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Title: Guided self help for eating disorder treatment in primary care
Author: Kelly, Joanne
ISNI:       0000 0001 3596 6938
Awarding Body: University of Leeds
Current Institution: University of Leeds
Date of Award: 2007
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Introduction: Self help interventions in the eating disorders have an established evidence base and are recommended in the NICE guidelines as the first treatment for Bulimia Nervosa. However, there are still many gaps in the research. concerning guided self help for eating disorders. The aims of the present study were to investigate the effectiveI).ess of a new guided self help intervention for eating disorders in primary care as compared with a waiting list control. In addition, therapeutic alliance was measured to determine its effect on outcome. Method: The research used mixed methodology and was conducted in two stages. The first stage used a randomised controlled trial design. Thirteen participants were randomly assigned to either the guided self help intervention or the three month wait condition. Measures of eating disorder psychopathology (EDE-Q) and mental health (CORE-IO) were taken at allocation to group and post intervention or wait. Participants using the intervention received 6 guided self help sessions with a trained guide and were asked to complete a measure of the therapeutic relationship (ARM) at each session. The second stage was qualitative and used semi-structured interviews with intervention participants and . guides. The interviews were analysed using thematic analysis. Results: Two of the four guided self help particIpants achieved reliable change on some eating disorder psychopathology and they were all scoring hnder the clinical cut off on the CORE-IO post intervention. Scores for participants in the waiting list group remained unchanged and all but one scored above the clinical cut off point on the CORE-IO at post measure. Therapeutic- alliance data was largely unvaried, wi~h most· guides and participants rating the alliance similarly and consistently positive. Analysis ofthe qualitat~ve data indicated that elements of the relationship and workbook that were perceived as crucial in positive therapeutic change. Discussion: The present study offers tentative support for the burgeoning evidence base of self help resources for eating disorders. Furthermore, it offers some promising indications that with ininimal training, clinicians working in Primary Care can offer an appropriate and timely intervention where previously one did not exist. Further research may consider the use of an adapted version of the self help resource with adolescents and trialling the guided self help resource with guides without psychological therapy as a professional background and training. /
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available