Participatory Development of Evidence-Based Patient Narrative Videos for Patients with Eating Disorders: A Methodological Approach and Pilot Data

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The collaborative development and implementation of such narratives reflects a participatory approach between researchers, patients, and members of the public towards the development of new interventions. Patient narratives can foster feelings of support and belonging, as well as increase hope and motivation towards recovery. Aims of this pilot study were (a) the collaborative development of a series of evidence-based patient narrative videos about eating disorders, (b) their evaluation with a group of healthy participants, and (c) to provide a reproducible documentation of this methodological approach. Method A multi-stage participatory process was used including a) a systematic review, b) focus groups with affected persons, c) the participatory narrative development, and d) a pilot study with healthy participants. A former and currently recovered patient was recruited as a lived experience representative, while a psychotherapist provided the same information from a professional perspective. Control group videos featured the lived experience representative discussing a somatic condition unrelated to eating disorders (i.e., torn knee ligament). Two videos were created for each perspective with varying degrees of emotionality of the content. Healthy participants were recruited to view and assess the videos for their authenticity, empathy, and usefulness. Results Nineteen female participants were recruited for the pilot study. All videos received positive ratings, however, participants rated videos in which the lived experience representative discussed her eating disorder as significantly more authentic than the control group videos, as well as significantly more empathic, useful, and better overall than the psychotherapist and control group videos. Participants further indicated a clear preference for videos with higher emotionality, regardless of which perspective or disorder was being presented. Discussion The use of patient narratives for eating disorders is a relatively new methodological approach. This paper provides one example of how evidence-based patient narratives can be constructed. The patient narratives created in this study received positive feedback from healthy participants and are currently being tested in a 4-arm randomised controlled pilot study with patients affected by eating disorders. eating disorders motivation help-seeking lived experience patient involvement patient narratives recovery stories treatment Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Introduction The treatment of eating disorders (ED) is influenced by a myriad of personal, social, and environmental factors. Research has shown that one of the most prominent factors influencing the initiation of ED treatment is social support, or rather the lack of positive social support commonly found among persons affected by ED [ 1 , 2 ]. Patient and Public Involvement (PPI) refers to the collaboration between researchers, patients, and members of the public when planning, conducting or disseminating clinical research studies [ 3 ]. PPI allows affected individuals to actively contribute the development of new interventions that are relevant to the target patient group [ 4 , 5 ]. An example of PPI in clinical research is the inclusion of patient narratives, which can be defined as personal stories presented by persons previously or currently affected by a physical or mental health disorder. Patient narratives often comprise recovery reports, including insights into the patients’ challenges, struggles, and ultimately successful management of their disorder [ 6 , 7 ]. Patient narratives may be live, such as in peer-to-peer relationships, or else may be documented in a variety of mediums, including written texts such as books or blogs, documentary films, or videos posted on various social media platforms [ 7 – 9 ], and are therefore easily accessible to affected persons. Patient narratives can foster empathy and feelings of support and belonging [ 7 , 10 , 11 ], while showing that recovery is possible and providing currently affected persons with feelings of hope regarding their own recovery [ 12 ]. In the field of ED, it has been suggested that patient narratives could provide a much needed boost to treatment motivation by inspiring affected persons with ED to seek and/or engage with treatment themselves [ 10 ]. In fact, a recent study by Gumz et al. [ 13 ] assessing factors influencing treatment uptake found that patients with anorexia nervosa who had reported reading and/or viewing patient narratives also reported significantly shorter durations of untreated ED (DUED), i.e. the amount of time that elapses between the onset of ED symptoms and treatment engagement [ 14 ]. To date, only a handful of studies have examined the effects of patient narratives for patients with ED. One study which retrospectively asked female patients with ED about their experiences with written patient narratives found that while patients in recovery benefited from engagement with patient narratives, patients who were not receiving treatment at the time of engagement were increasingly at risk for developing harmful social comparisons or “copy-cat” behaviours on the basis of the narratives [ 15 ]. Dawson et al. [ 12 ] further used patient interviews to create a