{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:25:30Z","timestamp":1791469530755,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["Research for patient benefit (RfPB) programme (PB) (PB\u2010PG\u20100609\u201019025)"],"award-info":[{"award-number":["Research for patient benefit (RfPB) programme (PB) (PB\u2010PG\u20100609\u201019025)"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study is to establish the acceptability, feasibility and approximate size of the effect of adding a carer intervention [Experienced Caregivers Helping Others (ECHO)] to treatment as usual (TAU) for adolescents with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study is a pilot randomised trial comparing TAU (<jats:italic>n<\/jats:italic>\u2009=\u200950) alone or TAU plus ECHO with (<jats:italic>n<\/jats:italic>\u2009=\u200950) or without (<jats:italic>n<\/jats:italic>\u2009=\u200949) telephone guidance. Effect sizes (ESs) were regression coefficients standardised by baseline standard deviations of measure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although engagement with ECHO was poor (only 36% of carers in the ECHO group read over 50% of the book), there were markers of intervention fidelity, in that caregivers in the ECHO group showed a moderate increase in carer skills (ES\u2009=\u20090.4) at 12\u00a0months and a reduction in accommodating and enabling behaviour at 6\u00a0months (ES\u2009=\u20090.17). In terms of efficacy, in the ECHO group, carers spent less time care giving (ES\u2009=\u20090.40, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) at 1\u00a0year, and patients had a minor advantage in body mass index (ES\u2009=\u20090.17), fewer admissions, decreased peer problems (ES\u2009=\u2009\u22120.36) and more pro\u2010social behaviours (ES\u2009=\u20090.53). The addition of telephone guidance to ECHO produced little additional benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The provision of self\u2010management materials for carers to standard treatment for adolescent anorexia nervosa shows benefits for both carers and patients. This could be integrated as a form of early intervention in primary care. Copyright \u00a9 2017 John Wiley &amp; Sons, Ltd and Eating Disorders Association.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2540","type":"journal-article","created":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T02:47:04Z","timestamp":1506394024000},"page":"551-561","source":"Crossref","is-referenced-by-count":67,"title":["A Pilot, Multicentre Pragmatic Randomised Trial to Explore the Impact of Carer Skills Training on Carer and Patient Behaviours: Testing the Cognitive Interpersonal Model in Adolescent Anorexia Nervosa"],"prefix":"10.1002","volume":"25","author":[{"given":"John","family":"Hodsoll","sequence":"first","affiliation":[{"name":"Department of Biostatistics King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Rhind","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; 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