title: Two-year Follow-up of a Pragmatic Randomised Controlled Trial Examining the Effect of Adding a Carer's Skill Training Intervention in Inpatients with Anorexia Nervosa.
abstract: BACKGROUND
  Active family engagement improves outcomes from adolescent inpatient care, but the impact on adult anorexia nervosa is uncertain.
  
  
  OBJECTIVE
  The aim of this study was to describe the 2-year outcome following a pragmatic randomised controlled trial in which a skill training intervention (Experienced Caregivers Helping Others) for carers was added to inpatient care.
  
  
  METHODS
  Patient, caregiver and service outcomes were measured for 2 years following discharge from the index inpatient admission.
  
  
  RESULTS
  There were small-sized/moderate-sized effects and consistent improvements in all outcomes from both patients and carers in the Experienced Caregivers Helping Others group over 2 years. The marked change in body mass index and carers' time caregiving following inpatient care was sustained. Approximately 20% of cases had further periods of inpatient care.
  
  
  CONCLUSIONS
  In this predominately adult anorexia nervosa sample, enabling carers to provide active support and management skills may improve the benefits in all symptom domains that gradually follow from a period of inpatient care.
authors.affiliation: Biostatistics Department, IOPPN, London, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Magill
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Charlotte
authors.identifier: http://orcid.org/0000-0001-7620-0306
authors.initials: C
authors.lastname: Rhind
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hibbs
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Goddard
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Pamela
authors.initials: P
authors.lastname: Macdonald
authors.affiliation: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
authors.forename: Jon
authors.initials: J
authors.lastname: Arcelus
authors.affiliation: Yorkshire Centre for Eating Disorders, Leeds Partnerships NHS Foundation Trust, Leeds, UK.
authors.forename: John
authors.initials: J
authors.lastname: Morgan
authors.affiliation: London School of Economics and Political Sciences, London, UK.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Beecham
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
authors.affiliation: Biostatistics Department, IOPPN, London, UK.
authors.forename: Sabine
authors.initials: S
authors.lastname: Landau
authors.affiliation: Department of Psychological Medicine, King's College, IoPPN, London, UK.
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000193:education* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D016896:Treatment Outcome
keywords: anorexia nervosa; carers; inpatient treatment; randomised controlled trial; therapy