Instilling hope for a brighter future: A mixed‐method mentoring support programme for individuals with and recovered from anorexia nervosa

Ramjan, Lucie M.; Fogarty, Sarah; Nicholls, Daniel; Hay, Phillipa

doi:10.1111/jocn.14200

Cited by 24 publications

(57 citation statements)

References 43 publications

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“…Although hope has been associated with better outcomes for patients with EDs (Acharya & Agius, ; Fogarty & Ramjan, ; Jewell, Blessitt, Stewart, Simic, & Eisler, ; Las Hayas et al, ; Pivarunas, ; Ramjan et al, ), there is limited literature on hope‐engendering actions used by healthcare professionals and the efficacy of those actions. It has been established that hope and suicidality must be addressed in the treatment of those with EDs (Berglund et al, ; Wright, ); however, limited data are available about hope in this patient population and the influence of hope‐engendering nurse actions.…”

Section: Discussionmentioning

confidence: 99%

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Exploring nurses’ and patients’ perceptions of hope and hope‐engendering nurse interventions in an eating disorder facility: A descriptive cross‐sectional study

Stavarski

Alexander

Ortiz

et al. 2019

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Individuals with eating disorders (EDs) experience hopelessness, suicidal thoughts and behaviours at elevated rates compared to the general population. Current knowledge of recovery from EDs does not address nurse engendered hope. This study aimed to explore differences between patients’ and nurses’ perceptions of hope‐engendering nurse actions and the relationship actions have with patients’ perception of hope. What the paper adds to existing knowledge? This is the first study to explore differences between patients’ and nurses’ perceptions of hope‐engendering nurse actions in an inpatient ED facility and find significant differences; nurses’ scores were higher than patients’ scores. The study explored the relationship perceived self‐reported nurse hope‐engendering actions have with patients’ and nurses’ perception of hope. There were no significant relationships. This study provides additional evidence to support that there are common patient needs for nurse hope‐engendering practices such as caring and providing for patients; supporting and encouraging patients’ connection to others; facilitating patients’ adaptive belief systems; and helping to set goals and attain resources for patients. What are the implications for mental health nursing practice? Nurses who work with patients who have EDs should be prepared to work with patients who are feeling hopeless about their future. Thus, nursing continuing education should focus on strategies that enable nurses to deliver care that reduces hopelessness, improves connection, and inspires hope in those who are recovering from EDs. The results revealed that nurses perceived that they offered patients with EDs hope‐engendering actions more often and effectively than patients believed; this finding pinpoints a future direction for research that may improve care for patients. Patient feedback identified ways nurses may improve care to engender hope: providing an open caring environment, nurse presence, comfort/pain relief, and involving patients in their care. Actions by nurses aimed to enhance interpersonal connection and nurse presence could facilitate hope in patients with ED. Abstract IntroductionIndividuals with eating disorders (EDs) experience suicidal thoughts and behaviours at elevated rates compared to the general population. Hope‐engendering nursing actions may increase patients’ levels of hope for the future, improve coping self‐efficacy, and possibly reduce suicidality. Although nursing staff are integral ED treatment team members, little is known about nursing actions targeting hopefulness. AimExplore differences between patients’ and nurses’ perceptions of hope‐engendering nurse actions and the relationship actions have with patients’ perception of hope. MethodsDescriptive, cross‐sectional, comparative, correlational research design was used. Responses for 97 ED patients and 10 nurses were entered into analysis. Hope‐engendering nurse intervention and hope questionnaires were administered and ana...

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Section: Discussionmentioning

confidence: 99%

“…Herth () considers hope to be multidimensional, contributing to coping, and influencing wellness. Researchers have demonstrated that treatment which engenders hope and connectedness is essential to recovery from EDs (Fogarty & Ramjan, ; Pivarunas, ; Ramjan, Fogarty, Nicholls, & Hay, ).…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses’ and patients’ perceptions of hope and hope‐engendering nurse interventions in an eating disorder facility: A descriptive cross‐sectional study

Stavarski

Alexander

Ortiz

et al. 2019

Psychiatric Ment Health Nurs

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“…Future research could further investigate the acceptability and effectiveness of peer mentoring in improving a range of long-term outcomes, including motivation, functioning, and other quality of life-related outcomes that are particularly poor in SE-AN patients 21 . Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) Low self-esteem, self-efficacy and hopelessness have been found to be associated with a worse prognosis in AN 7,25 . Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) is an intervention that uses a Cognitive Behavioural Therapy (CBT) and motivational interviewing framework, designed to help individuals reduce ambivalence about change and examine the benefits and consequences of AN from a multidimensional perspective 25 .…”

