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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

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)122–130
JournalEuropean eating disorders review : the journal of the Eating Disorders Association
Issue number2
Early online date23 Dec 2015
Publication statusPublished - Mar 2016


  • CASIS_trial_24_month_data_submitted

    CASIS_trial_24_month_data_submitted.docx, 619 KB, application/vnd.openxmlformats-officedocument.wordprocessingml.document


    Submitted manuscript

King's Authors


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.

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