Extrait

Background and study aims Relapse after in-patient treatment of anorexia nervosa (AN) is common, especially in the year following discharge. The aims of this study are to assess the feasibility of delivering a manual-based, e-mail-guided self-care relapse prevention programme for people with AN after discharge from in-patient treatment, added to usual care; and to get key information that would inform development of a large-scale study assessing the effectiveness, acceptability and cost-effectiveness of this intervention. Who can participate? In-patients with AN, aged 16 or above, in specialist eating disorders units in the UK. What does the study involve? Participants will be allocated by chance to receive either manual-based e-mail-guided self-care for 12 months combined with usual care, or usual care alone. The treatment manual used is based on the Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA), a treatment approached tried and tested at the Maudsley Hospital. E-mail support will be delivered weekly by experienced therapists. After 6 and 12 months, body mass index (assessed by patients’ weight and height) will be measured and various questionnaires and research interviews will be carried out to assess eating disorder symptoms, depression, anxiety, quality of life and service utilisation (in particular rehospitalisation). What are the possible benefits and risks of participating? The benefits of participating are that you will have a 50% chance of receiving additional after-care (added to your usual care) following discharge from hospital and that this extra support and guidance from a clinician may be helpful in maintaining gains made in hospital and aid recovery. There is also the benefit of having contact with a trained researcher at 6 and 12 months and to use the research assessments as a way of reflecting on your situation and progress. Participants may also like the idea that they are contributing to helping other people by participating in clinical research that may lead to improved treatments. The risks are that the research assessments take time, may be exhausting (they take a couple of hours), and questions about eating disorder symptoms and feelings may be distressing to some people. Where is the study run from? Institute of Psychiatry, King’s College London (UK) When is the study starting and how long is it expected to run for? July 2008 to June 2011 Who is funding the study? National Institute for Health Research (NIHR) (UK) Who is the main contact? Prof. Ulrike Schmidt [email protected]

Critère d'inclusion

• Severe anorexia nervosa (AN)

Liens

• ictrp
• isrctn