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LaMarre A, Couturier J, Dimitropoulos G, Jones S, Kumar S, Obeid N, Wozney L. Peer support for eating disorders in Canada: program user perspectives. J Eat Disord 2024; 12:133. [PMID: 39232818 PMCID: PMC11375941 DOI: 10.1186/s40337-024-01068-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 07/24/2024] [Indexed: 09/06/2024] Open
Abstract
Evidence for the value of peer support for eating disorders (EDs) is growing. Peer support is not a replacement for treatment, but can provide hope for recovery, enhance motivation for treatment, and increase feelings of connectedness and belonging for those experiencing EDs. In this study, we explored peer mentees' experiences of peer support for EDs to better understand the impact of peer support and its role in the Canadian treatment and support continuum. We conducted semi-structured interviews with 20 people who had received peer support (group, one-on-one, or chat) and conducted a reflexive thematic analysis through a critical realist lens. We developed four themes. Participants described the importance of connecting with others who had "been there," which helped generate a sense of belonging and connectedness. They also highlighted aspects of the peer support "container" that needed to be in place, such as guidelines for groups and agreements for one-on-one mentoring. When peer support was delivered well, participants described how it helped them help themselves through increasing motivation, communication skills, and other coping skills. Finally, participants described the unique role of peer support within the treatment continuum, as a modality that was accessible, free, and delivered in a way that focused on the whole person. Together, our findings illustrate the value of peer support and considerations for enabling effective and safe peer support delivery.
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Affiliation(s)
- Andrea LaMarre
- Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, K1H 8L1, Canada.
| | | | | | | | | | - Nicole Obeid
- Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, K1H 8L1, Canada
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2
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Ramjan LM, Smith BW, Miskovic-Wheatley J, Pathrose SP, Hay PJ. Social support for young people with eating disorders-An integrative review. Int J Ment Health Nurs 2024. [PMID: 38812085 DOI: 10.1111/inm.13363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Revised: 04/30/2024] [Accepted: 05/12/2024] [Indexed: 05/31/2024]
Abstract
Eating disorder treatment should be underpinned by a recovery-oriented approach, be therapeutic, personalised and trauma informed. Within such models of care, social support is an important factor to explore in terms of its influence in supporting hope for recovery, reducing stigma, and mitigating life stressors. Limited research has been conducted to understand the types of social support that are available to young people formally diagnosed with an eating disorder, their feasibility and acceptability and the positive outcomes. This integrative review sought to explore the positive outcomes of social support or social support programs for young people with eating disorders. An integrative review was conducted based on a search of five electronic databases from inception to 31 March 2023. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools and findings have been narratively synthesised and presented in accordance with the review's aims and questions. Seven studies (total 429 individuals, range 3-160) published between 2001 and 2023 were included in the final synthesis. Overall social support interventions showed promising preliminary evidence as a feasible and acceptable adjunct to treatment for young people with an eating disorder motivated to change, with some clinical improvements in psychopathology. Social support augmented existing relationships, providing a human element of open dialogue, friendship and a sense of hope for recovery. Despite the small number and heterogeneity of the studies, this review has highlighted some promising preliminary benefits. Future treatment for eating disorders should embrace adjunct modalities that enhance psychosocial recovery for young people with eating disorders.
