None listed
Conditions
Brief summary
This research involves participants with a diagnosis of anorexia nervosa receiving narrative therapy intervention (as per a manualised treatment developed by Dr Janet Conti) on a weekly basis for approximately 40 sessions. The treatment is facilitated at the Western Sydney University Psychology psychology rooms or over telehealth programs if required. Upon individuals expressing their interest in the intervention, participants were screened according to the inclusion/exclusion criteria and contacted via e-mail to advise of their acceptance to the intervention, request any further information, and to provide recruitment documentation and informed consent forms. Potential participants had approximately 2-3 weeks to consider participation and confirm their desire to proceed. During these 2-3 weeks, participants completed baseline quantitative measures. Following this, clearance was obtained from the participant's GP and contact made via e-mail or telephone prior to, at the outset, during, and at the end point of treatment. Participants received the intervention free of charge. They are asked to complete surveys and questionnaires at the beginning, middle and end points of treatment. They are provided with a two-page summary of the findings at the end of the intervention. Additionally, participants will be actively involved in member-checking the analysis of session and treatment outcomes to ensure that their feedback, experiences and perspectives have been accurately represented in the final paper.
Interventions
This intervention consists of a feasibility study for a manualised narrative therapy treatment based on a guidebook developed by Dr Janet Conti that is informed on the work of Michael White and David Epston. The research will use a mixed methods approach, with both quantitative and qualitative methods in the form of a single case, repeated measures design. Participants will consist of 6 individuals with a previous diagnosis of Anorexia Nervosa (AN) and a Body Mass Index (BMI) of between 14 and 19. Exclusion criteria will include a diagnosis of psychosis or bipolar disorder, and/or a high level of suicide risk or medical compromise, and/or current active substance use disorder with dependence. Participants will receive intervention on a weekly basis (approximately one hour sessions) for approximately forty weeks/sessions. The treatment will be conducted at the Western Sydney University psychology rooms or via Zoom telehealth technology. Intervention will be carried out concurrently by the principal researcher, who is a Clinical Psychologist who has had training in narrative therapy interventions, and her principal supervisor who is a Clinical Psychologist and endorsed supervisor who specialises in the treatment of eating disorders, including with narrative therapy. Supervision will also be provided by Professor Phillipa Hay who is Chair of Mental Health, School of Medicine at Western Sydney University. Professor Hay is a highly experienced psychiatrist in the treatment of anorexia nervosa. Treatment outcome will be assessed quantitatively using standardised measures at the beginning, during, and at the end of treatment, and treatment feasibility / acceptability assessed using content analysis of participant feedback responses and treatment experience rating scales. Qualitative analysis will be conducted of the transcripts of therapy sessions and participant interviews by using narrative and discourse/discursive methods to inductively generate key themes and analyse participant experiences and identify shifts within therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosis of Anorexia Nervosa, BMI between 14-19, regular medical appointments/clearance from their GP to engage in this outpatient treatment intervention.
Exclusion criteria
Diagnosis of psychosis or Bipolar Disorder, high level of suicide risk and/or medical compromise, current active substance use disorder with dependence.