FAQ

We receive certain questions particularly frequently in connection with the FIAT study, and we would like to provide you with the answers to these questions here. If you have any further questions, please do not hesitate to contact us!

 

FAQs for patients and families

What is FIAT?

The FIAT study investigates the effectiveness of FBT compared to full inpatient treatment for children and adolescents with AN who are indicated for inpatient treatment.

What is FBT?

FBT is an outpatient, disorder-specific, manualised psychotherapy for medically stable children and adolescents with AN.

Who can take part in the FIAT study?

Children and adolescents between the ages of 8 and 17 who have been diagnosed with anorexia nervosa of the restrictive or binge/purge subtype and who require inpatient treatment can participate. In addition, patients must be a member of a public health insurance company and have a sufficiently stable internet connection, in order to be able to participate in the FBT telemedically in the case of randomisation to the FBT arm. In addition, the family must be willing to travel to their participating clinic for medical examinations. Before the start of the study, all participants must provide written consent to taking part in the study.

How can I take part in the FIAT study?

Families whose child is admitted to one of the FIAT study centres for inpatient therapy and meets the participation criteria will receive an invitation to take part in the study from the responsible treatment team.

Do I have to be already hospitalised to participate in FIAT?

No, participation is also possible if you are scheduled to be admitted as an inpatient but have not yet been admitted.

Do I still have to be treated as an outpatient or be on the waiting list of a clinic in order to take part in FIAT?

When an inpatient bed space is available in one of the participating clinics, the exact family whose child is to receive this place will be considered for the study.

I/we live far away from FIAT study centres. Can I still take part in the telemedical FBT study?

If study participation is offered to you by a study centre and you can travel the distance for the regular (usually weekly) medical check-ups at the beginning, participation is possible.

What happens when FBT is over or I am in the comparative arm of inpatient therapy (IMT) and am discharged?

At this point, standard healthcare services will be available to you for ongoing needs and follow-up examinations.

Can a family with a single parent or guardian also take part in FIAT?

Yes, in general this is possible, even if experience suggests that it involves more effort for the single parent.

What happens if FBT does not achieve sufficient results?

The progress of therapy is continuously monitored by the FBT team and if it is insufficient, FBT is terminated and a transfer to another suitable form of care, such as inpatient therapy, is recommended.

What happens if I no longer want to participate in FIAT?

You may end your participation in the study at any time, even without giving a reason. In the case of SMT, you will continue to receive this therapy; in the case of FBT, it will be stopped.

I am currently suffering from anorexia, but could I be too healthy to take part in FIAT?

Before the study begins, the study team will carry out a detailed assessment to determine eligibility for the study and inform you and your family of the results.

I am currently actively suffering from anorexia, but could I be too unwell to take part in FIAT?

Before the study begins, the study team will carry out a detailed assessment to determine eligibility for the study. It may also be the case that you are too unwell to take part in the study. You will receive detailed feedback on this after the study eligibility assessment.

Can I continue to take part in my existing psychotherapy during FBT?

Unfortunately this is not possible. During FBT, as with inpatient therapy, pre-existing therapies must be suspended. However, if necessary, it is possible to resume this therapy after the completion of FBT.

Can I continue to see my child and adolescent psychiatrist and be treated by him/her during FBT?

Unfortunately this is not possible. During FBT, as with inpatient therapy, pre-existing appointments with an outpatient psychiatrist must be paused. However, if necessary, this treatment can be resumed after the completion of FBT. A psychiatrist from the FBT study team can be consulted during FBT.

Can I continue to see and be treated by my paediatrician during FBT?

During FBT, it is possible to see your paediatrician for all matters except for the treatment of AN.

FAQs for clinicians

What is FIAT?

The FIAT study investigates the effectiveness of FBT compared to full inpatient therapy in children and adolescents with AN who are indicated for inpatient treatment.

What is FBT?

FBT is an outpatient, disorder-specific, manualised psychotherapy for medically stable children and adolescents with AN.

Who can take part in the FIAT study?

Children and adolescents between the ages of 8 and 17 who have been diagnosed with anorexia nervosa of the restrictive or binge/purge subtype and who require inpatient treatment can participate. In addition, patients must be a member of a public health insurance company and have a sufficiently stable internet connection, in order to be able to participate in the FBT telemedically in the case of randomisation into the FBT arm. In addition, the family must be willing to travel to their participating clinic for medical examinations. Before the start of the study, all participants must provide written consent to taking part in the study.

Does a patient with anorexia nervosa who is eligible for FIAT have to be admitted as an inpatient in order to participate in FIAT?

No, participation is possible even if hospitalisation is planned but has not yet taken place.

Does a patient with anorexia nervosa who is eligible for FIAT still have to be treated as an outpatient or be on the waiting list of a clinic in order to take part in FIAT?

If an inpatient bed space is available in one of the participating clinics, the family whose child is to receive this space will be offered a place in the study.

Can a person who is diagnosed with anorexia nervosa be too healthy to take part in FIAT?

Before the study begins, the study team will carry out a detailed examination to determine suitability for the study.

Can a person who is diagnosed with anorexia nervosa be too unwell to take part in FIAT?

Before the study begins, a detailed examination is carried out by the study team to determine suitability for the study. It is also possible that the illness is too severe for the individual to take part in the study. The family will receive detailed feedback on this after the study eligibility assessment.

Can the patient continue to participate in ongoing psychotherapy during FBT?

This is not possible; during FBT, as with inpatient therapy, pre-existing therapies must be paused. If necessary, however, it is possible to resume this therapy after the completion of FBT.

Can the patient continue to see and be treated by a child and adolescent psychiatrist during FBT?

This is not possible; during FBT, as with inpatient therapy, the pre-existing appointments with an outpatient psychiatrist must be paused. However, if necessary, this treatment can be resumed after the completion of FBT. A psychiatrist from the FBT study team can be consulted during FBT.

Can the patient continue to see and be treated by a pediatrician during FBT?

During FBT, this is possible for all matters except for the treatment of AN.