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Affiliation(s)
- Lucie M Ramjan
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
- Translational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia
- School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia
| | - Brandon W Smith
- School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia
| | - Jane Miskovic-Wheatley
- InsideOut Institute, University of Sydney, Sydney, New South Wales, Australia
- Sydney Local Health District, Sydney, New South Wales, Australia
| | - Sheeja Perumbil Pathrose
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
- Translational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia
- New South Wales Centre for Evidence Based Health Care: A JBI Affiliated Group, Sydney, New South Wales, Australia
| | - Phillipa J Hay
- School of Medicine, Western Sydney University, Penrith, New South Wales, Australia
- Campbelltown Hospital, Mental Health Services, South Western Sydney Local Health District, Sydney, New South Wales, Australia
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Elran-Barak R, Elmalah-Alon S. Moving between positions: a qualitative study of mentoring relationships in chronic eating disorders. J Eat Disord 2024; 12:59. [PMID: 38755674 PMCID: PMC11097531 DOI: 10.1186/s40337-024-01007-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 04/17/2024] [Indexed: 05/18/2024] Open
Abstract
PURPOSE Eating disorders (ED) are chronic and challenging-to-treat conditions, often persisting over extended periods. Some patients with EDs require prolonged intensive rehabilitation services, which may include weekly home visits by paraprofessional mentors serving as support persons, providing guidelines, emotional care, and assistance. This study aims to enhance our understanding of the nature of the relationship formed between mentors and patients with EDs. DESIGN & METHODS Fifteen in-depth qualitative interviews were conducted with patients and paraprofessional mentors. Interviews were analyzed using a descriptive phenomenological approach by two researchers to enhance reliability. FINDINGS Qualitative analysis highlighted that mentors play a crucial role in patients' rehabilitation. Mentors adapt two positions (investigative and embracing) to address the encountered difficulties, including conflicts, tension, and confusion associated with (in)equality and reciprocity in the mentoring relationship. PRACTICE IMPLICATIONS Paraprofessional mentors can assist people with ED in their rehabilitation process. To support patients with EDs effectively, it is crucial to train and supervise the mentors in navigating between roles and dealing with boundaries, secrets, lies, and exposure to various aspects of the rehabilitation process. Additionally, we recommend further research using quantitative and empirical tools to complement the qualitative findings presented.
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Affiliation(s)
- Roni Elran-Barak
- Faculty of Social Welfare and Health Sciences, University of Haifa, 199 Aba Khoushy Ave, Mount Carmel, Haifa, 3498838, Israel.
| | - Shiran Elmalah-Alon
- Faculty of Social Welfare and Health Sciences, University of Haifa, 199 Aba Khoushy Ave, Mount Carmel, Haifa, 3498838, Israel
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Russell H, Aouad P, Le A, Marks P, Maloney D, Touyz S, Maguire S. Psychotherapies for eating disorders: findings from a rapid review. J Eat Disord 2023; 11:175. [PMID: 37794513 PMCID: PMC10548609 DOI: 10.1186/s40337-023-00886-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 09/11/2023] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Psychotherapy is considered central to the effective treatment of eating disorders-focusing on behavioural, psychological, and social factors that contribute to the illness. Research indicates psychotherapeutic interventions out-perform placebo, waitlist, and/or other treatments; but, outcomes vary with room for major improvement. Thus, this review aims to (1) establish and consolidate knowledge on efficacious eating disorder psychotherapies; (2) highlight select emerging psychotherapeutic interventions; and (3) identify knowledge gaps to better inform future treatment research and development. METHODS The current review forms part of a series of Rapid Reviews published in a special issue in the Journal of Eating Disorders to inform the development of the Australian-government-funded National Eating Disorder Research and Translation Strategy 2021-2031. Three databases were searched for studies published between 2009 and 2023, published in English, and comprising high-level evidence studies (meta-analyses, systematic reviews, moderately sized randomised controlled studies, moderately sized controlled-cohort studies, and population studies). Data pertaining to psychotherapies for eating disorders were synthesised and outlined in the current paper. RESULTS 281 studies met inclusion criteria. Behavioural therapies were most commonly studied, with cognitive-behavioural and family-based therapies being the most researched; and thus, having the largest evidence-base for treating anorexia nervosa, bulimia nervosa, and binge eating disorder. Other therapies, such as interpersonal and dialectical behaviour therapies also demonstrated positive treatment outcomes. Emerging evidence supports specific use of Acceptance and Commitment; Integrative Cognitive Affective; Exposure; Mindfulness; and Emotionally-Focused therapies; however further research is needed to determine their efficacy. Similarly, growing support for self-help, group, and computer/internet-based therapeutic modalities was noted. Psychotherapies for avoidant/restrictive food intake disorder; other, and unspecified feeding and eating disorders were lacking evidence. CONCLUSIONS Currently, clinical practice is largely supported by research indicating that behavioural and cognitive-behavioural psychotherapies are most effective for the treatment of eating disorders. However, the efficacy of psychotherapeutic interventions varies across studies, highlighting the need for investment and expansion of research into enhanced variants and novel psychotherapies to improve illness outcomes. There is also a pressing need for investigation into the whole range of eating disorder presentations and populations, to determine the most effective interventions.
