Does a Skills Intervention for Parents Have a Positive Impact on Adolescents’ Anorexia Nervosa Outcome? Answers from a Quasi-Randomised Feasibility Trial of SUCCEAT

Philipp, Julia; Franta, Claudia; Zeiler, Michael D.; Truttmann, Stefanie; Wittek, Tanja; Imgart, Hartmut; Zanko, Annika; Auer-Welsbach, Ellen; Mairhofer, Dunja; Mitterer, Michaela; Laczkovics, Clarissa; Schöfbeck, Gabriele; Jilka, Elisabeth; Egermann, Wolfgang Bernhard; Treasure, Janet; Karwautz, Andreas; Wagner, Gudrun

doi:10.3390/ijerph18094656

Cited by 18 publications

(23 citation statements)

References 57 publications

(107 reference statements)

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“…Most were conducted in the United States (n=22) [ 28 - 49 ]. Others were conducted in the Netherlands (n=4) [ 50 - 53 ], Switzerland (n=2) [ 54 , 55 ], Germany (n=1) [ 56 ], Korea (n=1) [ 57 ], Austria (n=1) [ 58 ], Canada (n=1) [ 59 ], and New Zealand (n=1) [ 60 ]. One study included participants from Germany, Sweden, Belgium, and the Czech Republic [ 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies were based on a variety of conceptual frameworks. Of the 34 studies, 24 used only MI [ 28 - 32 , 34 , 35 , 37 - 39 , 41 - 44 , 46 , 47 , 49 , 51 , 53 , 54 , 56 , 59 - 61 ] and the remaining 10 used alternative frameworks in conjunction with MI [ 33 , 36 , 40 , 45 , 48 , 50 , 52 , 55 , 57 , 58 ] ( Multimedia Appendix 1 ). The most commonly used conceptual framework other than MI was cognitive behavioral therapy (CBT; n=3) [ 45 , 50 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

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Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review

et al. 2022

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Background Motivational interviewing (MI) can increase health-promoting behaviors and decrease health-damaging behaviors. However, MI is often resource intensive, precluding its use with people with limited financial or time resources. Mobile health–based versions of MI interventions or technology-delivered adaptations of MI (TAMIs) might increase reach. Objective We aimed to understand the characteristics of existing TAMIs. We were particularly interested in the inclusion of people from marginalized sociodemographic groups, whether the TAMI addressed sociocontextual factors, and how behavioral and health outcomes were reported. Methods We employed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews to conduct our scoping review. We searched PubMed, CINAHL, and PsycInfo from January 1, 1996, to April 6, 2022, to identify studies that described interventions incorporating MI into a mobile or electronic health platform. For inclusion, the study was required to (1) describe methods/outcomes of an MI intervention, (2) feature an intervention delivered automatically via a mobile or electronic health platform, and (3) report a behavioral or health outcome. The exclusion criteria were (1) publication in a language other than English and (2) description of only in-person intervention delivery (ie, no TAMI). We charted results using Excel (Microsoft Corp). Results Thirty-four studies reported the use of TAMIs. Sample sizes ranged from 10 to 2069 participants aged 13 to 70 years. Most studies (n=27) directed interventions toward individuals engaging in behaviors that increased chronic disease risk. Most studies (n=22) oversampled individuals from marginalized sociodemographic groups, but few (n=3) were designed specifically with marginalized groups in mind. TAMIs used text messaging (n=8), web-based intervention (n=22), app + text messaging (n=1), and web-based intervention + text messaging (n=3) as delivery platforms. Of the 34 studies, 30 (88%) were randomized controlled trials reporting behavioral and health-related outcomes, 23 of which reported statistically significant improvements in targeted behaviors with TAMI use. TAMIs improved targeted health behaviors in the remaining 4 studies. Moreover, 11 (32%) studies assessed TAMI feasibility, acceptability, or satisfaction, and all rated TAMIs highly in this regard. Among 20 studies with a disproportionately high number of people from marginalized racial or ethnic groups compared with the general US population, 16 (80%) reported increased engagement in health behaviors or better health outcomes. However, no TAMIs included elements that addressed sociocontextual influences on behavior or health outcomes. Conclusions Our findings suggest that TAMIs may improve some health promotion and disease management behaviors. However, few TAMIs were designed specifically for people from marginalized sociodemographic groups, and none included elements to help address sociocontextual challenges. Research is needed to determine how TAMIs affect individual health outcomes and how to incorporate elements that address sociocontextual factors, and to identify the best practices for implementing TAMIs into clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review

et al. 2022

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“…We additionally included the EDI-2 as it also assesses aspects of the personality and temperament known to be pronounced in eating disorder patients (e.g., perfectionism, impulse regulation), which is not covered in the EDE/EDE-Q. Moreover, in previous studies, treatment effects evaluated with the EDI-2 were lower as when evaluated with the EDE [ 92 ]. It comprises 91-items which are rated on a 6-point Likert-scale ranging from 1–6.…”

Section: Methodsmentioning

confidence: 99%

Short-Term Outcome of Inpatient Treatment for Adolescents with Anorexia Nervosa Using DSM-5 Remission Criteria

Mairhofer

Zeiler

Philipp

et al. 2021

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This study evaluated the short-term outcome of a multimodal inpatient treatment concept for adolescents with anorexia nervosa (AN). In this prospective observational study, a cohort of 126 female adolescents with AN (age range: 11–17, mean age: 14.83) was longitudinally followed from admission to discharge (average duration of stay: 77 days). We used gold-standard clinical interviews and self-report data, as well as DSM-5 remission criteria, to evaluate the treatment outcome. From admission to discharge, body-mass-index (BMI) significantly improved by 2.6 kg/m2. Data from clinical interviews and self-reports yielded similar improvements in restraint eating and eating concerns (large effects). Lower effects were observed for variables assessing weight/shape concerns and drive for thinness. At discharge, 23.2% of patients showed full remission of AN, 31.3% partial remission, and 45.5% no remission according to DSM-5 criteria. Differences in remission groups were found regarding AN severity, age at admission, and use of antidepressant medication. Living with both parents, longer duration of inpatient treatment and the use of antipsychotic medication were significantly associated with higher BMI change. The findings provide evidence for the short-term effectiveness of our inpatient treatment concept. We recommend using DSM-5 based remission criteria to evaluate the treatment outcome to improve the comparability of studies.

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“…One study adapted the interpersonal model, tailoring it more specifically to CYP, designing “Supporting Carers of Children and Adolescents with Eating Disorders” (SUCCEAT) [ 45 ]. This encompassed aspects of the cognitive interpersonal maintenance model, transtheoretical model of change and antecedent–behaviour–consequence model.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the impact of carer interventions on outcomes for patients with eating disorders

et al. 2021

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Purpose Eating disorder (ED) prevalence and illness severity is rapidly increasing. The complicated interplay of factors contributing to the maintenance of EDs, including family/carer influences, highlights the importance of carer interventions within ED treatment. Carer interventions demonstrate positive outcomes for carers themselves, though are also hypothesised to benefit the patient indirectly. A systematic review was conducted to greater understand the impact of carer interventions on ED patient outcomes. Methods Eight databases, including CINAHL, MEDLINE and PsychINFO, were systematically searched. Intervention studies for parent(s)/carer(s) of a patient with an ED were included, provided they reported outcomes for the patient. No publication date restrictions were set. Included studies were quality appraised. Results Twenty-eight studies met inclusion for the review; all of which varied in intervention type, duration, content and setting. Patient diagnosis and treatment setting were mixed across studies, though the majority focused on Anorexia Nervosa within outpatient settings. Intervention content broadly included consideration of relationship issues and interactional patterns, psychoeducation, skill development, behavioural management, and peer support. Therapeutic models utilised were diverse, including but not limited to: family, interpersonal, cognitive, and psychodynamic approaches. Conclusion Several carer interventions showed positive outcomes for patients with EDs, with small group treatment formats being commonly used and proving effective through intervention content alongside a peer support element. Separate family therapy was suggested to be of equal efficacy, if not better, than family therapy alongside the patient. Recommendations for clinical practice and future research are considered. Level of evidence 1. Systematic review, evidence mostly obtained from randomised controlled trials. Supplementary Information The online version contains supplementary material available at 10.1007/s40519-021-01338-7.

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Does a Skills Intervention for Parents Have a Positive Impact on Adolescents’ Anorexia Nervosa Outcome? Answers from a Quasi-Randomised Feasibility Trial of SUCCEAT

Cited by 18 publications

References 57 publications

Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review

Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review

Short-Term Outcome of Inpatient Treatment for Adolescents with Anorexia Nervosa Using DSM-5 Remission Criteria

A systematic review of the impact of carer interventions on outcomes for patients with eating disorders

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