Quiles Yolanda, Quiles María José, León Eva María, Roncero María, Ruiz Álvaro, España Maite, Romero Cristina, Elvira Vicente
Department of Behavioral Sciences and Health, University Miguel Hernández, Elche, Spain.
Department of Personality, Assessment and Psychological Treatments, University of Valencia, Valencia, Spain.
Front Psychol. 2021 Oct 22;12:697916. doi: 10.3389/fpsyg.2021.697916. eCollection 2021.
One of the major problems with inpatient treatment of adolescent girls with an eating disorder (ED) is that the strategies learned during their hospital stay are not easily applied or maintained in their daily lives, and this has been related to high rates of relapse and readmission. The ECHOMANTRA programme was developed to optimize outcomes during and following inpatient or day-patient treatment. ECHOMANTRA is based on interventions for carers (Experienced Carers Helping Others, ECHO) and patients (Maudsley Model of Anorexia Nervosa Treatment for Adults, MANTRA) and is developed from the cognitive interpersonal model of anorexia (Schmidt and Treasure, 2006; Treasure and Schmidt, 2013). This study aims to describe the study protocol of a randomized controlled trial (RCT) for evaluating the efficacy of an adaptation of a novel intervention for patients and carers (ECHOMANTRA) to be implemented as an add-on to treatment-as-usual (TAU). In a multi-center pilot RCT, 80 female adolescent patients with a DSM-5 diagnosis of an ED and their carers will be invited to participate in the study. They will then be randomized to receive either the ECHOMANTRA intervention as an add-on to TAU or TAU alone. A repeated measures design will be conducted across four time points. Primary outcomes will be patient psychological well-being and eating disorder symptoms, and secondary outcomes will include body mass index, obsessive-compulsive symptoms, perfectionism, motivation to change and psychosocial adjustment. For carers, outcome variables will include psychological well-being, expressed emotion, accommodation and enabling behaviors, burden, and care skills. The results from this trial will establish the effectiveness of ECHOMANTRA and may reveal whether and to what extent this novel intervention can optimize outcomes during and following inpatient treatment. This study will also provide the adaptation of the ECHOMANTRA in the Spanish context for inpatient/day-care treatment.
对患有饮食失调（ED）的青春期女孩进行住院治疗的主要问题之一是，她们在住院期间学到的策略在日常生活中不易应用或维持，这与高复发率和再入院率有关。ECHOMANTRA项目旨在优化住院或日间住院治疗期间及之后的治疗效果。ECHOMANTRA基于对护理人员的干预措施（经验丰富的护理人员帮助他人，ECHO）和患者的干预措施（成人神经性厌食症治疗的莫兹利模型，MANTRA），并由厌食症的认知人际模型发展而来（施密特和特雷热，2006年；特雷热和施密特，2013年）。本研究旨在描述一项随机对照试验（RCT）的研究方案，该试验用于评估一种针对患者和护理人员的新型干预措施（ECHOMANTRA）作为常规治疗（TAU）补充措施的疗效。在一项多中心试点随机对照试验中，将邀请80名诊断为患有DSM-5规定的饮食失调的青春期女性患者及其护理人员参与研究。然后，她们将被随机分配接受作为TAU补充措施的ECHOMANTRA干预或仅接受TAU。将在四个时间点进行重复测量设计。主要结局将是患者的心理健康和饮食失调症状，次要结局将包括体重指数、强迫症状、完美主义、改变动机和心理社会适应。对于护理人员，结局变量将包括心理健康、表达性情绪、接纳和促成行为、负担及护理技能。该试验的结果将确定ECHOMANTRA的有效性，并可能揭示这种新型干预措施是否以及在多大程度上可以优化住院治疗期间及之后的治疗效果。本研究还将提供ECHOMANTRA在西班牙住院/日间护理治疗背景下的适应性调整。