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Affiliation(s)
- Haley Russell
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia
| | - Phillip Aouad
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia.
| | - Anvi Le
- Healthcare Management Advisors, Melbourne, Australia
| | - Peta Marks
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia
| | - Danielle Maloney
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia
- Sydney Local Health District, New South Wales Health, Sydney, Australia
| | - Stephen Touyz
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia
| | - Sarah Maguire
- InsideOut Institute, Central Clinical School, Faculty of Medicine and Health, Level 2, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW, 2006, Australia
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Rohrbach PJ, Dingemans AE, Spinhoven P, Van Ginkel JR, Fokkema M, Wilderjans TF, Bauer S, Van Furth EF. Effectiveness of an online self-help program, expert-patient support, and their combination for eating disorders: Results from a randomized controlled trial. Int J Eat Disord 2022; 55:1361-1373. [PMID: 35906929 PMCID: PMC9796760 DOI: 10.1002/eat.23785] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 07/07/2022] [Accepted: 07/07/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVE Many individuals with an eating disorder do not receive appropriate care. Low-threshold interventions could help bridge this treatment gap. The study aim was to evaluate the effectiveness of Featback, a fully automated online self-help intervention, online expert-patient support and their combination. METHOD A randomized controlled trial with a 12-month follow-up period was conducted. Participants aged 16 or older with at least mild eating disorder symptoms were randomized to four conditions: (1) Featback, a fully automated online self-help intervention, (2) chat or email support from a recovered expert patient, (3) Featback with expert-patient support and (4) a waiting list control condition. The intervention period was 8 weeks and there was a total of six online assessments. The main outcome constituted reduction of eating disorder symptoms over time. RESULTS Three hundred fifty five participants, of whom 43% had never received eating disorder treatment, were randomized. The three active interventions were superior to a waitlist in reducing eating disorder symptoms (d = -0.38), with no significant difference in effectiveness between the three interventions. Participants in conditions with expert-patient support were more satisfied with the intervention. DISCUSSION Internet-based self-help, expert-patient support and their combination were effective in reducing eating disorder symptoms compared to a waiting list control condition. Guidance improved satisfaction with the internet intervention but not its effectiveness. Low-threshold interventions such as Featback and expert-patient support can reduce eating disorder symptoms and reach the large group of underserved individuals, complementing existing forms of eating disorder treatment. PUBLIC SIGNIFICANCE STATEMENT Individuals with eating-related problems who received (1) a fully automated internet-based intervention, (2) chat and e-mail support by a recovered individual or (3) their combination, experienced stronger reductions in eating disorder symptoms than those who received (4) usual care. Such brief and easy-access interventions play an important role in reaching individuals who are currently not reached by other forms of treatment.
