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Developing Recommendations to Support Therapeutic Alliance in Eating Disorders Inpatient Treatment

The ALLIANCE study aims to make treatment better for people with eating disorders who are staying in hospitals. We know that eating disorders are very serious and can be life-threatening. This study focuses on improving the 'therapeutic alliance' – that's the helpful and supportive relationship between healthcare staff and patients. We believe that when patients and staff work well together, it can lead to better recovery. We are reviewing existing information, talking to patients who have been through treatment, and speaking with staff. Our goal is to create clear recommendations and resources, like an animation, to help improve these important relationships and ultimately support more people in their journey to recovery.

At a glance

Status
Not yet recruiting
Sponsor
Norfolk and Suffolk NHS Foundation Trust
Enrolment target
30
Start
01 May 2025
Estimated completion
01 Nov 2025

What is this study about?

The ALLIANCE study is all about making things better for people in the UK who are receiving hospital care for eating disorders. Eating disorders like anorexia nervosa, bulimia nervosa, or binge eating disorder are serious conditions that affect how people eat and how they feel about their weight. These illnesses can be very tough on individuals and their families, and sometimes they require hospital stays, especially when someone is very unwell.

Our research, funded by the NIHR, focuses on something called the 'therapeutic alliance.' This simply means the positive, helpful, and trusting relationship that develops between patients and the healthcare staff looking after them. We believe that when this relationship is strong, it can play a big part in a patient's recovery journey. Unfortunately, recovery rates for eating disorders in hospital settings aren’t always as high as we’d like, so we’re looking for ways to improve this.

To do this, we're working in three main steps. First, we're carefully reviewing all the research that already exists to understand what works well in building these important relationships. Second, we'll be talking directly with people who have experienced inpatient eating disorder treatment, as well as the staff who work in these units. Their personal stories and insights are incredibly important to help us understand what makes a difference. Finally, we'll use everything we learn to create practical advice and even an animated video to share our findings. The ultimate goal is to develop clear ways to improve how staff and patients work together, leading to better chances of recovery for everyone.

Key takeaways

  • This study aims to make hospital care better for people with eating disorders.
  • It focuses on improving trusting relationships between patients and staff.
  • Researchers will talk to former patients and current staff about their experiences.
  • The findings will help create practical tips and resources for better care.
  • Taking part involves an interview and helps improve future patient care.

Who may be eligible?

This study is looking for two main groups of people to share their experiences and help us understand things better.

Firstly, we are looking for adults, aged 18 or over, who have had hospital care for an eating disorder within the last five years. It's important that you are able to understand what the study involves and agree to take part. Your experiences are incredibly valuable to us.

Secondly, we are also inviting healthcare staff who work in hospital units for eating disorders to take part. This includes anyone in a clinical role, like nurses, doctors, or therapists. There are no additional exclusion criteria beyond these points.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Have you been an inpatient in an eating disorder unit within the last 5 years?
  3. Are you able to understand the study and agree to take part?
  4. Or, do you work in a clinical role in an inpatient eating disorder unit?
Answer every question to see your result.

What does participation involve?

This study is not a clinical trial where you would receive a new treatment or medication. Instead, it's about sharing your experiences and insights. If you qualify and choose to take part, you would be asked to have a conversation (interview) with a researcher. This interview would be designed to understand your views on relationships between patients and staff, and what helps or hinders recovery in hospital settings for eating disorders. The interviews will be conducted in a sensitive and supportive way. The exact time commitment for the interview will be explained to you, but typically these types of conversations might last for up to an hour or two. You would not need to visit a hospital or clinic specifically for the study, and there will be no medication or follow-up appointments related to this research.

Potential risks and benefits

Taking part in this study could offer you the benefit of sharing your experiences in a safe and confidential space, knowing that your insights will contribute to improving care for future patients. There are no direct medical risks as this is an interview-based study, but discussing past experiences with an eating disorder could bring up difficult emotions for some participants. Support will be available if this happens. You are free to withdraw from the study at any time, for any reason, without it affecting your current or future medical care.

Locations (3)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Leicestershire Partnership NHS Trust
    Verified postcode
    Leicester, United Kingdom
  • Newmarket House Clinic
    Verified postcode
    Norwich, United Kingdom
  • Norfolk and Suffolk NHS Foundation Trust
    Verified postcode
    Norwich, United Kingdom

Common questions

What is a 'therapeutic alliance'?

It's the positive, supportive, and trusting relationship that builds between a patient and their healthcare team. It's really important for getting good results from treatment.

Will I have to take any new medicines?

No, this study doesn't involve any new medicines, treatments, or procedures. It's about gathering information through conversations.

Who is funding this research?

The study is funded by the NIHR (National Institute for Health and Care Research), which is a government organisation that supports health and social care research in the UK.

What will happen with the information I share?

Your insights will help create recommendations and resources, like an animation, to improve care for people with eating disorders. Your privacy and confidentiality will be protected.

Will taking part affect my current or future NHS care?

No, taking part is completely voluntary and will not affect any medical care you receive now or in the future.

How to find out more

Charlotte J Wheeler, MSc

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Developing Recommendations to Support Therapeutic Alliance i…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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