Section: Peer Support/mentoringmentioning

confidence: 99%

“…Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) Low self-esteem, self-efficacy and hopelessness have been found to be associated with a worse prognosis in AN 7,25 . Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) is an intervention that uses a Cognitive Behavioural Therapy (CBT) and motivational interviewing framework, designed to help individuals reduce ambivalence about change and examine the benefits and consequences of AN from a multidimensional perspective 25 . MANTRA focuses on a set of identified psychosocial predisposing and maintaining factors for AN, including cognitive style, rigidity, perfectionism, obsessiveness, experiential avoidance, and poor social functioning; its aim is to improve these psychosocial factors in order for patients to be more motivated to institute nutritional changes (in contrast to traditional treatments focusing primarily on eating and weight gain) 25 , 26 .…”

Section: Peer Support/mentoringmentioning

confidence: 99%

“…Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) is an intervention that uses a Cognitive Behavioural Therapy (CBT) and motivational interviewing framework, designed to help individuals reduce ambivalence about change and examine the benefits and consequences of AN from a multidimensional perspective 25 . MANTRA focuses on a set of identified psychosocial predisposing and maintaining factors for AN, including cognitive style, rigidity, perfectionism, obsessiveness, experiential avoidance, and poor social functioning; its aim is to improve these psychosocial factors in order for patients to be more motivated to institute nutritional changes (in contrast to traditional treatments focusing primarily on eating and weight gain) 25 , 26 . MANTRA is delivered in individualized modules targeting various patient-specific characteristics (e.g., social and emotional difficulties, patient strengths and supports, and maladaptive traits) that play a role in the development and maintenance of AN.…”

Section: Peer Support/mentoringmentioning

confidence: 99%

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Holistically addressing motivation and maladaptive traits in anorexia nervosa: Impact on prognosis and treatment outcomes

Milios

2019

DMJ

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Anorexia Nervosa (AN) is a serious psychiatric disorder, characterized by restriction of energy intake, low body weight, intense fear of weight gain, and a disturbance in body weight self-perception. Severe and Enduring AN (SE-AN) is a long-lasting (typically 5-7 or more years and marked by several unsuccessful treatment attempts) form of AN. Traditional treatments, centering on weight restoration and core eating pathology, may be part of the reason rates of treatment dropout are high and long-term outcomes are poor, particularly in SE-AN. For SE-AN patients, who have a past marked by failed traditional treatment attempts, multidimensional treatments, addressing motivation to change and maladaptive traits, may improve a range of patient outcomes outside of eating-related symptoms, such as quality of life and interpersonal functioning.The objective of this narrative review is to briefly examine motivation-related factors (e.g., hope and readiness to change), experiential avoidance, perfectionism, and obsessive-compulsiveness, and the impact of treatment approaches incorporating these individual characteristics on various patient outcomes. In conclusion, a holistic, multidimensional, person-centred recovery approach that accounts for (a) illness severity/ chronicity, (b) individual traits, and (c) motivational factors (with a secondary focus on weight gain/eating pathology), could improve quality of life outcomes, particularly in SE-AN. Additionally, integrating patient perspectives, insights, and values into developing/testing novel person-centred interventions is paramount in order to holistically address the underlying biopsychosocial causes and perpetuating factors of AN, and to better understand the trajectory of chronicity.

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Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial

Ranzenhofer

Wilhelmy

Hochschild

et al. 2020

Intl J Eating Disorders

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Objective: Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conducting a randomized controlled trial (RCT).Trial Design: Parallel three-arm pilot RCT with 1:1:1 allocation to peer mentorship, social support mentorship (active comparison intervention), and waiting list.Method: Sixty outpatients with anorexia nervosa (AN), bulimia nervosa (BN), or binge-eating disorder (BED) were randomly assigned to a condition. Outcome measures, including eating disorder symptoms and general psychopathology, were completed at baseline, mid-, and postintervention.

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Instilling hope for a brighter future: A mixed‐method mentoring support programme for individuals with and recovered from anorexia nervosa

Abstract: While further research is warranted mentoring support or recovered mentors, may play a potentially valuable role in supporting those in community settings.

Cited by 24 publications

References 43 publications

Exploring nurses’ and patients’ perceptions of hope and hope‐engendering nurse interventions in an eating disorder facility: A descriptive cross‐sectional study

Exploring nurses’ and patients’ perceptions of hope and hope‐engendering nurse interventions in an eating disorder facility: A descriptive cross‐sectional study

Holistically addressing motivation and maladaptive traits in anorexia nervosa: Impact on prognosis and treatment outcomes

Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial

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