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Affiliation(s)
- Pieter J. Rohrbach
- GGZ Rivierduinen Eating Disorders UrsulaLeidenNetherlands
- Department of PsychiatryLeiden University Medical CenterLeidenNetherlands
| | | | - Philip Spinhoven
- Department of PsychiatryLeiden University Medical CenterLeidenNetherlands
- Methodology and Statistics Research Unit, Institute of PsychologyLeiden UniversityLeidenNetherlands
| | - Joost R. Van Ginkel
- Methodology and Statistics Research Unit, Institute of PsychologyLeiden UniversityLeidenNetherlands
| | - Marjolein Fokkema
- Methodology and Statistics Research Unit, Institute of PsychologyLeiden UniversityLeidenNetherlands
| | - Tom F. Wilderjans
- Methodology and Statistics Research Unit, Institute of PsychologyLeiden UniversityLeidenNetherlands
- Leiden Institute for Brain and CognitionLeiden University Medical CenterLeidenNetherlands
- Research Group of Quantitative Psychology and Individual Differences, Faculty of Psychology and Educational SciencesKU LeuvenLeuvenBelgium
| | - Stephanie Bauer
- Center for Psychotherapy ResearchUniversity Hospital HeidelbergGermany
| | - Eric F. Van Furth
- GGZ Rivierduinen Eating Disorders UrsulaLeidenNetherlands
- Department of PsychiatryLeiden University Medical CenterLeidenNetherlands
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Hanly F, Torrens-Witherow B, Warren N, Castle D, Phillipou A, Beveridge J, Jenkins Z, Newton R, Brennan L. Peer mentoring for individuals with an eating disorder: a qualitative evaluation of a pilot program. J Eat Disord 2020; 8:29. [PMID: 32626579 PMCID: PMC7329554 DOI: 10.1186/s40337-020-00301-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 05/18/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND After receiving intensive medical treatment; individuals with eating disorders often require ongoing care to maintain their recovery, build social networks, and reduce risk of relapse. METHODS To address this important transition period, a six-month peer mentoring program was developed and piloted in Melbourne, Australia. Twelve adults with a past history of an eating disorder (mentors) were paired with 14 individuals with a current eating disorder (mentees). Pairs met for thirteen mentoring sessions in community settings. Throughout the program mentees and mentors completed reflective questions online. Upon completion of the program, qualitative interviews were conducted. Both online reflections and interviews explored themes relating to perceived benefits and challenges of participation in the peer mentoring program, and the differences between mentoring and traditional treatment. RESULTS Thematic analysis identified several benefits for mentees; including hope, reconnection with others, and re-engaging with the world. The majority of mentees described their mentor as uniquely supportive due to their past experience of an eating disorder. Mentors reported experiencing benefits such as increased connection with self and others, and indicated that the experience helped them positively reframe their past experience of an eating disorder. Ending the relationship at the completion of the program was a significant challenge for both groups, and managing boundaries was deemed a main challenge by mentors. CONCLUSIONS Overall, results indicated that this mode of informal support may be worthy of further investigation as an adjunct to clinical treatment programs for this population. TRIAL REGISTRATION Australian and New Zealand Clinical Trials registration number - ACTRN12617001412325 - Date of registration - 05/10/2017 (Retrospectively registered).
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Affiliation(s)
- Freya Hanly
- School of Behavioural and Health Science, Australian Catholic University, Melbourne, VIC Australia
| | | | - Narelle Warren
- School of Social Sciences, Monash University, Melbourne, VIC Australia
| | - David Castle
- Department of Psychiatry, St Vincent’s Hospital, Melbourne, VIC Australia
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia
| | - Andrea Phillipou
- Department of Psychiatry, St Vincent’s Hospital, Melbourne, VIC Australia
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia
- Centre for Mental Health, Swinburne University of Technology, PO Box 218, Hawthorn, VIC 3122 Australia
- Department of Mental Health, Austin Health, Melbourne, VIC Australia
| | | | - Zoe Jenkins
- Department of Psychiatry, St Vincent’s Hospital, Melbourne, VIC Australia
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia
| | - Richard Newton
- Department of Psychiatry, Monash University, Melbourne, Victoria Australia
- Peninsula Health, Frankston, Victoria Australia
| | - Leah Brennan
- School of Behavioural and Health Science, Australian Catholic University, Melbourne, VIC Australia
- Centre for Eating, Weight and Body Image, Melbourne, VIC Australia
- School of Psychology and Public Health, La Trobe University, Wodonga, VIC Australia
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Fringer A, Stängle S, Büche D, Ott SC, Schnepp W. The associations of palliative care experts regarding food refusal: A cross-sectional study with an open question evaluated by triangulation analysis. PLoS One 2020; 15:e0231312. [PMID: 32271841 PMCID: PMC7145006 DOI: 10.1371/journal.pone.0231312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 03/20/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Health professionals in oncologic and palliative care settings are often faced with the problem that patients stop eating and drinking. While the causes of food refusal are very different, the result is often malnutrition, which is linked to health comorbidities and a high mortality rate. However, the professionals lack the time and knowledge to clarify the cause for each patient. What associations do health professionals have when faced with food refusal? OBJECTIVE To investigate the associations that health professionals in oncological and palliative settings have about denied eating behavior. METHODS A cross-sectional study, starting with an open question focusing professionals' associations regarding food refusal. The results were inductively analyzed, whereby generic categories were developed. Subsequently, the categories were transformed into quantitative data to calculate the relationships between the categories. RESULTS A total of 350 out of 2000 participants completed the survey, resulting in a response rate of 17.5%. Food refusal is primarily associated with physical and ethical aspects and with end-of-life. Half of the participants frequently find that patients refuse to eat. The attitudes show that the autonomy of the patient is the highest good and is to be respected. Even in the case of patients with limited decision-making capacity, the refusal to eat is acceptable. CONCLUSION Clarifying the cause of food refusal requires a great deal of knowledge and is strongly influenced by the associations of health professionals. While the associations have very negative connotations, information and training is needed to make professionals aware of this and to change their associations. With this knowledge and in an interprofessional cooperation, mis-labelling of patient settings can be avoided and fears can be reduced.
