Evidence map›Paper›PMID 30775267›Full record

ArticleInternet interventions2019

A web-based intervention for carers of individuals with anorexia nervosa (We Can): Trial protocol of a randomised controlled trial investigating the effectiveness of different levels of support.

Lucy Spencer, Juliane Schmidt-Hantke, Karina Allen, Gemma Gordon, Rachel Potterton, Peter Musiat, Franziska Hagner, Ina Beintner, Bianka Vollert, Barbara Nacke and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internet interventions, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. A German version of the Caregiver Skills scale for caregivers of patients with anorexia nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Lucy SpencerKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
Juliane Schmidt-HantkeTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Karina AllenKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
Gemma GordonKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
Rachel PottertonKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
Peter MusiatKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
Franziska HagnerTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Ina BeintnerTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Bianka VollertTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Barbara NackeTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Dennis GörlichWestfälische Wilhelms-Universität Münster, Institut für Biometrie und Klinische Forschung, Schmedingstraße 56, Münster, Germany.
Jennifer BeechamPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, UK.
Eva-Maria BoninPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, UK.
Corinna JacobiTechnische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.
Ulrike SchmidtKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Section of Eating Disorders, PO Box 59, 16, De Crespigny Park, London, SE5 8AF, UK.
King's College London · GBKlinik und Poliklinik für Psychotherapie und Psychosomatik · DELondon School of Economics and Political Science · GBUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnorexia nervosa (AN) is a life-threatening mental disorder that is associated with substantial caregiver burden. Carers of individuals with AN report high levels of distress and self-blame, and insufficient knowledge to help their loved ones. However, carers can have a very important role to play in aiding recovery from AN, and are often highly motivated to assist in the treatment process. This manuscript presents the protocol for a randomised controlled trial (RCT) of We Can, a web-based intervention for carers for people with AN. The study aims to investigate the effectiveness of We Can delivered with different intensities of support.

methodsThe study takes the form of a multi-site, two-country, three group RCT, comparing We Can (a) with clinician messaging support (We Can-Ind), (b) with moderated carer chatroom support (We Can-Chat) and (c) with online forum only (We Can-Forum). Participants will be 303 carers of individuals with AN as well as, where possible, the individuals with AN themselves. Recruitment will be via specialist eating disorder services and carer support services in the UK and Germany. Randomisation of carers to one of the three intervention conditions in a 1:1:1 ratio will be stratified by whether or not the individual with AN has (a) agreed to participate in the study and (b) is a current inpatient. The We Can intervention will be provided to carers online over a period of 12 weeks. Participants will complete self-report questionnaires at pre-intervention (T1), mid-intervention (mediators only; 4-weeks post-randomisation), post-intervention (T2; 3-months post randomisation), and 6 months (T3) and 12 months (T4) after randomisation. The primary outcome variables are carer symptoms of depression and anxiety. Secondary outcome variables will be measured in both carers and individuals with AN. Secondary carer outcome variables will include alcohol and drug use and quality of life, caregiving behaviour, and the acceptability and use of We Can and associated supports. Secondary outcomes measured in individuals with AN will include eating disorder symptoms, and symptoms of depression and anxiety. The study will also evaluate the cost-effectiveness of the three We Can conditions, and test for mediators and moderators of the effects of We Can. The trial is registered at the International Standard Randomisation Controlled Trial Number (ISRCTN) database, registration number: ISRCTN11399850. DISCUSSION: The study will provide insight into the effectiveness of We Can and its optimal method/s of delivery.

Indexed as

AESED, accommodation and enabling scale for eating disordersAN, anorexia nervosaAnorexia nervosaAQoL-8D, assessment of quality of Life-8DAUDIT, alcohol use disorders identification testBDSEE, brief dyadic scale of expressed emotionBFI-10, Big Five – 10 item versionBMI, body mass indexCarer supportCASK, caregiver skills scaleCD-RISC-10, Connor–Davidson resilience scale-10CEQ, adapted credibility/expectancy questionnaireCSRI, client service receipt inventoryDUDIT, drug use disorders identification testECI, experience of caregiving inventoryEDE-Q, eating disorder examination-questionnaireEDSIS, eating disorders symptom impact scaleE-treatmentGAD-7, generalized anxiety disorder (GAD)-7 scaleICareMental healthOAO, overcoming anorexia onlineOnline interventionsPHQ-9, patient health questionnaire 9-item depression scaleRCT, randomised controlled trialRSE, rosenberg self-esteem scaleWAI-SR, adapted working alliance inventory – short revisedWe Can-Chat, We Can with moderated carer chatroom supportWe Can-Forum, We Can with online forum support onlyWe Can-Ind, We Can with clinician email supportWHOQOL, World Health Organisation quality of life scale

Identifiers

PMID30775267
PMCPMC6364327
OpenAlexW2790809160

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.