Does internet-based prevention reduce the risk of relapse for anorexia nervosa?

Fichter, Manfred M.; Quadflieg, Norbert; Nisslmüller, Kerstin; Lindner, S.; Osen, Bernhard; Huber, Thomas J.; Wünsch‐Leiteritz, Wally

doi:10.1016/j.brat.2011.12.003

Cited by 109 publications

(164 citation statements)

References 40 publications

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“…The findings of the efficacy trial showed that participants who completed the online intervention gained more weight during the 9-month observation period compared with the treatment as usual control group. 23 In summary, these initial findings on aftercare delivered via Internet and mobile phones following completion of specialized treatment for eating disorders are promising for both anorexia nervosa and bulimia nervosa. Future studies should investigate to which extent these findings from Europe may translate to other countries, other treatment settings (e.g., outpatient treatment) and other health care systems.…”

Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 94%

“…Technologyenhanced programs offer the opportunity for clinicians and treatment centers to provide additional support to patients beyond the termination of inperson treatment. Three approaches for bulimia nervosa and related eating disorders not otherwise specified (EDNOS) [20][21][22] and one approach for anorexia nervosa 23 have been introduced so far. Bauer et al 20 developed and evaluated a system based on mobile phones and text messaging to provide support to patients with bulimia nervosa or related EDNOS following their discharge from inpatient treatment.…”

Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 99%

“…For anorexia nervosa, an Internet-based program for relapse prevention following inpatient treatment has been developed and evaluated by Fichter et al 23 The 9-month program follows a manualized approach with additional interactive modules such as message boards and therapist-guided chat groups. The findings of the efficacy trial showed that participants who completed the online intervention gained more weight during the 9-month observation period compared with the treatment as usual control group.…”

Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 99%

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Harnessing the power of technology for the treatment and prevention of eating disorders

Bauer

Moessner

2013

Intl J Eating Disorders

126

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This review suggests that technology-enhanced interventions offer multiple opportunities to improve care for eating disorders. More research is needed on the efficacy, effectiveness, cost-effectiveness, and reach of these approaches to ultimately estimate their public health impact. It is discussed to what extent innovative models of care integrating technology-enhanced interventions and face-to-face interventions may improve service delivery for eating disorders.

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Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 94%

Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 99%

Section: Relapse Prevention and Maintenance Treatmentmentioning

confidence: 99%

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Harnessing the power of technology for the treatment and prevention of eating disorders

Bauer

Moessner

2013

Intl J Eating Disorders

126

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“…Kordy et al, 2006;Wolf et al, 2006;Golkaramnay et al, 2007Golkaramnay et al, , 2009Bauer et al, 2011aBauer et al, , 2012Fichter et al, 2012;Ebert et al, 2013]. Die von der Forschungsstelle für Psychotherapie entwickelten Programme «Chat-, E-Mail-und SMS-Brücke» verstehen sich als therapeutische Begleitung beim Übergang von der Klinik in den Alltag-mit oder ohne ambulante Psychotherapie [Golkaramnay et al, 2003].…”

Section: Schlüsselwörterunclassified

SMS-Nachsorge: Sektorenübergreifende Versorgung für Patientinnen mit Bulimia nervosa

et al. 2013

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Hintergrund: Über den Zusammenhang zwischen der Teilnahme an E-Mental-Health-Interventionen und der Inanspruchnahme regulärer Psychotherapie ist bisher wenig bekannt. In der vorliegenden Studie wurde untersucht, inwiefern ein SMS-basiertes Nachsorgeprogramm mit einem veränderten Inanspruchnahmeverhalten ambulanter Therapie im Anschluss an eine stationäre Behandlung für Essstörungen assoziiert ist. Methode: 165 Patientinnen, die aufgrund einer vollausgeprägten oder subsyndromalen Bulimia nervosa stationär behandelt wurden, wurden randomisiert jeweils einer Kontrollgruppe (KG: treatment as ususal (TAU)) oder Interventionsgruppe (IG: 16-wöchige Nachsorge über SMS zusätzlich zu TAU) zugewiesen. Erfasst wurden die Rückfallrate und die Inanspruchnahme ambulanter Therapie innerhalb des 8-monatigen Follow-up-Zeitraums. Ergebnisse: In der KG wurden signifikant mehr Rückfälle beobachtet als in der IG (KG: 42,0%; IG: 26,8%). Vergleichbar viele Teilnehmerinnen nahmen ambulante Therapie in Anspruch (KG: 52,2%; IG: 53,5%). Innerhalb der Teilnehmerinnen, die eine ambulante Therapie aufnahmen, unterschieden sich die Rückfallraten von KG und IG nicht signifikant (KG: 38,9%; IG: 28,9%). Ein bedeutsamer Unterschied wurde hingegen in der Untergruppe festgestellt, die keine ambulante Therapie nutzte (KG: 45,5%; IG: 24,2%). Schlussfolgerung: Die Studie unterstreicht den Bedarf an sektorenübergreifenden Versorgungsangeboten (stationär-ambulant). Die Studie liefert erste Hinweise, dass das SMS-Programm das Inanspruchnahmeverhalten bezüglich ambulanter Therapie positiv beeinflussen könnte. Weitere Studien sind notwendig, um diesen möglichen kausalen Effekt zu untersuchen.