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Affiliation(s)
- André Fringer
- Institute of Nursing, School of Health Professionals, ZHAW University of Applied Sciences, Winterthur, Switzerland
- Department of Nursing Science, Institute of Health, Witten/Herdecke University, Witten, Germany
- * E-mail:
| | - Sabrina Stängle
- Institute of Nursing, School of Health Professionals, ZHAW University of Applied Sciences, Winterthur, Switzerland
- Department of Nursing Science, Institute of Health, Witten/Herdecke University, Witten, Germany
| | - Daniel Büche
- Palliative Centre St.Gallen, Cantonal Hospital St.Gallen, St.Gallen, Switzerland
| | - Stefan Ch. Ott
- Department of Economics, FHS St.Gallen University of Applied Sciences St.Gallen, St.Gallen, Switzerland
| | - Wilfried Schnepp
- Department of Nursing Science, Institute of Health, Witten/Herdecke University, Witten, Germany
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8
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Rohrbach PJ, Dingemans AE, Spinhoven P, Van den Akker-Van Marle E, Van Ginkel JR, Fokkema M, Moessner M, Bauer S, Van Furth EF. A randomized controlled trial of an Internet-based intervention for eating disorders and the added value of expert-patient support: study protocol. Trials 2019; 20:509. [PMID: 31420063 PMCID: PMC6697984 DOI: 10.1186/s13063-019-3574-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Accepted: 07/12/2019] [Indexed: 12/24/2022] Open
Abstract
Background E-mental health has become increasingly popular in interventions for individuals with eating disorders (EDs). It has the potential to offer low-threshold interventions and guide individuals to the needed care more promptly. Featback is such an Internet-based intervention and consists of psychoeducation and a fully automated monitoring and feedback system. Preliminary findings suggest Featback to be (cost-)effective in reducing ED symptomatology. Additionally, e-mail or chat support by a psychologist did not enhance the effectiveness of Featback. Support by an expert patient (someone with a lived experience of an ED) might be more effective, since that person can effectively model healthy behavior and enhance self-efficacy in individuals struggling with an ED. The present study aims to replicate and build on earlier findings by further investigating the (cost-)effectiveness of Featback and the added value of expert-patient support. Methods The study will be a randomized controlled trial with a two-by-two factorial design with repeated measures. The four conditions will be (1) Featback, in which participants receive automated feedback on a short monitoring questionnaire weekly, (2) Featback with weekly e-mail or chat support from an expert patient, (3) weekly support from an expert patient, and (4) a waiting list. Participants who are 16 years or older and have at least mild self-reported ED symptoms receive a baseline measure. Subsequently, they are randomized to one of the four conditions for 8 weeks. Participants will be assessed again post-intervention and at 3, 6, 9, and 12 months follow-up. The primary outcome measure will be ED psychopathology. Secondary outcome measures are experienced social support, self-efficacy, symptoms of anxiety and depression, user satisfaction, intervention usage, and help-seeking attitudes and behaviors. Discussion The current study is the first to investigate e-mental health in combination with expert-patient support for EDs and will add to the optimization of the delivery of Internet-based interventions and expert-patient support. Trial registration Netherlands Trial Register, NTR7065. Registered on 7 June 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3574-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Pieter J Rohrbach
- GGZ Rivierduinen Eetstoornissen Ursula, Postbox 405, Sandifortdreef 19, 2300 AK, Leiden, the Netherlands.
