Feasibility of a parent education and skills workshop for improving response to family‐based treatment of adolescent anorexia nervosa

Ganci, Maria; Pradel, Martin; Hughes, Elizabeth K.

doi:10.1002/eat.22834

Cited by 12 publications

(14 citation statements)

References 15 publications

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“…Previous research has similarly identified a need for carer support in eating disorder services (22,23), which is especially relevant to FBT given the central role of parents. Since the survey was administered, a parent education and support group has been implemented at the current service (27). This group is attended by all parents in the first few weeks of treatment and provides information on topics including treatment evidence and how to support adolescents during treatment, as well as providing parental peer support.…”

Section: Discussionmentioning

confidence: 99%

Adolescent and Parent Experience of Care at a Family-Based Treatment Service for Eating Disorders

et al. 2020

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Objective: Incorporating consumer perspectives is an important but often overlooked opportunity to optimize treatment engagement and outcomes for adolescents with eating disorders. This study explored the experience of care of adolescents and their parents at a multidisciplinary specialist eating disorders service providing family-based treatment (FBT) as first-line treatment.Method: Eighty-five adolescents and 145 parents who completed FBT at the service between 2013 and 2015 were surveyed in 2017 about their experience of care. A studydesigned survey asked respondents to rate on Likert scales their experience of service access, intake assessment, education, support, interactions with the treatment team, recovery, and the discharge process. Open-ended comments on helpful and unhelpful aspects of the service provided further context on the ratings.Results: Overall families were very positive about their experience, particularly in regard to assessment, education, interactions with the team, and achieving physical health. Although parents tended to be more satisfied, adolescents also held the service in high regard. Some areas were identified that could be improved, including treatment delays, carer support, therapeutic alliance, and preparation for discharge.Conclusions: Surveying families about their experience of care provides an important opportunity to identify service strengths as well as services gaps. The results indicated several areas that specialist eating disorder services could focus on to ensure that the services provided, including FBT, fully meet the needs of families and optimize adolescents' treatment experiences.

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Section: Discussionmentioning

confidence: 99%

Adolescent and Parent Experience of Care at a Family-Based Treatment Service for Eating Disorders

et al. 2020

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“…Adjuncts to FBT, in which additional treatments have been added to FBT, such as cognitive remediation therapy versus art therapy [65], parental skills workshops [66] and Dialectical Behavioural Therapy (DBT) [67] for children and adolescents with AN show promise, but require further study (Table 6). Two case reports describe the application of adjunctive emotion coaching and attachment based strategies to FBT for one male and one female patient with AN [68,69] (Table 6).…”

Section: Adjuncts To Family-based Treatment For Anorexia Nervosamentioning

confidence: 99%

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

et al. 2020

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Objectives: Eating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline. Methods: Using systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders. Results: Strong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed. Conclusions: Several gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.

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“…Seven studies reviewed “Carer Skills Workshops” [ 16 , 17 , 46 – 50 ]; two of which were in conjunction with family therapy [ 48 , 50 ]. These workshops ranged in duration from a one three-hour session to six two-hourly sessions.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies examined the addition of carer sessions to family therapy [ 37 , 38 , 48 ]. Ganci et al [ 48 ] tested a one-off, 3-h group workshop in the early stages of family therapy treatment.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the impact of carer interventions on outcomes for patients with eating disorders

et al. 2021

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Purpose Eating disorder (ED) prevalence and illness severity is rapidly increasing. The complicated interplay of factors contributing to the maintenance of EDs, including family/carer influences, highlights the importance of carer interventions within ED treatment. Carer interventions demonstrate positive outcomes for carers themselves, though are also hypothesised to benefit the patient indirectly. A systematic review was conducted to greater understand the impact of carer interventions on ED patient outcomes. Methods Eight databases, including CINAHL, MEDLINE and PsychINFO, were systematically searched. Intervention studies for parent(s)/carer(s) of a patient with an ED were included, provided they reported outcomes for the patient. No publication date restrictions were set. Included studies were quality appraised. Results Twenty-eight studies met inclusion for the review; all of which varied in intervention type, duration, content and setting. Patient diagnosis and treatment setting were mixed across studies, though the majority focused on Anorexia Nervosa within outpatient settings. Intervention content broadly included consideration of relationship issues and interactional patterns, psychoeducation, skill development, behavioural management, and peer support. Therapeutic models utilised were diverse, including but not limited to: family, interpersonal, cognitive, and psychodynamic approaches. Conclusion Several carer interventions showed positive outcomes for patients with EDs, with small group treatment formats being commonly used and proving effective through intervention content alongside a peer support element. Separate family therapy was suggested to be of equal efficacy, if not better, than family therapy alongside the patient. Recommendations for clinical practice and future research are considered. Level of evidence 1. Systematic review, evidence mostly obtained from randomised controlled trials. Supplementary Information The online version contains supplementary material available at 10.1007/s40519-021-01338-7.

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Feasibility of a parent education and skills workshop for improving response to family‐based treatment of adolescent anorexia nervosa

Abstract: Overall, the workshop was a feasible adjunct for improving early response to FBT.

Cited by 12 publications

References 15 publications

Adolescent and Parent Experience of Care at a Family-Based Treatment Service for Eating Disorders

Adolescent and Parent Experience of Care at a Family-Based Treatment Service for Eating Disorders

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

A systematic review of the impact of carer interventions on outcomes for patients with eating disorders

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