CClinicalTrials.gg
CompletedNCT05389657OPTEDUpdated Aug 7, 2025Results posted

Optimizing Provider Training in Eating Disorders (OPTED)

An interventional study of Web-based training and Live training in Anorexia Nervosa and Atypical Anorexia Nervosa, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-07.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
85
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomized controlled trial for mental health clinicians comparing two methods of training in family-based treatment (FBT) for restrictive eating disorders.

Read the detailed description

This is a randomized controlled trial for mental health clinicians comparing two methods of training in family-based treatment (FBT) for restrictive eating disorders. Clinicians who treat youth and accept Medicaid insurance within a predetermined group of participating California counties will be randomized to receive either online training or live two-day training in FBT. Data will be collected on the feasibility, acceptability, appropriateness, and effectiveness of the training (online vs. live). Following training, a subset of clinicians may opt into group consultation for one year. Consultation groups will be kept separate by training condition. Data will also be collected from clinicians on the extent to which they perceive the treatment itself (i.e., FBT) as feasible, acceptable, and appropriate for Medicaid-insured youth. In addition to implementation outcomes, de-identified clinical data will be collected from providers about their cases up to one year following the initial training.

02

Conditions studied

  • Anorexia Nervosa
  • Atypical Anorexia Nervosa

Keywords

  • Training
  • Eating disorders
  • Family based treatment
  • Medicaid
  • Community mental health
  • Children and adolescents
  • Mental health clinicians
03

In context

Anorexia Nervosa

455 studies on the registry are indexed under Anorexia Nervosa; 126 are open to participants now.

This study's enrollment of 85 is above the median of 44 across 305 interventional studies indexed under Anorexia Nervosa.

Browse Anorexia Nervosa studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Mental health provider licensed to practice in the state of California, or unlicensed mental health providers in California who are formally employed by their agency/clinic and have a licensed clinical supervisor who agrees to take legal responsibility for any cases treated with FBT
  • Must treat patients with Medicaid insurance in a participating county

Exclusion criteria

Exclusion criteria:

- Students (practicum students, interns, externs) or other learners

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
85 participants (actual)

Study arms

  • Experimental
    Web-based training

    Web-based training will provide online training primarily focused on family-based treatment and appropriate adaptations to the treatment model.

    Behavioral: Web-based training

  • Active comparator
    Live training

    Live training will include two days of expert-led live training (via zoom). The content of the training will be similar to that provided in web-based training, primarily focused on family-based treatment and appropriate adaptations to the treatment model.

    Behavioral: Live training

Interventions

  • BehavioralWeb-based training

    Web-based training will be divided into training modules that will be completed by participants over the course of 6-8 weeks. Training will include didactic training videos, knowledge checks, example sessions, and a library of resources.

  • BehavioralLive training

    The live training will be delivered by two trainers over the course of two days via Zoom.

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Complete Training

    Training completion will be the number of participants who complete the full course of training.

    Time frame: Post-training (measured at the time of planned completion, which will be 10 weeks from the start of web-based training, or on the second day of live training)

  2. Family-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training

    The FBT Knowledge Assessment (FBT-KA) is an 28-item multiple-choice test that measures knowledge about FBT. Scores range from 0 to 28, with higher scores indicating more knowledge.

    Time frame: Baseline and post-training (measured immediately following completion of training)

Secondary outcomes

  1. Number of Participants Who Receive FBT Consultation at 12 Months

    Providers will report on their receipt (yes/no) of FBT-specific consultation in the 12 months following completion of training.

    Time frame: 12-month follow-up (measured at 12 months from the deadline for completion of training)

07

Results

Posted Aug 7, 2025

Participant flow

Participant flow — Overall Study
MilestoneOnline TrainingLive Training
Started5629
Enrollment in consultation3310
Completed4921
Not completed78
Withdrew: Lost to follow-up78

Outcome measures

PrimaryNumber of Participants Who Complete Training

Training completion will be the number of participants who complete the full course of training.

