Therapist-guided smartphone-based aftercare for inpatients with severe anorexia nervosa (SMART-AN): Study protocol of a randomized controlled trial.
Therapist-guided smartphone-based aftercare for inpatients with severe anorexia nervosa (SMART-AN): Study protocol of a randomized controlled trial.
复制标题
治疗师指导的基于智能手机的住院严重神经性厌食症患者的术后护理（SMART-AN）：随机对照试验的研究方案。
DOI：
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发表时间：
2020
影响因子：
5.5
通讯作者：
U. Voderholzer
中科院分区：
文献类型：
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作者：
S. Schlegl;Christina Neumayr;U. Voderholzer
客观化
神经性厌食症(AN)患者的住院治疗建议在门诊治疗失败后的极端或严重病例中进行，并且非常有效。然而，一些患者在出院后表现出症状增加和复发。本研究的目的是评估治疗师指导的基于智能手机的后续护理干预对住院AN患者的疗效，以支持症状稳定。
方法
共有186名被DSM-5诊断为AN(307.1)的女性患者将被随机分为两组，一组接受为期16周的基于智能手机的后续护理干预，并将治疗师的反馈作为常规治疗的补充(TAU)；另一组仅接受TAU。数据将在出院时(= 基线，T0)、16 周后(= 术后干预结束，T1)和10个月后(= 6个月随访，T2)进行评估。主要结果将是总体饮食障碍症状学(饮食障碍检查全球评分)。次要结果指标将包括体重指数、抑郁、改变的动机、自我效能、患者对基于智能手机的后续护理干预的满意度和坚持性以及再住院率。
讨论
这项研究将是第一个随机对照试验，以检查治疗师指导的基于智能手机的住院AN患者的后续干预。结果可能揭示这种新的干预措施是否以及在多大程度上能够支持住院治疗后症状的稳定。
OBJECTIVE
Inpatient treatment for patients with anorexia nervosa (AN) is recommended in extreme or severe cases after failure of outpatient treatment and is highly effective. However, a number of patients show symptom increase and relapse after discharge. The aim of this study is to evaluate the efficacy of a therapist-guided smartphone-based aftercare intervention for inpatients with AN to support symptom stabilization.
METHOD
A total of 186 female patients with a DSM-5 diagnosis of AN (307.1) will be randomized either to receive a 16-week smartphone-based aftercare intervention with therapist feedback as add-on to treatment as usual (TAU) or TAU alone. Data will be assessed at discharge (= baseline, T0), after 16 weeks (= end of the aftercare intervention, T1) and after 10 months (= 6-month follow-up, T2). Primary outcome will be overall eating disorder symptomatology (Eating Disorder Examination Global score). Secondary outcome measures will include body mass index, depression, motivation to change, self-efficacy, patient satisfaction with and adherence to the smartphone-based aftercare intervention as well as rehospitalization rate.
DISCUSSION
This study will be the first randomized controlled trial to examine a therapist-guided smartphone-based aftercare intervention for inpatients with AN. Results may reveal whether and to which extent this novel intervention can support symptom stabilization after inpatient treatment.
影响因子：
4.1
作者：
Agras WS;Fitzsimmons-Craft EE;Wilfley DE
通讯作者：
Wilfley DE