Process Evaluation of the MOSAIC Trial, Part 1: Therapist Experiences of Delivering Two Psychological Therapies for Treatment of Anorexia Nervosa

Daniella Waterman-Collins, Beth Renwick, Anna Lose, Martha Kenyon, Lucy Serpell, Lorna Richards, Nicky Boughton, Janet Treasure, Ulrike Schmidt*, MOSAIC Trial Grp

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

Objectives

Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM), this study adopted a qualitative approach to examine therapist experiences of treatment delivery.

Method

Twenty MOSAIC therapists completed semi-structured interviews. Interviews were recorded, transcribed and analysed thematically.

Results

Themes of positive aspects, challenges and therapeutic fit emerged. MANTRA was seen as structured and flexible but could feel demanding on therapist time and skill. The slow pace and narrower focus of SSCM gave patients space to talk, but the lack of psychological tools and nutritional emphasis could create frustration. Views on the therapeutic relationship and patient-therapy fit differed across treatments.

Discussion

Findings provide testable hypotheses about what works for whom, ideas for therapist training, treatment development and delivery.

Original languageEnglish
Pages (from-to)122-130
Number of pages9
JournalEuropean Eating Disorders Review
Volume22
Issue number2
DOIs
Publication statusPublished - Mar 2014

Keywords

  • Process Evaluation
  • Qualitative Research
  • Randomised Controlled Trial
  • Anorexia Nervosa
  • RANDOMIZED CONTROLLED-TRIAL
  • CLINICAL MANAGEMENT
  • PSYCHOTHERAPY
  • ADULTS
  • MODEL

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