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Improving motivation and treatment uptake behaviors of patients with eating disorders using patient narrative videos: study protocol of a pilot randomized controlled trial
被引:2
|作者:
Daugelat, Melissa-Claire
[1
,2
]
Kimmerle, Joachim
[3
,4
]
Hagmann, Daniela
[5
]
Schag, Kathrin
[1
,2
]
Giel, Katrin Elisabeth
[1
,2
,6
]
机构:
[1] Med Univ Hosp Tubingen, Dept Psychosomat Med & Psychotherapy, Osianderstr 5, D-72076 Tubingen, Germany
[2] Univ Tubingen, Ctr Excellence Eating Disorders Tubingen KOMET, Tubingen, Germany
[3] Leibniz Inst Wissensmedien, Tubingen, Germany
[4] Eberhard Karls Univ Tubingen, Dept Psychol, Tubingen, Germany
[5] Med Univ Hosp Tubingen, Child & Adolescent Psychiat, Tubingen, Germany
[6] DZPG, German Ctr Mental Hlth, Tubingen, Germany
关键词:
Eating disorders;
Motivation;
Help-seeking;
Lived experience;
Patient narratives;
TRANSTHEORETICAL MODEL;
FACILITATORS;
BARRIERS;
SEEKING;
QUESTIONNAIRE;
D O I:
10.1186/s40337-023-00960-3
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
BackgroundPatients with eating disorders (ED) typically report delays between the onset of symptoms and engagement with treatment services. Personal barriers including stigma, shame, and guilt, as well as the availability of social support may influence patients' decisions to engage with treatment services. Patient narratives are personalized stories discussing the illness and recovery of previously affected persons. Such narratives can reduce self-stigma and provide current patients with hope for their own recovery.MethodThis pilot study will examine the effects of patient narrative videos on the treatment motivation and uptake of treatment services for patients with ED. Three narrative videos were developed from the perspectives of (a) a former patient with an ED, (b) an ED specialist, and (c) the same former patient discussing a somatic condition unrelated to ED. Patients will be randomized into three video viewing and one treatment-as-usual group. Effects on treatment motivation will be assessed using the University of Rhode Island Change Assessment Scale (URICA-S) immediately after viewing the videos, as well as one-week and three-month follow-ups. Treatment uptake will be assessed during follow-up using a questionnaire listing possible treatment interactions. A post-intervention questionnaire and semi-structured interviews will be used to assess the feasibility and acceptability of patient narrative videos for this population.DiscussionThere is an urgent need to encourage patients with ED to engage with specialized treatments as soon as possible. Patient narratives may be a pivotal approach to implementing cost effective and easy to disseminate early intervention programs to future patients with ED.
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