Abstract：
Eating disorders (ED) usually involve hospital admission and a high relapse rate, with the return home being a critical moment for patients and their families. After their return home, they often have trouble incorporating the guidelines they have learned into their daily context. ECHOMANTRA intervention program aims to facilitate this transition by offering psychological strategies that involve both patients and their families and carers. Specifically, the ECHO program is aimed at the relatives of these patients. The present study aimed to analyze the efficacy of adding the ECHO program to the usual treatment (TAU) of relatives through a novel format based on individual intervention and with an online format and to examine the acceptability and feasibility of this new format. The study design was multi-center, randomized, controlled, with a longitudinal design and comparing two parallel groups. A total of 108 family members participated. Results indicated that relatives from both groups, TAU and ECHO + TAU, showed improvements in expressed emotion, accommodation, impact of the ED, emotional well-being, and caregiver skills. However, effect sizes in the ECHO + TAU group were slightly larger than the TAU group. In addition, the changes were greater in depression and caregiver skills when the ECHO component was added. Most caregivers (81.48%) completed the ECHO and indicated a high level of satisfaction with the program. These results suggest the efficacy and the feasibility of adding the ECHO intervention program to the usual treatment in an individual online format.
摘要：
进食障碍（ED）通常涉及入院和高复发率，对病人和他们的家人来说，回家是一个关键时刻。他们回家后,他们经常难以将学到的指导方针融入日常环境。ECHOMANTRA干预计划旨在通过提供涉及患者及其家人和护理人员的心理策略来促进这种转变。具体来说,ECHO计划针对这些患者的亲属。本研究旨在分析通过基于个人干预和在线格式的新颖格式将ECHO计划添加到亲属的常规治疗（TAU）中的功效，并研究这种新格式的可接受性和可行性。研究设计是多中心，随机化，控制,纵向设计和比较两个平行组。共有108名家庭成员参加。结果表明，两组的亲属，TAU和ECHO+TAU，表现出表达情感的改善，住宿,ED的影响，情感幸福，和照顾者的技能。然而,ECHO+TAU组的效应大小略大于TAU组。此外,添加ECHO成分后,抑郁和护理技能的变化更大.大多数护理人员（81.48％）完成了ECHO，并表示对该计划的满意度很高。这些结果表明了以个人在线形式将ECHO干预计划添加到常规治疗中的有效性和可行性。
