Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA)
Background Adults with anorexia nervosa experience high levels of relapse following in-patient treatment. ECHOMANTRA is a novel online aftercare intervention for patients and carers, which provides psychoeducation and support to augment usual care. Aims To explore patient and carer experiences of...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2024-05-01
|
| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472423006427/type/journal_article |
| _version_ | 1797205725091463168 |
|---|---|
| author | Danielle Clark Bryan Katie Rowlands Pamela Macdonald Valentina Cardi Suman Ambwani Jon Arcelus Sabine Landau Ulrike Schmidt Janet Treasure |
| author_facet | Danielle Clark Bryan Katie Rowlands Pamela Macdonald Valentina Cardi Suman Ambwani Jon Arcelus Sabine Landau Ulrike Schmidt Janet Treasure |
| author_sort | Danielle Clark Bryan |
| collection | DOAJ |
| description |
Background
Adults with anorexia nervosa experience high levels of relapse following in-patient treatment. ECHOMANTRA is a novel online aftercare intervention for patients and carers, which provides psychoeducation and support to augment usual care.
Aims
To explore patient and carer experiences of receiving the ECHOMANTRA intervention.
Method
This is part of the process evaluation of the ECHOMANTRA intervention as delivered in the TRIANGLE trial (ISRCTN: 14644379). Semi-structured interviews were conducted with 20 participants randomised to the ECHOMANTRA (ten patients and ten carers). Thematic analysis was used to analyse the interview transcripts.
Results
Five major themes were identified: (1) Mixed experience of the intervention; (2) tailoring the intervention to the stage of recovery; (3) involvement of carers; (4) acceptability of remote support; and (5) impact of self-monitoring and accountability.
Conclusions
Participants were mostly positive about the support offered. The challenges of using remote and group support were counterbalanced with ease of access to information when needed. Components of the ECHOMANTRA intervention have the potential to improve care for people with eating disorders.
|
| first_indexed | 2024-04-24T08:55:41Z |
| format | Article |
| id | doaj.art-b4319a37038b48f5b2a5a2e6c85551d2 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-24T08:55:41Z |
| publishDate | 2024-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-b4319a37038b48f5b2a5a2e6c85551d22024-04-16T08:05:02ZengCambridge University PressBJPsych Open2056-47242024-05-011010.1192/bjo.2023.642Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA)Danielle Clark Bryan0https://orcid.org/0000-0002-6422-7306Katie Rowlands1https://orcid.org/0000-0002-9671-4344Pamela Macdonald2Valentina Cardi3Suman Ambwani4Jon Arcelus5https://orcid.org/0000-0002-3805-0180Sabine Landau6Ulrike Schmidt7Janet Treasure8Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKCentre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKCentre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UKCentre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and Department of General Psychology, University of Padova, ItalyDIS Study Abroad in Scandinavia, Copenhagen, DenmarkInstitute of Mental Health, University of Nottingham, UK; and Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet del Llobregat, Barcelona, SpainDepartment of Biostatistics and Health Informatics, King's College London, UKCentre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and South London and Maudsley NHS Foundation Trust, London, UKCentre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK Background Adults with anorexia nervosa experience high levels of relapse following in-patient treatment. ECHOMANTRA is a novel online aftercare intervention for patients and carers, which provides psychoeducation and support to augment usual care. Aims To explore patient and carer experiences of receiving the ECHOMANTRA intervention. Method This is part of the process evaluation of the ECHOMANTRA intervention as delivered in the TRIANGLE trial (ISRCTN: 14644379). Semi-structured interviews were conducted with 20 participants randomised to the ECHOMANTRA (ten patients and ten carers). Thematic analysis was used to analyse the interview transcripts. Results Five major themes were identified: (1) Mixed experience of the intervention; (2) tailoring the intervention to the stage of recovery; (3) involvement of carers; (4) acceptability of remote support; and (5) impact of self-monitoring and accountability. Conclusions Participants were mostly positive about the support offered. The challenges of using remote and group support were counterbalanced with ease of access to information when needed. Components of the ECHOMANTRA intervention have the potential to improve care for people with eating disorders. https://www.cambridge.org/core/product/identifier/S2056472423006427/type/journal_articleAnorexia nervosaeating disordersaftercaretransitionintervention |
| spellingShingle | Danielle Clark Bryan Katie Rowlands Pamela Macdonald Valentina Cardi Suman Ambwani Jon Arcelus Sabine Landau Ulrike Schmidt Janet Treasure Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) BJPsych Open Anorexia nervosa eating disorders aftercare transition intervention |
| title | Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) |
| title_full | Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) |
| title_fullStr | Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) |
| title_full_unstemmed | Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) |
| title_short | Transition support for patients admitted to intensive treatment for anorexia nervosa: qualitative study of patient and carer experiences of a hybrid online guided self-help intervention (ECHOMANTRA) |
| title_sort | transition support for patients admitted to intensive treatment for anorexia nervosa qualitative study of patient and carer experiences of a hybrid online guided self help intervention echomantra |
| topic | Anorexia nervosa eating disorders aftercare transition intervention |
| url | https://www.cambridge.org/core/product/identifier/S2056472423006427/type/journal_article |
| work_keys_str_mv | AT danielleclarkbryan transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT katierowlands transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT pamelamacdonald transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT valentinacardi transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT sumanambwani transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT jonarcelus transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT sabinelandau transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT ulrikeschmidt transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra AT janettreasure transitionsupportforpatientsadmittedtointensivetreatmentforanorexianervosaqualitativestudyofpatientandcarerexperiencesofahybridonlineguidedselfhelpinterventionechomantra |