Building an Equitable and Accessible System of Eating Disorder Care for VA, DoD, and Underrepresented Americans
Trial Parameters
Brief Summary
When untreated, eating disorders present with tremendous burdens to affected active duty Service members and Veterans and their families, and are very costly to the DoD and VA healthcare system. A comparative effectiveness study with state-of-the-art virtual treatment for BN and BED specifically adapted for testing with the Veteran population and other underrepresented eating disorder populations will lead to major improvements in clinical outcomes. The treatment will be integrated with VA's newest telehealth technology to profoundly enhance access to care anywhere, at any time. This trial of therapist-led and self-help CBT treatments, combined with our expert panel methods to inform VA Clinical Practice Guidelines for Eating Disorders and plans for dissemination, will accelerate the pace for the transition of results both for large-scale deployment in the VA system and for real-world impact among diverse and underrepresented eating disorder populations.
Eligibility Criteria
Inclusion Criteria: * Aged 18 and older * Presence of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Bulimia Nervosa (BN) or Binge Eating Disorder (BED) * Veteran Health Administration (VHA) user Exclusion Criteria: * Active psychosis or high acute risk for suicide * Medical or psychiatric illness, or cognitive deficits, that interfere with providing consent, completing assessments, or engaging in treatment for eating disorders * Pregnancy or lactation * Patients with suspected Anorexia or Atypical Anorexia will be excluded and referred to other VA care services