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

Ranzenhofer, Lisa M.; Wilhelmy, Mylene; Hochschild, Annabella; Sanzone, Kaitlin; Walsh, B. Timothy; Attia, Evelyn

doi:10.1002/eat.23258

Cited by 33 publications

(48 citation statements)

References 30 publications

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“…Thus digital systems are of promise in a variety of forms to augment treatment such as virtual reality to target food or body image fears and training approaches to improve food and social approach behaviours. Also given the long course of the illness, a recovery approach with peer support may enhance hope (Ranzenhofer et al, 2020). Social support provided from family, friends and people with lived experience in connection with a consultative and tailored service approach might allow a more optimised, personalised approach to care (Treasure, Willmott, et al, 2020).…”

Section: New Treatmentsmentioning

confidence: 99%

Optimising care pathways for adult anorexia nervosa. What is the evidence to guide the provision of high‐quality, cost‐effective services?

Treasure

Oyeleye

Bonin

et al. 2021

Euro Eating Disorders Rev

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The aim of this paper is to consider how changes in service planning and delivery might improve the care pathways for adult anorexia nervosa. Although anorexia nervosa has a long history in Europe, its framing as a mental disorder is quite recent. The changing forms and increasing epidemiology of eating disorders has led to the expansion of specialised services. Although some services provide care over the entire clinical course, more often services are divided into those that care for children and adolescents or adults. The transition needs to be carefully managed as currently these services may have a different ethos and expectations. Services for adults have a broad range of diversity (diagnostic subtype, medical severity, comorbidity, stage of illness and psychosocial functioning) all of which impacts on prognosis. A tailored, approach to treatment planning could optimise the pathway. Facilitating early help seeking and rapid diagnosis in primary care and reducing specialised services waiting lists for assessment and treatment could be a form of secondary prevention. The use of precision models and /or continuous outcome monitoring might reduce the third of patients who require more intensive care by applying augmentation strategies. Finally, gains from intensive care might be sustained by relapse prevention interventions and community support to bridgeThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: New Treatmentsmentioning

confidence: 99%

Optimising care pathways for adult anorexia nervosa. What is the evidence to guide the provision of high‐quality, cost‐effective services?

Treasure

Oyeleye

Bonin

et al. 2021

Euro Eating Disorders Rev

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“…There is some indication that peer mentorship can help patients feeling understood and improve clinical outcomes and treatment attendance (Beveridge et al, 2019 ; Perez, Van Diest, & Cutts, 2014 ; Ramjan, Fogarty, Nicholls, & Hay, 2018 ). A recent pilot randomized controlled trial (RCT) examining the feasibility and efficacy of peer mentorship for individuals with an eating disorder found a preference for, and higher engagement with peer mentors, compared to general social support mentorship (Ranzenhofer et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The relationship between working alliance with peer mentors and eating psychopathology in a digital 6‐week guided self‐help intervention for anorexia nervosa

Albano

Cardi

Kivlighan

et al. 2021

Intl J Eating Disorders

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Objective: The quality of working alliance (WA) is associated with treatment outcomes across several types of psychiatric disorders and psychological interventions.This study examined the role of WA with peer mentors (people with lived experience of illness) and student mentors (graduated psychology students) in a 6-week, digital, guided self-help (GSH) intervention for anorexia nervosa.Method: Ninety-nine patients rated weekly, for 6 weeks: (a) eating psychopathology using the short version of the Eating Disorder Examination Questionnaire (EDE-QS) and (b) WA with a student mentor (n = 14) or a peer mentor (n = 10). WA was assessed by asking patients the extent to which they felt comfortable working with their mentor and the extent to which they agreed with them on the goals for support.WA with mentors and the association with eating psychopathology change were measured on a session-by-session basis. The analysis involved a random intercepts cross-lagged panel model.Results: WA with peer mentors was slightly higher than WA with students (ES = 0.3). Peer mentors' WA in the previous session was significantly associated with eating psychopathology ratings in the next session. No significant relationship was found between the previous session's EDE-QS scores and peer mentor alliance in the following session. In the student mentor group, there were no session-bysession associations between WA and eating psychopathology. However, greater WA with the student mentor across sessions was associated with less eating psychopathology.

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“…Peer support appears useful in modelling the recovery journey and providing hope (Cardi et al, 2015). A recent pilot RCT with eating disorder patients who had been discharged from a higher level of care, reported that peer mentorship provided by people with lived experience of an eating disorder resulted in greater symptom reduction and higher attendance and acceptability ratings, compared to social support mentorship (by individuals without lived experience) or waiting list controls (Ranzenhofer et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions to support transitions from intensive treatment for adults with anorexia nervosa and/or their carers

Bryan

Cardi

Willmott

et al. 2021

Euro Eating Disorders Rev

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In the short term, intensive treatment focusing on restoring weight for anorexia nervosa can remediate many symptoms. However, there is a high level of relapse after discharge. This paper examines interventions developed to bridge the transition from intensive to less intensive forms of treatment for adult anorexia nervosa. Method:We undertook a systematic review of the literature on interventions aimed at providing transition support. The Template for Intervention Description and Replication was used to describe components of the transition interventions. Patient's drop-out rates, weight, eating disorder psychopathology and mood data were extracted at end of treatment and follow-up to describe preliminary efficacy. Results: Fourteen studies were selected: nine used psychological interventions delivered through face-to-face talking therapy or guided self-help, three examined the use of fluoxetine and two assessed stepped-care approaches. Transition support was delivered to patients in 11 studies, to patients and carers in two studies, and carers alone in another study.

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

Cited by 33 publications

References 30 publications

Optimising care pathways for adult anorexia nervosa. What is the evidence to guide the provision of high‐quality, cost‐effective services?

Optimising care pathways for adult anorexia nervosa. What is the evidence to guide the provision of high‐quality, cost‐effective services?

The relationship between working alliance with peer mentors and eating psychopathology in a digital 6‐week guided self‐help intervention for anorexia nervosa

A systematic review of interventions to support transitions from intensive treatment for adults with anorexia nervosa and/or their carers

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