Efficacy and cost-effectiveness of a digital guided self-management intervention to support transition from intensive care to community care in anorexia nervosa (TRIANGLE): pragmatic multicentre randomised controlled trial and economic evaluationResearch in context

Autor: Valentina Cardi, Katie Rowlands, Suman Ambwani, Jodie Lord, Danielle Clark-Bryan, David McDaid, Ulrike Schmidt, Pamela Macdonald, Jon Arcelus, Sabine Landau, Janet Treasure
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: EClinicalMedicine, Vol 73, Iss , Pp 102645- (2024)
Druh dokumentu: article
ISSN: 2589-5370
DOI: 10.1016/j.eclinm.2024.102645
Popis: Summary: Background: There is uncertainty regarding how best to support patients with anorexia nervosa following inpatient or day care treatment. This study evaluated the impact of augmenting intensive treatment with a digital, guided, self-management intervention (ECHOMANTRA) for patients with anorexia nervosa and their carers. Methods: In this pragmatic multicentre randomised controlled trial and economic evaluation, patients with a diagnosis of anorexia nervosa or atypical anorexia nervosa, aged 16+ and attending one of the 31 inpatient or day-patient services in the UK were randomised with one of their carers to receive ECHOMANTRA plus treatment as usual (TAU), or TAU alone. ECHOMANTRA was hosted on a digital platform and included a workbook, recovery-oriented video-clips and online facilitated groups (patients only, carers only, joint patient-carer). Participants were randomised on a 1:1 ratio using a minimisation algorithm to stratify by site (N = 31) and severity (defined by BMI
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