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“…There were significantly more readmissions to hospital in the relapse prevention group. 285 We have designed and piloted a novel manual-based outpatient treatment for adults with AN (MANTRA). 19,126 The content, structure, research underpinning this treatment and iterative development process have been described in detail elsewhere.…”

Section: Introductionmentioning

confidence: 99%

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

Schmidt

Sharpe

Bartholdy

et al. 2017

Programme Grants Appl Res

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BackgroundAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited.ObjectivesThis programme consists of seven integrated work packages (WPs) and aims to develop and test disseminable and cost-effective treatments to optimise management for people with AN across all stages of illness.MethodsWP1a used surveys, focus groups and a pre–post trial to develop and evaluate a training programme for school staff on eating disorders (EDs). WP1b used a randomised controlled trial (RCT) [International Standard Randomised Controlled Trial Number (ISRCTN) 42594993] to evaluate a prevention programme for EDs in schools. WP2a evaluated an inpatient treatment for AN using case reports, interviews and a quasi-experimental trial. WP2b used a RCT (ISRCTN67720902) to evaluate two outpatient psychological therapies for AN. WP3 used a RCT (ISRCTN06149665) to evaluate an intervention for carers of inpatients with AN. WP4 used actimetry, self-report and endocrine assessment to examine physical activity (PA) in AN. WP5 conducted a RCT (ISRCTN18274621) of an e-mail-guided relapse prevention programme for inpatients with AN. WP6 analysed cohort data to examine the effects of maternal EDs on fertility and their children’s diet and growth. WP7a examined clinical case notes to explore how access to specialist ED services affects care pathways and user experiences. Finally, WP7b used data from this programme and the British Cohort Study (1970) to identify the costs of services used by people with AN and to estimate annual costs of AN for England.ResultsWP1a: a brief training programme improved knowledge, attitudes and confidence of school staff in managing EDs in school. WP1b: a teacher-delivered intervention was feasible and improved risk factors for EDs in adolescent girls. WP2a: both psychological therapies improved outcomes in outpatients with AN similarly, but patients preferred one of the treatments. WP2b: the inpatient treatment (Cognitive Remediation and Emotional Skills Training) was acceptable with perceived benefits by patients, but showed no benefits compared with treatment as usual (TAU). WP3: compared with TAU, the carer intervention improved a range of patient and carer outcomes, including carer burden and patient ED symptomatology. WP4: drive to exercise is tied to ED pathology and a desire to improve mood in AN patients. PA was not increased in these patients. WP5: compared with TAU, the e-mail-guided relapse prevention programme resulted in higher body mass index and lower distress in patients at 12 months after discharge. WP6: women with an ED had impaired fertility and their children had altered dietary and growth patterns compared with the children of women without an ED. WP7a: direct access to specialist ED services was associated with higher referral rates, lower admission rates, greater consistency of care and user satisfaction. WP7b: the annual costs of AN in England are estimated at between £45M and £230M for 2011.ConclusionsThis programme has produced evidence to inform future intervention development and has developed interventions that can be disseminated to improve outcomes for individuals with AN. Directions for future research include RCTs with longer-term outcomes and sufficient power to examine mediators and moderators of change.Trial registrationCurrent Controlled Trials ISRCTN42594993, ISRCTN67720902, ISRCTN06149665 and ISRCTN18274621.FundingThis project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 5, No. 16. See the NIHR Journals Library website for further project information.

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Does internet-based prevention reduce the risk of relapse for anorexia nervosa?

Cited by 109 publications

References 40 publications

Harnessing the power of technology for the treatment and prevention of eating disorders

Harnessing the power of technology for the treatment and prevention of eating disorders

SMS-Nachsorge: Sektorenübergreifende Versorgung für Patientinnen mit Bulimia nervosa

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

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