Clinical effectiveness of a skills training intervention for caregivers in improving patient and caregiver health following in-patient treatment for severe anorexia nervosa: pragmatic randomised controlled trial
| Autor: | Simone Raenker, Elizabeth Goddard, Sabine Landau, Charlotte Rhind, Nicholas Magill, Ulrike Schmidt, Jon Arcelus, Janet Treasure, Gillian Todd, Rebecca Hibbs, Pamela Macdonald, Jennifer Beecham, John F. Morgan |
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| Rok vydání: | 2015 |
| Předmět: |
Paper
050103 clinical psychology medicine.medical_specialty business.industry 05 social sciences MEDLINE Coaching 030227 psychiatry law.invention 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial Anorexia nervosa (differential diagnoses) law RA0421 Public health. Hygiene. Preventive Medicine Intervention (counseling) Physical therapy Medicine Expressed emotion 0501 psychology and cognitive sciences business Psychiatry Psychopathology |
| Zdroj: | BJPsych open ResearcherID Hibbs, R J, Magill, N, Goddard, E, Rhind, C A-M N, Raenker, S, MacDonald, P, Todd, G, Arcelus, J, Morgan, J, Beecham, J, Schmidt, U H, Landau, S & Treasure, J L 2015, ' Clinical effectiveness of a skills training intervention for caregivers in improving patient and caregiver health following in-patient treatment for severe anorexia nervosa : Pragmatic randomised controlled trial ', British Journal of Psychiatry Open, vol. 1, no. 1, pp. 56-66 . https://doi.org/10.1192/bjpo.bp.115.000273 |
| ISSN: | 2056-4724 |
| DOI: | 10.1192/bjpo.bp.115.000273 |
| Popis: | BackgroundFamilies express a need for information to support people with severe anorexia nervosa.AimsTo examine the impact of the addition of a skills training intervention for caregivers (Experienced Caregivers Helping Others, ECHO) to standard care.MethodPatients over the age of 12 (mean age 26 years, duration 72 months illness) with a primary diagnosis of anorexia nervosa and their caregivers were recruited from 15 in-patient services in the UK. Families were randomised to ECHO (a book, DVDs and five coaching sessions per caregiver) or treatment as usual. Patient (n=178) and caregiver (n=268) outcomes were measured at discharge and 6 and 12 months after discharge.ResultsPatients with caregivers in the ECHO group had reduced eating disorder psychopathology (EDE-Q) and improved quality of life (WHO-Quol; both effects small) and reduced in-patient bed days (7–12 months post-discharge). Caregivers in the ECHO group had reduced burden (Eating Disorder Symptom Impact Scale, EDSIS), expressed emotion (Family Questionnaire, FQ) and time spent caregiving at 6 months but these effects were diminished at 12 months.ConclusionsSmall but sustained improvements in symptoms and bed use are seen in the intervention group. Moreover, caregivers were less burdened and spent less time providing care. Caregivers had most benefit at 6 months suggesting that booster sessions, perhaps jointly with the patients, may be needed to maintain the effect. Sharing skills and information with caregivers may be an effective way to improve outcomes. This randomised controlled trial (RCT) was registered with Current Controlled Trials ISRCTN06149665. |
| Databáze: | OpenAIRE |
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