Time frame:
Post-training (measured at the time of planned completion, which will be 10 weeks from the start of web-based training, or on the second day of live training)
Reported as:
Count of participants · Participants
Number of Participants Who Complete Training
ParticipantsOnline TrainingLive Training
Completed training4822
Did not complete training87
Statistical analysis
  • Online Training vs Live Training · Regression, Logistic · p = 0.47 · Odds ratio (or): 0.617 · 95% CI 0.167 to 2.283multilevel logistic regression
PrimaryFamily-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training

The FBT Knowledge Assessment (FBT-KA) is an 28-item multiple-choice test that measures knowledge about FBT. Scores range from 0 to 28, with higher scores indicating more knowledge.

Time frame:
Baseline and post-training (measured immediately following completion of training)
Reported as:
Mean · score on a scale
Family-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training
score on a scaleOnline TrainingLive Training
Family-Based Treatment Knowledge Assessment (FBT-KA) Score at Post-Training20.52 ± 4.2318.30 ± 2.96
Statistical analysis
  • Online Training vs Live Training · Regression, Linear · p = .29 · Adjusted group difference unstandardized: -1.268 · 95% CI -3.618 to 1.083multilevel linear regression with restricted maximum likelihood (REML) estimation
SecondaryNumber of Participants Who Receive FBT Consultation at 12 Months

Providers will report on their receipt (yes/no) of FBT-specific consultation in the 12 months following completion of training.

Time frame:
12-month follow-up (measured at 12 months from the deadline for completion of training)
Reported as:
Count of participants · Participants
Number of Participants Who Receive FBT Consultation at 12 Months
ParticipantsOnline TrainingLive Training
Participating in FBT consultation2810
Not participating in FBT consultation2111
Unknown78
Statistical analysis
  • Online Training vs Live Training · Regression, Logistic · p = 0.92 · Odds ratio (or): 1.160 · 95% CI 0.070 to 19.293multilevel logistic regression

Adverse events

Collected over 15 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Online Training0/56 (0%)0/56 (0%)0/56 (0%)
Live Training0/29 (0%)0/29 (0%)0/29 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Online TrainingLive TrainingTotal
Mean41.65 ± 9.2637.39 ± 8.7240.22 ± 9.25
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Online TrainingLive TrainingTotal
Cisgender female542377
Cisgender male246
Gender non-binary or fluid022
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Online TrainingLive TrainingTotal
Hispanic or Latino241438
Not Hispanic or Latino321547
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Online TrainingLive TrainingTotal
American Indian or Alaska Native011
Asian8412
Native Hawaiian or Other Pacific Islander000
Black or African American516
White251338
More than one race527
Unknown or Not Reported13821
Region of Enrollment
Region of Enrollment(participants)Online TrainingLive TrainingTotal
United States562985
Primary discipline
Primary discipline(Participants)Online TrainingLive TrainingTotal
Marriage/Family Therapy271037
Social Work201535
Psychology437
Psychiatry202
Other202
Unknown112
Provide services in language other than English
Provide services in language other than English(Participants)Online TrainingLive TrainingTotal
Count of participants331548
Years clinical experience
Years clinical experience(years)Online TrainingLive TrainingTotal
Mean9.78 ± 6.857.36 ± 5.688.95 ± 6.54

10 further baseline measures are reported on the registry.

08

Study locations

1 site
  • University of California, San Francisco
    San Francisco, California 94103, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jun 25, 2025
  • Informed consent form · Jul 5, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05389657
Lead sponsor
University of California, San Francisco
Collaborators
National Institute of Mental Health (NIMH)
Responsible party
Sponsor
First posted
May 25, 2022
Start date
Jul 14, 2022
Primary completion
Jun 3, 2024
Completion
Jun 3, 2024
Results posted
Aug 7, 2025
Last update
Aug 7, 2025

Study contacts

Erin C Accurso, PhD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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