Video-guided self-help DBT for binge eating disorder.

Video-based Guided Self Help Dialectical Behavior Therapy for Binge Eating Disorder

This will test whether weekly video lessons teaching guided self-help DBT help adults with binge eating disorder more than the usual book-based guided self-help.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 80 (estimated)
• Ages: 18 Years to 60 Years
• Sex: All
• Sponsor: University of Sao Paulo General Hospital (other)
• Locations: 1 site (São Paulo, São Paulo)
• Trial ID: NCT07327203 on ClinicalTrials.gov

What this trial studies

This randomized clinical trial will enroll 80 adults with DSM-5-TR binge eating disorder at the Eating Disorders Program of the University of São Paulo and randomly assign them to video-based or text-based guided self-help DBT. Both groups receive the same weekly content delivered either as short video lessons or as book chapters, plus six brief 30-minute online guidance sessions with a psychologist. Outcomes include clinical remission of binge eating episodes, treatment adherence, and maintenance of effects measured at baseline, end of treatment, and 3-month follow-up. The trial compares whether video delivery improves engagement and symptom remission compared with the traditional text format.

Who should consider this trial

Good fit: Adults diagnosed with binge eating disorder who can read Portuguese, have access to an internet-connected device with camera and microphone, can commit about an hour per week, and have stable psychiatric medication regimens if applicable.

Not a fit: People with anorexia or bulimia nervosa, unstable or acutely exacerbated psychiatric conditions, inability to access video-capable devices or the internet, or inability to attend the six brief videoconference sessions are unlikely to benefit from this program.

Why it matters

Potential benefit: If successful, the video format could make DBT guided self-help easier to follow, increase treatment adherence, and lead to higher remission rates for people with BED.

How similar studies have performed: Standard DBT and guided self-help DBT have shown promising remission rates for BED in prior studies, but delivering the guided self-help content by weekly video lessons rather than text is a novel adaptation with limited prior testing.

Eligibility criteria

Inclusion Criteria:

* Individuals diagnosed with binge eating disorder according to the DSM-5-TR.
* Access to a device with a camera, microphone, and internet connection.
* Minimum ability to read and write in Portuguese.
* Availability of 1 hour per week to read or watch treatment-related content.
* Participants with psychiatric comorbidities must be on a stable medication regimen for at least two months prior to enrollment in the study.

Exclusion Criteria:

* Individuals with anorexia nervosa or bulimia nervosa.
* Individuals with unstable psychiatric comorbidities (exclusion will apply to individuals who have experienced an acute psychiatric exacerbation requiring additional treatment or medical hospitalization.).
* Lack of time to read weekly chapters or watch the video lessons.
* Inability to access devices with a camera, microphone, and internet.
* Inability to attend six brief 30-minute videoconference sessions over the 13-week study period.
* Individuals at imminent risk to life (suicidal or self-harming behavior in the previous three months).
* Lack of minimum reading and writing skills.

Where this trial is running

São Paulo, São Paulo

• AMBULIM IPq HC FMUSP — São Paulo, São Paulo, Brazil (RECRUITING)

Study contacts

• Study coordinator: Fellipe Augusto Lenzing, Clinical Research Supervisor

Conditions: Binge Eating Disorder, BED, DBT, Dialectical Behavior Therapy, Guided Self-Help, Video-based intervention, DBT-BED, DBTgsh