title: Process evaluation of the maudsley model for treatment of adults with anorexia nervosa trial. Part II: Patient experiences of two psychological therapies for treatment of anorexia nervosa.
abstract: OBJECTIVE
  This study is the second part of a process evaluation, embedded in the MOSAIC study, a large randomised controlled trial comparing two different psychological therapies, the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM). The study adopted a qualitative approach to examine patient experiences of the two treatments.
  
  
  METHODS
  Seventeen semi-structured interviews were conducted with Anorexia Nervosa and Eating Disorder Not Otherwise Specified-Anorexia Nervosa type patients, and transcripts were analysed thematically.
  
  
  RESULTS
  Patient responses yielded five main themes: positive and helpful aspects, beneficial outcomes, less helpful aspects, possible improvements to the treatments, and the therapeutic and external environment. The findings show clear differences and some overlaps between patients' views on MANTRA and SSCM.
  
  
  CONCLUSIONS
  Both therapies were experienced by patients as credible and largely helpful, albeit in different ways. These results are in agreement with those of therapists' views on these treatments.
authors.affiliation: Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Anna
authors.initials: A
authors.lastname: Lose
authors.forename: Charlotte
authors.initials: C
authors.lastname: Davies
authors.forename: Beth
authors.initials: B
authors.lastname: Renwick
authors.forename: Martha
authors.initials: M
authors.lastname: Kenyon
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007407:Interviews as Topic; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D015397:Program Evaluation; D011613:Psychotherapy / Q000379:methods*; D036301:Qualitative Research; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic
keywords: Anorexia Nervosa; Patient; Process Evaluation; Qualitative Research; Randomised Controlled Trial