Evidence map›Paper›PMID 21495052›Full record

ArticleThe International journal of eating disorders2012

Challenges in conducting a multi-site randomized clinical trial comparing treatments for adolescent anorexia nervosa.

James Lock, Harry Brandt, Blake Woodside, Stewart Agras, W Katherine Halmi, Craig Johnson, Walter Kaye, Denise Wilfley

Registry-linked trialAbstract read
In one paragraph

Article in The International journal of eating disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00610753 (Family Therapy in the Treatment of Adolescent Anorexia Nervosa), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00610753 phase3completednot on this map

Family Therapy in the Treatment of Adolescent Anorexia Nervosa

TypeinterventionalSponsorStanford UniversityRan2006 to 2012Enrolled164ConditionsAnorexia NervosaArmsFamily Behavior Therapy, Systems Family Therapy
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Family therapy approaches for anorexia nervosa.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Family therapy approaches for anorexia nervosa.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Pooled it
  4. Trial
  5. Feasibility Study Combining Art Therapy or Cognitive Remediation Therapy with Family-based Treatment for Adolescent Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2018
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

James LockDepartment of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, Stanford, CA 94305, USA. jimlock@stanford.edu
Harry Brandt
Blake Woodside
Stewart Agras
W Katherine Halmi
Craig Johnson
Walter Kaye
Denise Wilfley

Funding

Mentoring and Research in Adolescent Eating DisordersK24MH074467 · NIMH · STANFORD UNIVERSITY · PI LOCK, JAMES D · 2005 to 2014
$1.9M
Family Therapy in the Treatment of Adolescent Anorexia NervosaU01MH076290 · NIMH · STANFORD UNIVERSITY · PI AGRAS, WILLIAM STEWART · 2006 to 2010
$1.4M
Clinical Research in Eating Disorders and ObesityK24MH070446 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2004 to 2013
$1.4M
Data Center - Family Therapy in Treatment of Anorexia NervosaU01MH076287 · NIMH · STANFORD UNIVERSITY · PI AGRAS, WILLIAM STEWART · 2006 to 2010
$951k
Family Therapy in the Treatment of Adolescent Anorexia NervosaU01MH076255 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2006 to 2010
$917k
Family Therapy in the Treatment of Adolescent Anorexia NervosaU01MH076254 · NIMH · SHEPPARD AND ENOCH PRATT HOSPITAL · PI BRANDT, HARRY A · 2006 to 2010
$902k
Family Therapy in the Treatment of Adolescent Anorexia NervosaU01MH076251 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI HALMI, KATHERINE A · 2006 to 2010
$820k
Family Therapy in the Treatment of Adolescent Anorexia NervosaU01MH076253 · NIMH · UNIVERSITY OF TORONTO · PI WOODSIDE, D BLAKE · 2006 to 2010
$643k
Family Therapy/Fluoxetine in Treatment of AdolescentsU01MH076250 · NIMH · LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL · PI JOHNSON, CRAIG · 2006 to 2008
$522k
NIMH NIH HHS 1 U01 MH 076250NIMH NIH HHS 1 U01 MH 076251NIMH NIH HHS 1 U01 MH 076253NIMH NIH HHS 1U01 MH 076253NIMH NIH HHS 1U01 MH 076254NIMH NIH HHS 1 U01 MH 076255NIMH NIH HHS 1 U01 MH 076290NIMH NIH HHS 5K24 MH70446NIMH NIH HHS K24 MH070446NIMH NIH HHS K24 MH-074467NIMH NIH HHS K24 MH074467NIMH NIH HHS MH 076287NIMH NIH HHS U01 MH076250NIMH NIH HHS U01 MH076251NIMH NIH HHS U01 MH076253NIMH NIH HHS U01 MH076254NIMH NIH HHS U01 MH076255NIMH NIH HHS U01 MH076287NIMH NIH HHS U01 MH076290
6 · The paper itself

Abstract

objectiveTo describe obstacles in the implementation of a controlled treatment trial of adolescent anorexia nervosa (AN).

methodThe original aim was to enter 240 participants with AN to one of four cells: Behavioral family therapy (BFT) plus fluoxetine; BFT plus placebo; systems family therapy (SFT) plus fluoxetine; SFT plus placebo.

resultsRecruitment was delayed pending a satisfactory resolution concerning participant safety. After 6 months of recruitment it became clear that the medication was associated with poor recruitment leading to a study redesign resulting in a comparison of two types of family therapy with a projected sample size of 160. One site was unable to recruit and was replaced. DISCUSSION: Problems with the delineation of safety procedures, recruitment, re-design of the study, and replacement of a site, were the main elements resulting in a 1-year delay. Suggestions are made for overcoming such problems in future AN trials.

Indexed as

Patient SelectionRandomized Controlled Trials as TopicResearch DesignAdolescentAnorexia NervosaBehavior TherapyFamily TherapyFemaleFluoxetineHumansSample SizeSelective Serotonin Reuptake InhibitorsFluoxetineSelective Serotonin Reuptake Inhibitors

Identifiers

PMID21495052
PMCPMC3140589

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.