a short, self-guided online single session that provides helpful information about binge eating and practical tools to begin making changes. This will take approx 30 min to complete.
These practical tools are educational in nature (no direct therapeutic strategies) and include facts, statistics, and examples of binge eating and binge eating disorder. The mode of delivery is primarily text based with graphical designs (no videos provided). Usage of the single session intervention will be tracked by a back-end system that captures how far someone has progressed through the program (via how many pages they click through).
Two weeks later, participants will be asked about any changes in their eating behaviours. Those who show early improvement will continue with self-monitoring only. Those who do not show enough improvement will be randomly assigned to one of the following:
1. A six-week online self-help program based on Cognitive Behaviour Therapy (CBT).; this program aims to normalize eating, restructure thoughts around weight and shape, and challenge faulty beliefs about dieting.
2. A six-week online self-help program based on Dialectical Behaviour Therapy (DBT): this program aims to foster mindfulness, emotional regulation and distress tolerance.
3. A waitlist.
For both programs, participants will be encouraged to engage in the exercises daily, but complete the modules (5 each) one week at a time. It will take approx. 60 mins to complete a module. Multimodal content delivery formats are provided for both interventions, including written text, videos, audio records, and graphics. Homework exercises (e.g., diary monitoring) will be embedded within the programs. Back-end website analytics will capture various metrics of engagement, including number of logins, time spent on the program, exercises clicked on etc.
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Intervention code [1]
331295
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Behaviour
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Comparator / control treatment
A waitlist group (6 weeks)
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Control group
Active
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Outcomes
Primary outcome [1]
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Objective binge eating frequency
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Assessment method [1]
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Single item asking the number of objective binge episodes (consumed a large amount of food in a short period and also felt out of control) over the past 28 days.
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Timepoint [1]
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Baseline and 8 weeks from baseline.
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Primary outcome [2]
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Eating disorder psychopathology
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Assessment method [2]
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Global score on the well-validated Eating Disorder examination Questionnaire.
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Timepoint [2]
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Baseline and 8 weeks post baseline
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Secondary outcome [1]
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Weight concern
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Assessment method [1]
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weight concern subscale of the Eating Disorder examination Questionnaire.
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Timepoint [1]
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Baseline and 8 weeks post baseline
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Secondary outcome [2]
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Shape concerns
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Assessment method [2]
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Shape concerns subscale of the Eating Disorder examination Questionnaire.
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Timepoint [2]
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Baseline and 8 weeks post- baseline
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Secondary outcome [3]
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Eating concerns
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Assessment method [3]
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eating concerns subscale of the Eating Disorder examination Questionnaire.
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Timepoint [3]
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Baseline and 8 weeks post baseline
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Secondary outcome [4]
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dietary restraint
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Assessment method [4]
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restraint subscale of the Eating Disorder examination Questionnaire.
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Timepoint [4]
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Baseline and 8 weeks post baseline
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Secondary outcome [5]
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Compensatory behaviors (composite outcome defined as the average number of self-induced vomiting episodes, laxative use, and driven exercise episodes over the past month).
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Assessment method [5]
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average number of driven exercise, self-induced vomiting and laxative use episodes over the past 28 days, assessed each via single self-created items that asks participants to self-report the number of episodes experienced in that time (composite outcome).
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Timepoint [5]
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Baseline and 8 weeks post baseline
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Eligibility
Key inclusion criteria
Key Inclusion Criteria:
Adults aged 18 years or older
Able to read and understand English
Currently experiencing recurrent binge eating (defined as having at least one episode of loss-of-control eating every two weeks, on average, over the past three months)
Access to the internet and a device to complete the online program
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No other exclusion criteria employed
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation will be automated and embedded within the Qualtrics survey platform. Allocation to intervention conditions for Step 2 non-responders will be determined by a computer-generated random sequence, ensuring that group assignment is concealed from both participants and study investigators at the time of allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer-generated randomisation sequence will be used to allocate Step 2 non-responders to one of three conditions: digital CBT (40%), digital DBT (40%), or waitlist control (20%). The randomisation sequence will be programmed into the Qualtrics platform and implemented automatically to ensure unbiased group assignme
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
10/12/2025
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Actual
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Date of last data collection
Anticipated
10/02/2026
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Actual
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Sample size
Target
293
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Deakin University
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
321704
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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Deakin University Human Research Ethics Committee (DUHREC)
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Ethics committee address [1]
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https://www.deakin.edu.au/research/support-for-researchers/research-integrity?a=438168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/06/2025
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Approval date [1]
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Ethics approval number [1]
317814
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Summary
Brief summary
This study is testing whether a two-step, online support program can help adults reduce binge eating. Everyone will begin with a brief, self-guided online session about binge eating. Two weeks later, those who still need support will be randomly offered one of three options: a digital program based on cognitive behaviour therapy (CBT), a program based on dialectical behaviour therapy (DBT), or no additional support for now. We want to find out if these follow-up programs help reduce binge eating more than doing nothing further, and whether CBT or DBT works better. The study also aims to identify who benefits most from each step. Hypothesis: non early responders randomized to online CBT or DBT will experience greater reduction in primary outcome symptom measures than non-early responders randomized to waitlist and will not differ significantly to early strong responders.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Jake Linardon
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Address
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Deakin University, 75 Pigdons Road Waurn Ponds VIC 3216
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jake Linardon
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Address
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Deakin University 75 Pigdons Road Waurn Ponds VIC 3216
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jake Linardon
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Address
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Deakin University 75 Pigdons Road Waurn Ponds VIC 3216
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Country
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Australia
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Phone
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+61 3 924 46308
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
We are not seeking ethics approval for sharing individual patient data
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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