[en] Qualitative evaluation of health interventions is recommended to document the reality of the intervention process in all its complexity. From this perspective, we have developed a study protocol for a family therapy intervention for adolescents with anorexia, grounded in the realist evaluation approach and the concept of robustness, which we called « infra-realist inquiry ». Family therapy is the internationally recommended first-line treatment for adolescent anorexia nervosa. Among the models developed, the Maudsley model is the most widespread and well-documented. While its effectiveness is now widely accepted, knowledge on its implementation process remains limited. Qualitative methods have scarcely been employed. We designed a longitudinal qualitative research study to explore the intervention process of the Maudsley model in a French hospital. In this ongoing study, we adopt an interpretative phenomenological analysis approach to understand change mechanisms in adolescents, and we use a focus group method with a reflexive thematic analysis approach to identify barriers to change and the resources needed for parents and healthcare providers. Over the course of one year, three individual interviews are planned with adolescent participants and three focus group discussions with parents and healthcare providers at regular intervals (months 1, 6, 12). Drawing on critical realism ontology, we constructed a study design aiming to understand the reality of adolescents with anorexia nervosa from their own perspective, using a visual narrative technique (photo-elicitation) and a future-oriented approach (possible selves).
Disciplines :
Treatment & clinical psychology
Author, co-author :
Morsa, Maxime ; Université de Liège - ULiège > Département de Psychologie > Recherche qualitative
Pelz, Lucie ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Bockstal-Fieulaine, Klev; Pediatric Department, Jean Verdier Hospital, Assistance Publique–Hôpitaux de Paris, Bondy, France
Dereux, Antoine; Pediatric Department, Jean Verdier Hospital, Assistance Publique–Hôpitaux de Paris, Bondy, France
Pontual, Loïc de; Pediatric Department, Jean Verdier Hospital, Assistance Publique–Hôpitaux de Paris, Bondy, France ; Child and Adolescent Psychiatry Division, Etablissement Public de Santé de Ville-Évrard, Neuilly-sur-Marne, France
Gagnayre, Rémi; Education and Health Promotion Laboratory (UR 3412), Sorbonne Paris North University, Bobigny, France
Language :
English
Title :
Longitudinal Qualitative Research on the Maudsley Model Program for Adolescent Anorexia Nervosa: Study Protocol of an Infra-realist Inquiry
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