Two-year Follow-up of a Pragmatic Randomised Controlled Trial Examining the Effect of Adding a Carer's Skill Training Intervention in Inpatients with Anorexia Nervosa

TY - JOUR

T1 - Two-year Follow-up of a Pragmatic Randomised Controlled Trial Examining the Effect of Adding a Carer's Skill Training Intervention in Inpatients with Anorexia Nervosa

AU - Magill, Nicholas

AU - Rhind, Charlotte

AU - Hibbs, Rebecca

AU - Goddard, Elizabeth

AU - Macdonald, Pamela

AU - Arcelus, Jon

AU - Morgan, John

AU - Beecham, Jennifer

AU - Schmidt, Ulrike

AU - Landau, Sabine

AU - Treasure, Janet

N1 - Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

PY - 2016/3

Y1 - 2016/3

N2 - BACKGROUND: Active family engagement improves outcomes from adolescent inpatient care, but the impact on adult anorexia nervosa is uncertain.AIM: The aim of this study was to describe the 2-year outcome following a pragmatic randomised controlled trial in which a skill training intervention (Experienced Caregivers Helping Others) for carers was added to inpatient care.METHOD: Patient, caregiver and service outcomes were measured for 2 years following discharge from the index inpatient admission.RESULTS: There were small-sized/moderate-sized effects and consistent improvements in all outcomes from both patients and carers in the Experienced Caregivers Helping Others group over 2 years. The marked change in body mass index and carers' time caregiving following inpatient care was sustained. Approximately 20% of cases had further periods of inpatient care.CONCLUSION: In this predominately adult anorexia nervosa sample, enabling carers to provide active support and management skills may improve the benefits in all symptom domains that gradually follow from a period of inpatient care. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

AB - BACKGROUND: Active family engagement improves outcomes from adolescent inpatient care, but the impact on adult anorexia nervosa is uncertain.AIM: The aim of this study was to describe the 2-year outcome following a pragmatic randomised controlled trial in which a skill training intervention (Experienced Caregivers Helping Others) for carers was added to inpatient care.METHOD: Patient, caregiver and service outcomes were measured for 2 years following discharge from the index inpatient admission.RESULTS: There were small-sized/moderate-sized effects and consistent improvements in all outcomes from both patients and carers in the Experienced Caregivers Helping Others group over 2 years. The marked change in body mass index and carers' time caregiving following inpatient care was sustained. Approximately 20% of cases had further periods of inpatient care.CONCLUSION: In this predominately adult anorexia nervosa sample, enabling carers to provide active support and management skills may improve the benefits in all symptom domains that gradually follow from a period of inpatient care. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

U2 - 10.1002/erv.2422

DO - 10.1002/erv.2422

M3 - Article

C2 - 26695507

SN - 1072-4133

VL - 24

SP - 122

EP - 130

JO - European eating disorders review : the journal of the Eating Disorders Association

JF - European eating disorders review : the journal of the Eating Disorders Association

IS - 2

ER -