Extrait

Background and study aims Anorexia Nervosa (AN) is a serious eating disorder in which people keep their body weight low by dieting, vomiting, using laxatives or excessively exercising. It affects men and women of all ages, but is most common in young women. AN affects the whole body, and can lead to serious mental health issues, such as depression and problems with cognitive (thinking, learning and memory), as well as damage to major organs such as the heart and kidneys. If the weight loss is particularly severe, then hospitalizing the sufferer to help them gain weight is the main treatment option. The length of hospital stay and death rate in the year after admission for patients with severe anorexia nervosa is higher than for other psychiatric conditions. It has been found that that actively involving the family in shared management reduces the readmission rate and improves both patient and family well-being. It has also been found that self-management materials for patients also improves outcomes. The aim of this study is examine whether adding self-management materials for both carers and patients improves both patient and carer outcomes and service use in the year following specialist inpatient treatment for patients with severe anorexia nervosa. Who can participate? Anorexia patients aged 17 or over who have a carer including family and/or friends willing and able to provide some aftercare support) who is also willing to take part. What does the study involve? Patients and their carers are randomly allocated to one of two groups. Those in the first group receive usual treatment alone. Those in the second group receive usual treatment with the addition of the shared self-management materials, which are available online. The self-management materials are available on two online platforms (one for patients and one for carers) and contain self-management tools which support the individual and the family, such as workbooks, DVD, vodcasts, questionnaires, feedback, with chat line and e mail support. Patients’ and carers’ wellbeing are measured on admission and at 3-monthly intervals over the following 18 months using multi-method assessment techniques. In addition, service use, costs, and the role of prospective mediators and moderators of clinical outcomes are measured. What are the possible benefits and risks of participating? Findings from previous scientific studies show that both parties (carers and patients) can benefit from this type of program. Carers experience less stress and burden, and patients maintain the changes from inpatient care more effectively. There are no notable risks involved with participating. Where is the study run from? Bethlem Royal Hospital and 16 other NHS eating disorder clinics in England and Scotland (UK) When is the study starting and how long is it expected to run for? November 2016 to November 2021 Who is funding the study? National Insitute for Health Research - Health Technology Assessment Programme (UK) Who is the main contact? Dr Valentina Cardi [email protected]

Critère d'inclusion

• Anorexia nervosa

Liens

• isrctn