| | - Alexandra E Dingemans
- GGZ Rivierduinen Eetstoornissen Ursula, Postbox 405, Sandifortdreef 19, 2300 AK, Leiden, the Netherlands.,Institute of Psychology, Leiden University, Leiden, the Netherlands
| | - Philip Spinhoven
- Institute of Psychology, Leiden University, Leiden, the Netherlands.,Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands
| | - Elske Van den Akker-Van Marle
- Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, Leiden, the Netherlands
| | | | | | - Markus Moessner
- Center for Psychotherapy Research, University of Heidelberg, Heidelberg, Germany
| | - Stephanie Bauer
- Center for Psychotherapy Research, University of Heidelberg, Heidelberg, Germany
| | - Eric F Van Furth
- GGZ Rivierduinen Eetstoornissen Ursula, Postbox 405, Sandifortdreef 19, 2300 AK, Leiden, the Netherlands.,Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands
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9
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Leenstra T, Keeler L, Arthur-Cameselle J, Russell K. The peer mentor experience in a physical activity intervention for mental health. ACTA ACUST UNITED AC 2019. [DOI: 10.1080/13611267.2019.1583410] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Taylor Leenstra
- Department of Health and Human Development, Western Washington University, Bellingham, WA, USA
| | - Linda Keeler
- Department of Health and Human Development, Western Washington University, Bellingham, WA, USA
| | | | - Keith Russell
- Department of Health and Human Development, Western Washington University, Bellingham, WA, USA
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10
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Beveridge J, Phillipou A, Jenkins Z, Newton R, Brennan L, Hanly F, Torrens-Witherow B, Warren N, Edwards K, Castle D. Peer mentoring for eating disorders: results from the evaluation of a pilot program. J Eat Disord 2019; 7:13. [PMID: 31171969 PMCID: PMC6545742 DOI: 10.1186/s40337-019-0245-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 04/18/2019] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Eating disorders (EDs) are serious psychiatric illnesses that have high rates of morbidity and mortality, and low long-term recovery rates. Peer mentor programs (PMPs) have been associated with reduced psychiatric hospitalisation and shorter lengths of stay for those with other severe mental illnesses. The present study evaluated the feasibility and preliminary efficacy of a PMP for individuals with EDs in improving symptomatology and quality of life. METHODS Thirty mentees and seventeen mentors were recruited. The PMP involved thirteen sessions over 6 months. Participants completed measures assessing ED symptomatology, quality of life (QoL), mood and perceived disability. Changes in symptomatology before and after the PMP were tested by Wilcoxon signed rank tests. Semi-structured interviews were conducted for qualitative evaluation of the PMP. RESULTS The program was deemed to have moderate feasibility with eight of 30 mentees, and two of 17 mentors withdrawing. Completion rates ranged from 2 to 16 sessions, and between 3 and 45 weeks. Mentees demonstrated improvements in body mass index, QoL, ED symptomatology, mood (depression, anxiety and tension/stress) and perceived disability from pre- to post-program. Mentors demonstrated significant increases in ED symptomatology, but no worsening of QoL, mood or perceived disability. Qualitative findings from both mentees and mentors were positive: emergent themes included hope for recovery, a sense of agency and inspiration gained from interaction with someone with lived experience of an ED. CONCLUSIONS This pilot study suggests feasibility of the PMP for individuals with EDs. Mentees demonstrated improvements in ED symptomatology, QoL, mood and perceived disability. However, the increase in ED symptomatology reported by the mentors over the PMP highlights potential risks and the need for thorough monitoring while preliminary evaluation is undertaken. The mentoring relationship was a positive experience for both mentees and mentors, instilling an increased hope for recovery in mentees and an opportunity for mentors to reflect on their own recovery with increased confidence. The novel relationship formed throughout mentorship highlights a potential gap in current clinical support services, which warrants further exploration within a controlled trial. TRIAL REGISTRATION Australian and New Zealand Clinical Trials Registration Number: ACTRN12617001412325. Retrospectively registered: 05/10/2017. Date of first enrolment: 20/01/2017. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373741&isReview=true.
