BACKGROUND:
We describe the theoretical rationale and protocol for Self-Help And Recovery guide for Eating Disorders (SHARED), a trial investigating whether a guided self-care intervention (Recovery MANTRA) is a useful addition to treatment as usual for individuals with anorexia nervosa. Recovery MANTRA, a 6-week self-care intervention supplemented by peer mentorship, is a module extension of the Maudsley Model of Treatment for Adults with Anorexia Nervosa and targets the maintenance factors identified by the cognitive-interpersonal model of the illness.
METHODS:
Patients accessing outpatient services for anorexia nervosa are randomized to either treatment as usual or treatment as usual plus Recovery MANTRA. Outcome variables include change in body weight at the end of the intervention (primary) and changes in body weight and eating disorder symptoms at immediate and extended follow-up (6-months; secondary). Change is also assessed for the domains identified by the theoretical model, including motivation, hope, confidence to change, positive mood, cognitive flexibility, therapeutic alliance and social a
DISCUSSION:
Results from this exploratory investigation will determine whether a larger clinical trial is justifiable and feasible for this affordable intervention, which has potential for high reach and scalability. Trial Registration: ClinicalTrials.gov NCT02336841 .

Cardi, Valentina, Suman Ambwani, Ross Crosby, Pamela Macdonald, Gill Todd, Jinhong Park, Sara Moss, Ulrike Schmidt, and Janet Treasure. Self-Help And Recovery Guide for Eating Disorders (SHARED): Study Protocol for a Randomized Controlled Trial. Trials 16 (2015): Article 165. https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-015-0701-6

© 2015 Cardi et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,
unless otherwise stated.

Suman Ambwani is a professor of Psychology at Dickinson College.

This published version is made available on Dickinson Scholar with the permission of the publisher. For more information on the published version, visit BioMed Central's Website. https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-015-0701-6

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