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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)

Arcelus, Jon
; 
Clark Bryan, Danielle
; 
Rowlands, Katie
; 
Macdonald, Pamela
; 
Cardi, Valentina
; 
Ambwani, Suman
; 
Landau, Sabine
; 
Schmidt, Ulrike
; 
Treasure, Janet
Abstract
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.
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Date
2024-04-16
Type
Article
Subject
Anorexia Nervosa
 Electronics
 Internet
 Hospitals, Psychiatric
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NottsHC Eating Disorders
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Citation
Clark Bryan D, Rowlands K, Macdonald P, Cardi V, Ambwani S, Arcelus J, Landau S, Schmidt U, Treasure J. 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. 2024 Apr 16;10(3):e81. doi: 10.1192/bjo.2023.642.
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BJPsych Open
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https://mider.dspace7.openrepository.com/handle/20.500.12904/18575
PMID
38623648
Publisher
Cambridge University Press
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Publisher’s statement
© The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/ licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
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