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Affiliation(s)
| | - Andrea Phillipou
- 2Centre for Mental Health, Swinburne University of Technology, PO Box 218, Hawthorn, VIC 3122 Australia.,3Department of Psychiatry, St Vincent's Hospital, Melbourne, VIC Australia.,4Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia.,5Department of Mental Health, Austin Health, Melbourne, VIC Australia
| | - Zoe Jenkins
- 3Department of Psychiatry, St Vincent's Hospital, Melbourne, VIC Australia.,4Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia
| | - Richard Newton
- 6Peninsula Mental Health Service, Peninsula Health, Melbourne, VIC Australia.,7Department of Psychiatry, Monash University, Melbourne, VIC Australia
| | - Leah Brennan
- 8School of Behavioural and Health Science, Australian Catholic University, Melbourne, VIC Australia.,Centre for Eating, Weight and Body Image, Melbourne, VIC Australia
| | - Freya Hanly
- 8School of Behavioural and Health Science, Australian Catholic University, Melbourne, VIC Australia
| | | | - Narelle Warren
- 10School of Social Sciences, Monash University, Melbourne, VIC Australia
| | | | - David Castle
- 3Department of Psychiatry, St Vincent's Hospital, Melbourne, VIC Australia.,4Department of Psychiatry, The University of Melbourne, Melbourne, VIC Australia
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11
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Beveridge J, Phillipou A, Edwards K, Hobday A, Hilton K, Wyett C, Saw A, Graham G, Castle D, Brennan L, Harrison P, de Gier R, Warren N, Hanly F, Torrens-Witherow B, Newton JR. Peer mentoring for eating disorders: evaluation of a pilot program. Pilot Feasibility Stud 2018; 4:75. [PMID: 29750119 PMCID: PMC5934861 DOI: 10.1186/s40814-018-0268-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 04/09/2018] [Indexed: 01/05/2023] Open
Abstract
Background Eating disorders are serious psychiatric illnesses that are often associated with poor quality of life and low long-term recovery rates. Peer mentor programs have been found to improve psychiatric symptoms and quality of life in other mental illnesses, and a small number of studies have suggested that eating disorder patients may benefit from such programs. The aim of this study is to assess the efficacy of a peer mentor program for individuals with eating disorders in terms of improving symptomatology and quality of life. Methods Up to 30 individuals with a past history of an eating disorder will be recruited to mentor 30 individuals with a current eating disorder. Mentoring will involve 13 sessions (held approximately every 2 weeks), of up to 3 h each, over 6 months. Discussion This pilot proof-of-concept feasibility study will inform the efficacy of a peer mentoring program on improving eating disorder symptomatology and quality of life, and will inform future randomised controlled trials. Trial registration Australian and New Zealand Clinical Trials Registration Number: ACTRN12617001412325. The date of registration (retrospective): 05/10/2017. Electronic supplementary material The online version of this article (10.1186/s40814-018-0268-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Andrea Phillipou
- 2Centre for Mental Health, Swinburne University of Technology, Hawthorn, PO Box 218 (H99), Melbourne, Victoria 3122 Australia.,3Department of Psychiatry, The University of Melbourne, Melbourne, Australia.,4Department of Mental Health, St Vincent's Hospital, Melbourne, Australia.,5Department of Mental Health, Austin Health, Melbourne, Australia
| | | | | | | | - Cathy Wyett
- Eating Disorders Victoria, Melbourne, Australia
| | - Anna Saw
- Eating Disorders Victoria, Melbourne, Australia
| | | | - David Castle
- 3Department of Psychiatry, The University of Melbourne, Melbourne, Australia.,4Department of Mental Health, St Vincent's Hospital, Melbourne, Australia
| | - Leah Brennan
- 6School of Psychology, Australian Catholic University, Melbourne, Australia
| | - Philippa Harrison
- 4Department of Mental Health, St Vincent's Hospital, Melbourne, Australia
| | - Rebecca de Gier
- 5Department of Mental Health, Austin Health, Melbourne, Australia
| | - Narelle Warren
- 7School of Social Sciences, Monash University, Melbourne, Australia
| | - Freya Hanly
- 6School of Psychology, Australian Catholic University, Melbourne, Australia
| | | | - J Richard Newton
