Two year Follow up of a Pragmatic Randomised Controlled Trial Examining the Effect of Adding a Carer's Skill Training Intervention in Inpatients with Anorexia Nervosa.
BACKGROUND Active family engagement improves outcomes from adolescent inpatient care, but the impact on adult anorexia nervosa is uncertain. AIM The aim of this study was to describe the 2 year outcome following a pragmatic randomised controlled trial in which a skill training intervention (Experienced Caregivers Helping Others) for carers was added to inpatient care. METHOD Patient, caregiver and service outcomes were measured for 2 years following discharge from the index inpatient admission. RESULTS There were small sized/moderate sized effects and consistent improvements in all outcomes from both patients and carers in the Experienced Caregivers Helping Others group over 2 years. The marked change in body mass index and carers' time caregiving following inpatient care was sustained. Approximately 20% of cases had further periods of inpatient care. CONCLUSION In this predominately adult anorexia nervosa sample, enabling carers to provide active support and management skills may improve the benefits in all symptom domains that gradually follow from a period of inpatient care.
European eating disorders review the journal of the Eating Disorders Association