Bridging Transitions From Hospital to Home: Collaborative Skill Sharing Intervention With Carers (iCASK)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- weight change
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 17 Years 至 50 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •aged 17 or over
- •DSM-5 diagnosis of Anorexia Nervosa with a body mass index (BMI) of < 18.5 kg/m2
排除标准
- •Insufficient knowledge of English
- •Severe mental or physical illness needing treatment in its own right (e.g. psychosis or diabetes mellitus)
研究组 & 干预措施
iCASK Group
Materials and support to aid transitions.
干预措施: iCASK (Behavioral)
结局指标
主要结局
weight change
时间窗: at time of admission, at time of discharge (average 12-14 weeks)
weight change over the admission (weight and height will be combined to report BMI in kg/m\^2)
次要结局
- Self-Report Questionnaires to assess psychopathological change for patients over admission and post-discharge.(Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.)
- Self-Report Questionnaires for carers, to assess change in perceived burden over admission and post-discharge.(Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.)
- Self-Report Questionnaires for carers, to assess change in perceived confidence over admission and post-discharge.(Questionnaires are administered at time of admission, at time of discharge (average 12-14 weeks) and 3 months post-discharge.)
- Patient satisfaction(at 3 months post-discharge.)
研究者
James Adamson
Clinical Researcher
South London and Maudsley NHS Foundation Trust