- 3Department of Psychiatry, The University of Melbourne, Melbourne, Australia.,4Department of Mental Health, St Vincent's Hospital, Melbourne, Australia.,5Department of Mental Health, Austin Health, Melbourne, Australia.,8Peninsula Mental Health Service, Peninsula Health, Melbourne, Australia
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Ramjan LM, Fogarty S, Nicholls D, Hay P. Instilling hope for a brighter future: A mixed-method mentoring support programme for individuals with and recovered from anorexia nervosa. J Clin Nurs 2018; 27:e845-e857. [PMID: 29193481 DOI: 10.1111/jocn.14200] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2017] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To investigate the feasibility of a 13-week mentoring programme in providing social support to promote hope for recovery in anorexia nervosa. BACKGROUND With no clear first-line psychological treatment for people with anorexia nervosa, mentoring support programmes, as an adjunct to treatment, may provide the social support necessary to promote hope for recovery. DESIGN A mixed-method study; participatory action research. METHODS Women (n = 11), recovering and who had recovered from anorexia nervosa, participated in the programme and completed self-report questionnaires related to quality of life, distress and the mentoring relationship at different time points. Qualitative feedback from logbooks, workshop evaluation questionnaires, interviews and focus groups was also collected to assess the programme's acceptability. RESULTS General compliance for completing most study outcome questionnaires was 90%; however, the mentoring relationship questionnaires were not completed to the same degree. Five key themes emerged from the focus group/interview data: (i) she understands me and could relate to me; (ii) reconnecting with the world-asking questions and being challenged; (iii) mentors' altruistic motivations and the transformation and discovery of self; (iv) instilling hope-recovery is possible; and (v) effective communication-the key to successful mentoring. CONCLUSIONS Further research is needed; however, the results provide preliminary support for the mentoring programme's feasibility as an adjunct to treatment. We found that having someone who understands, to talk and share with, met a clear need for people with anorexia nervosa. RELEVANCE TO CLINICAL PRACTICE While further research is warranted mentoring support or recovered mentors, may play a potentially valuable role in supporting those in community settings.
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Affiliation(s)
- Lucie M Ramjan
- School of Nursing and Midwifery, Centre for Applied Nursing Research, Ingham Institute of Applied Medical Research, Western Sydney University, Penrith, NSW, Australia
| | - Sarah Fogarty
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Daniel Nicholls
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Phillipa Hay
- Centre for Health Research, School of Medicine, Western Sydney University, Penrith, NSW, Australia
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Ramjan LM, Hay P, Fogarty S. Benefits of a mentoring support program for individuals with an eating disorder: a proof of concept pilot program. BMC Res Notes 2017; 10:709. [PMID: 29212554 PMCID: PMC5719736 DOI: 10.1186/s13104-017-3026-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 11/29/2017] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE The aim of this proof-of-concept pilot study was to assess the usefulness of a mentoring support program with a goal to improve hope for recovery in people with an eating disorder. RESULTS Significant improvements (p ≤ 0.05) in hope for recovery were found for the mentees in the following domains: social relationships (p = 0.027), romantic relationships (p = 0.032), family life (p = 0.047), work (0.003) and overall scores (p = 0.003). There were no significant findings for any of the areas for the mentors. Despite this, mentoring programs that focus on improving hope may provide a valuable adjunct support for those in treatment for an eating disorder.
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Affiliation(s)
- Lucie M Ramjan
- School of Nursing and Midwifery, Centre for Applied Nursing Research, Ingham Institute of Applied Medical Research, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
| | - Phillipa Hay
- School of Medicine and Centre for Health Research, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia
| | - Sarah Fogarty
- School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
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