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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
Author(s) -
Magill Nicholas,
Rhind Charlotte,
Hibbs Rebecca,
Goddard Elizabeth,
Macdonald Pamela,
Arcelus Jon,
Morgan John,
Beecham Jennifer,
Schmidt Ulrike,
Landau Sabine,
Treasure Janet
Publication year - 2016
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2422
Subject(s) - anorexia nervosa , intervention (counseling) , randomized controlled trial , inpatient care , medicine , body mass index , eating disorders , physical therapy , psychology , psychiatry , clinical psychology , health care , surgery , pathology , economics , economic growth
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.