Clinical trial NCT03673982: Carer Skills Training for Inpatients With Anorexia Nervosa (iCASK)
Official title: Bridging Transitions From Hospital to Home: Collaborative Skill Sharing Intervention With Carers (iCASK)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Anorexia Nervosa
Lead sponsor: South London and Maudsley NHS Foundation Trust
Sponsor class: OTHER
First posted: 2018-09-17
Enrollment: 31
Sex: FEMALE
Minimum age (years): 17
Maximum age (years): 50
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: To improve treatment for patients with severe anorexia nervosa admitted for inpatient care, and to help their families. Inpatients and their families will be offered a novel intervention which includes multimedia training materials. These materials provide guidance in how families can provide support to maintain and build on changes made during inpatient care

Detailed description: Problem to be solved: Hospital Episode Statistics reveal that admissions for anorexia nervosa are increasing \[1\]. Admission restores nutrition in a timely manner \[2\], but psychosocial problems remain and relapse following discharge is common \[3\]. The mortality post discharge is high \[4\]. We have found that relapse and bed use post discharge are reduced by a parenting intervention giving the family skills to manage eating disorder behaviours \[5\].

Innovation: Through a process of co-production, in collaboration with service users and their families, we have developed tools exemplifying emotional coaching behaviour change strategies for patients and their carers (texts, DVDs and podcasts; iCASK programme). These aim of these tools is to improve the transition to outpatient care. These are hosted on a user-friendly, confidential and NHS-compliant platform.

Eligibility criteria: Inclusion Criteria:

* aged 17 or over
* DSM-5 diagnosis of Anorexia Nervosa with a body mass index (BMI) of \< 18.5 kg/m2

Exclusion Criteria:

* Insufficient knowledge of English
* Severe mental or physical illness needing treatment in its own right (e.g. psychosis or diabetes mellitus)

Primary outcomes:
measure: weight change
timeFrame: at time of admission, at time of discharge (average 12-14 weeks)
Secondary outcomes:
measure: Self-Report Questionnaires to assess psychopathological change for patients over admission and post-discharge.
timeFrame: Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.
measure: Self-Report Questionnaires for carers, to assess change in perceived burden over admission and post-discharge.
timeFrame: Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.
measure: Self-Report Questionnaires for carers, to assess change in perceived confidence over admission and post-discharge.
timeFrame: Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.
measure: Patient satisfaction
timeFrame: at 3 months post-discharge.
Other outcomes:
Locations:
city: Beckenham
country: United Kingdom
facility: Tyson West 2, Bethlem Royal Hospital
state: Kent
Study officials:
affiliation: Principal Investigator
name: Janet Treasure, Prof
role: PRINCIPAL_INVESTIGATOR
References: