title: Self-Help And Recovery guide for Eating Disorders (SHARED): study protocol for a randomized controlled trial.
abstract: BACKGROUND
  We describe the theoretical rationale and protocol for Self-Help And Recovery guide for Eating Disorders (SHARED), a trial investigating whether a guided self-care intervention (Recovery MANTRA) is a useful addition to treatment as usual for individuals with anorexia nervosa. Recovery MANTRA, a 6-week self-care intervention supplemented by peer mentorship, is a module extension of the Maudsley Model of Treatment for Adults with Anorexia Nervosa and targets the maintenance factors identified by the cognitive-interpersonal model of the illness.
  
  
  METHODS
  Patients accessing outpatient services for anorexia nervosa are randomized to either treatment as usual or treatment as usual plus Recovery MANTRA. Outcome variables include change in body weight at the end of the intervention (primary) and changes in body weight and eating disorder symptoms at immediate and extended follow-up (6-months; secondary). Change is also assessed for the domains identified by the theoretical model, including motivation, hope, confidence to change, positive mood, cognitive flexibility, therapeutic alliance and social adjustment. Feedback from peer mentors is gathered to understand the impact on their own well-being of providing guidance.
  
  
  CONCLUSIONS
  Results from this exploratory investigation will determine whether a larger clinical trial is justifiable and feasible for this affordable intervention, which has potential for high reach and scalability.
  
  
  BACKGROUND
  ClinicalTrials.gov NCT02336841 .
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. valentina.cardi@kcl.ac.uk.
authors.forename: Valentina
authors.initials: V
authors.lastname: Cardi
authors.affiliation: Department of Psychology, Dickinson College, P.O. Box 1773, Carlisle, PA, 17013, USA. ambwanis@dickinson.edu.
authors.forename: Suman
authors.initials: S
authors.lastname: Ambwani
authors.affiliation: Neuropsychiatric Research Institute, 700 First Ave. South, Fargo, ND, 58103, USA. Rcrosby@nrifargo.com.
authors.forename: Ross
authors.initials: R
authors.lastname: Crosby
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. pamelamacdonald40@gmail.com.
authors.forename: Pamela
authors.initials: P
authors.lastname: Macdonald
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. gillian.todd27@btinternet.com.
authors.forename: Gill
authors.initials: G
authors.lastname: Todd
authors.affiliation: Department of Psychology, Carleton College, 1 N. College St., Northfield, MN, 55057, USA. parks@carleton.edu.
authors.forename: Jinhong
authors.initials: J
authors.lastname: Park
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. samoss17@gmail.com.
authors.forename: Sara
authors.initials: S
authors.lastname: Moss
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. ulrike.schmidt@kcl.ac.uk.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
authors.affiliation: King's College London, Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, The Basement, P059, 103 Denmark Hill, London, SE5 8AF, UK. janet.treasure@kcl.ac.uk.
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
mesh_terms: D000339:Affect; D000553:Ambulatory Care; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004644:Emotions; D004739:England; D030141:Feedback, Psychological; D005247:Feeding Behavior; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008611:Mentors; D010379:Peer Group; D011569:Psychiatric Status Rating Scales; D012107:Research Design; D012919:Social Behavior; D013997:Time Factors; D016896:Treatment Outcome; D015430:Weight Gain