BEET Program + CBT for Type 2 Diabetes and Eating Disorders

Recruiting in Palo Alto (17 mi)

+1 other location

Overseen byPhoutdavone Phimphasone-Brady, PhD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of Colorado, Denver

No Placebo Group

Trial Summary

What is the purpose of this trial?

Disordered eating behaviors (DEBs, e.g., binge eating or restrictive eating) can significantly impact type 2 diabetes (T2D) self-management and engagement in treatment for diabetes. Managing DEBs is a treatment component in diabetes self-management; however, it is not often the primary focus, and trained behavioral health providers are inconsistently involved in comprehensive diabetes management. This study plans to pilot two behavior change programs for disordered eating in T2D and gather information on factors that predict successful adoption and implementation in real-world clinical settings.

Eligibility Criteria

This trial is for individuals with type 2 diabetes who also struggle with disordered eating behaviors like binge or restrictive eating. It's designed to help them manage these behaviors as part of their diabetes treatment.

Inclusion Criteria

I have been diagnosed with type 2 diabetes.

HbA1c ≥ 6.5

Positive disordered eating screen: Scored ≥ 2 on the study pre-screen for Disordered Eating OR ≥2 on the Diabetes Eating Problems Survey-Revised (DEPS-R) question #2 (skipping meals), #8 (binge eating), or #15 (self-induced vomiting)

Exclusion Criteria

Plans to leave the practice in the next year

Pregnancy or planning to become pregnant in the next 12 months

I have a condition like dementia that affects my thinking.

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Treatment Details

Interventions

Cognitive Behavioral Therapy Guided Self-Help (Behavioral Intervention)
The BEET Diabetes Program (Behavioral Intervention)

Trial OverviewThe study is testing two programs: Cognitive Behavioral Therapy Guided Self-Help and The BEET Diabetes Program, to see which might better assist in managing disordered eating in those with type 2 diabetes.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: The BEET Diabetes ProgramExperimental Treatment1 Intervention

The BEET Diabetes program consists of 6 sessions that follow a sequence: the first 3-sessions weekly and the last 3-sessions every other week. These sessions help participants learn strategies and health behavior change through a self-monitoring form. Supporters (in this study, the BHPs) guide individuals through the program, maintain motivation, and facilitate appropriate goal-setting. The BEET Diabetes Program emphasizes treating disorder eating behaviors (DEBs) in the context of diabetes (i.e., psychoeducation on DEBs in diabetes, optimal daily glucose management, benefits of physical activity, and fruit and vegetable intake).

Group II: Cognitive behavioral Therapy Guided Self-helpActive Control1 Intervention

The Cognitive Behavioral Therapy Guided Self-help consists of 6 sessions that follow a sequence: the first 3-sessions weekly and the last 3-sessions every other week. These sessions help participants learn strategies and health behavior change through a self-monitoring form. The CBTgsh program is delivered through the self-help book: "Overcoming Binge Eating" by Christopher G. Fairburn. Guided support sessions can be provided by personnel with no background training or knowledge of CBT or DEBs, as the book acts as the "expert."