{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:08:43Z","timestamp":1790752123616,"version":"4.1.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"15","license":[{"start":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T00:00:00Z","timestamp":1571184000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2020,11]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Outpatient interventions for adult anorexia nervosa typically have a modest impact on weight and eating disorder symptomatology. This study examined whether adding a brief online intervention focused on enhancing motivation to change and the development of a recovery identity (RecoveryMANTRA) would improve outcomes in adults with anorexia nervosa.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Participants with anorexia nervosa (\n n<\/jats:italic>\n = 187) were recruited from 22 eating disorder outpatient services throughout the UK. They were randomised to receiving RecoveryMANTRA in addition to treatment as usual (TAU) (\n n<\/jats:italic>\n = 99; experimental group) or TAU only (\n n<\/jats:italic>\n = 88; control group). Outcomes were measured at end-of-intervention (6 weeks), 6 and 12 months.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Adherence rates to RecoveryMANTRA were 83% for the online guidance sessions and 77% for the use of self-help materials (workbook and\/or short video clips). Group differences in body mass index at 6 weeks (primary outcome) were not significant. Group differences in eating disorder symptoms, psychological wellbeing and work and social adjustment (at 6 weeks and at follow-up) were not significant, except for a trend-level greater reduction in anxiety at 6 weeks in the RecoveryMANTRA group (\n p<\/jats:italic>\n = 0.06). However, the RecoveryMANTRA group had significantly higher levels of confidence in own ability to change (\n p<\/jats:italic>\n = 0.02) and alliance with the therapist at the outpatient service (\n p<\/jats:italic>\n = 0.005) compared to the control group at 6 weeks.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Augmenting outpatient treatment for adult anorexia nervosa with a focus on recovery and motivation produced short-term reductions in anxiety and increased confidence to change and therapeutic alliance.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0033291719002824","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T02:34:35Z","timestamp":1571193275000},"page":"2610-2621","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":53,"title":["A randomised clinical trial to evaluate the acceptability and efficacy of an early phase, online, guided augmentation of outpatient care for adults 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