Process evaluation of the MOSAIC Trial, Part I: Therapist experiences of delivering two psychological therapies for treatment of anorexia nervosa

MOSAIC trial group

doi:10.1002/erv.2278

Process evaluation of the MOSAIC Trial, Part I: Therapist experiences of delivering two psychological therapies for treatment of anorexia nervosa

MOSAIC trial group

Department of Psychology

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVES: Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM), this study adopted a qualitative approach to examine therapist experiences of treatment delivery.

METHOD: Twenty MOSAIC therapists completed semi-structured interviews. Interviews were recorded, transcribed and analysed thematically.

RESULTS: Themes of positive aspects, challenges and therapeutic fit emerged. MANTRA was seen as structured and flexible but could feel demanding on therapist time and skill. The slow pace and narrower focus of SSCM gave patients space to talk, but the lack of psychological tools and nutritional emphasis could create frustration. Views on the therapeutic relationship and patient-therapy fit differed across treatments.

DISCUSSION: Findings provide testable hypotheses about what works for whom, ideas for therapist training, treatment development and delivery.

Original language	English
Pages (from-to)	122-30
Number of pages	9
Journal	European Eating Disorders Review
Volume	22
Issue number	2
DOIs	https://doi.org/10.1002/erv.2278
Publication status	Published - Mar 2014

Keywords

Ambulatory Care/methods
Anorexia Nervosa/diagnosis
Caregivers/psychology
Health Personnel/psychology
Humans
Interviews as Topic
Outcome and Process Assessment, Health Care
Psychiatric Status Rating Scales
Psychotherapy/methods
Qualitative Research
Randomized Controlled Trials as Topic

Access to Document

10.1002/erv.2278

Cite this

@article{516ec463026646bcb60d638204684bf3,

title = "Process evaluation of the MOSAIC Trial, Part I: Therapist experiences of delivering two psychological therapies for treatment of anorexia nervosa",

abstract = "OBJECTIVES: Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM), this study adopted a qualitative approach to examine therapist experiences of treatment delivery.METHOD: Twenty MOSAIC therapists completed semi-structured interviews. Interviews were recorded, transcribed and analysed thematically.RESULTS: Themes of positive aspects, challenges and therapeutic fit emerged. MANTRA was seen as structured and flexible but could feel demanding on therapist time and skill. The slow pace and narrower focus of SSCM gave patients space to talk, but the lack of psychological tools and nutritional emphasis could create frustration. Views on the therapeutic relationship and patient-therapy fit differed across treatments.DISCUSSION: Findings provide testable hypotheses about what works for whom, ideas for therapist training, treatment development and delivery.",

keywords = "Ambulatory Care/methods, Anorexia Nervosa/diagnosis, Caregivers/psychology, Health Personnel/psychology, Humans, Interviews as Topic, Outcome and Process Assessment, Health Care, Psychiatric Status Rating Scales, Psychotherapy/methods, Qualitative Research, Randomized Controlled Trials as Topic",

author = "{MOSAIC trial group} and Daniella Waterman-Collins and Beth Renwick and Anna Lose and Martha Kenyon and Lucy Serpell and Lorna Richards and Nicky Boughton and Janet Treasure and Ulrike Schmidt",

note = "Copyright {\textcopyright} 2014 John Wiley & Sons, Ltd and Eating Disorders Association.",

year = "2014",

month = mar,

doi = "10.1002/erv.2278",

language = "English",

volume = "22",

pages = "122--30",

journal = "European Eating Disorders Review",

issn = "1072-4133",

publisher = "John Wiley and Sons Ltd",

number = "2",

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T1 - Process evaluation of the MOSAIC Trial, Part I: Therapist experiences of delivering two psychological therapies for treatment of anorexia nervosa

AU - MOSAIC trial group

AU - Waterman-Collins, Daniella

AU - Renwick, Beth

AU - Lose, Anna

AU - Kenyon, Martha

AU - Serpell, Lucy

AU - Richards, Lorna

AU - Boughton, Nicky

AU - Treasure, Janet

AU - Schmidt, Ulrike

PY - 2014/3

Y1 - 2014/3

N2 - OBJECTIVES: Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM), this study adopted a qualitative approach to examine therapist experiences of treatment delivery.METHOD: Twenty MOSAIC therapists completed semi-structured interviews. Interviews were recorded, transcribed and analysed thematically.RESULTS: Themes of positive aspects, challenges and therapeutic fit emerged. MANTRA was seen as structured and flexible but could feel demanding on therapist time and skill. The slow pace and narrower focus of SSCM gave patients space to talk, but the lack of psychological tools and nutritional emphasis could create frustration. Views on the therapeutic relationship and patient-therapy fit differed across treatments.DISCUSSION: Findings provide testable hypotheses about what works for whom, ideas for therapist training, treatment development and delivery.

AB - OBJECTIVES: Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Management (SSCM), this study adopted a qualitative approach to examine therapist experiences of treatment delivery.METHOD: Twenty MOSAIC therapists completed semi-structured interviews. Interviews were recorded, transcribed and analysed thematically.RESULTS: Themes of positive aspects, challenges and therapeutic fit emerged. MANTRA was seen as structured and flexible but could feel demanding on therapist time and skill. The slow pace and narrower focus of SSCM gave patients space to talk, but the lack of psychological tools and nutritional emphasis could create frustration. Views on the therapeutic relationship and patient-therapy fit differed across treatments.DISCUSSION: Findings provide testable hypotheses about what works for whom, ideas for therapist training, treatment development and delivery.

KW - Ambulatory Care/methods

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KW - Caregivers/psychology

KW - Health Personnel/psychology

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KW - Interviews as Topic

KW - Outcome and Process Assessment, Health Care

KW - Psychiatric Status Rating Scales

KW - Psychotherapy/methods

KW - Qualitative Research

KW - Randomized Controlled Trials as Topic

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