RCT of a Video-based Intervention Program for Caregivers of Patients with an Eating Disorder

Eur Eat Disord Rev. 2017 Jul;25(4):283-292. doi: 10.1002/erv.2521.

Abstract

Objective: This paper presents the results of a randomized controlled trial measuring the efficacy of a video-based skills training to decrease burden and psychological distress in caregivers of inpatients treated for an eating disorder in specialized hospital units.

Method: Two hundred eighty-five caregivers were randomized to either the video intervention (N = 147) or the control group (N = 138). Caregivers' primary outcomes were assessed via Eating Disorder Symptom Impact Scale, Accommodation and Enabling Scale and General Health Questionnaire-12 at baseline and three-months follow-up.

Results: Acceptability of the intervention was high. Receiving additional external professional help like psychotherapy or clinical counselling was identified as a moderator contributing to the efficacy of the intervention. Caregivers' burden (Eating Disorder Symptom Impact Scale) and psychological distress (General Health Questionnaire-12) were reduced by the intervention but not caregivers' accommodating behaviours (Accommodation and Enabling Scale).

Conclusion: The video training is a promising approach and effective supplement for caregivers of patients with an eating disorder. Additional professional help to caregivers increases the effectiveness of the intervention. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: RCT; burden, distress, accommodation; caregivers; eating disorders; video-based skills training.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Program Evaluation
  • Stress, Psychological / prevention & control*
  • Video Recording*
  • Young Adult