series of written patient narratives, in which such possibly triggering or adverse contents were eliminated. Women with anorexia nervosa were recruited for the study and sent the patient narratives to read over a two-week period. While the results of this study showed no short-term effects on current patients’ motivation or self-efficacy, qualitative results showed that the patient narratives were well accepted and that participants would recommend their use for other patients [ 12 ]. Studies examining the use of patient narrative videos for other mental disorders, including depression and anxiety, found that engaging with at least one patient narrative video resulted in significant long-term increases in participants’ reported quality of life and meaning of life [ 16 ]. Similar results have also been found in the field of psychosis, where viewing patient narrative videos resulted in increased self-efficacy and hope toward one’s own recovery [ 17 , 18 ]. Interestingly, when presented with nearly identical content from a healthcare professional’s point of view, these effects remained but were significantly reduced [ 17 ], suggesting that the peer element of patient narratives is a definitive and critical component of these videos. Nevertheless, to the best of our knowledge there exists only very little information regarding how patient narratives should be developed in order to be most beneficial for patients with regard to content, perspective, length, or level of emotionality required. Study Aims The current study aimed to develop and assess a series of evidence-based patient narrative videos for patients with ED. The videos featured three varying perspectives from a) a lived experience representative (Video 1A and Video 1B), b) a psychotherapist (Video 2A and Video 2B), and c) the lived experience representative reporting on a somatic condition unrelated to ED (Video 3A and Video 3B). The videos further varied based on the level of emotionality of the content presented, with one half of the videos (i.e., video versions A) featuring content with a low degree of emotionality, and the other half of the videos (i.e., video versions B) featuring content with a higher degree of emotionality. A pilot study with a healthy student population further determined the acceptability and feasibility of these patient narrative videos, as well as which versions of the video (video version A vs. B) would be most suitable for a larger pilot study with affected persons with ED. Method/Design Ethical approval for completion of this study was obtained from the ethics committee of the Medical Faculty at the University Hospital Tübingen (reference 417/2022BO2, 418/2022BO2). An overview of the four stages of the video development process can be seen in Figure 1, while a detailed explanation is provided below. Stage 1: Systematic Review A systematic review [1] was completed to determine the most common barriers and facilitators affecting ED treatment uptake and engagement, including a synthesis of the perspectives of patients with ED, their caregivers, and healthcare professionals. Stage 2: Focus Groups with Affected Persons A series of focus groups were completed with affected persons with ED residing in the area of Tübingen, Germany, so as to validate the results of the systematic review. Recruitment e-mails were sent to approximately 60 participants of previous ED research studies completed by the University Hospital Tübingen. A total of n = 8 participants attended one of two 90-minute focus group appointments at the University Hospital Tübingen. Participants were asked to rank the barriers and facilitators discovered by the systematic review, based on how important these were for their own personal recovery. A semi-structured group discussion followed, during which participants provided further insights into the most important barriers and facilitators of their treatment journey. Written informed consent was obtained from all participants prior to begin of the focus groups. Participants received a compensation for their participation. A narrative synthesis of the transcripts of both focus groups was completed to determine the most frequently mentioned barriers and facilitators to treatment. Stage 3: Participatory Narrative Development The current study utilised a collaborative approach to develop a series of evidence-based patient narratives. A former and currently recovered patient with an ED was recruited as a lived experience representative to ensure that the patient narratives would remain relevant and relatable for affected persons. The decision was made not to explicitly state which ED symptoms or diagnosis she previously experienced, but to focus instead on those aspects of the treatment journey which are shared by all patients with ED. In order to gain further insight into her experiences, the lived experience representative was initially asked to summarise her ED journey in a letter to her “former self”, including what motivated her to seek treatment and what information she wished she would have known prior to treatment. During a series of collaborative discussions, four key categories were developed on the basis of the lived experience representative’s personal experiences and the results of the systematic review [1] and focus groups (see Results). Using these four categories, two scripts were developed in cooperation with the lived experience representative with identical content, but with a variation of the emotionality of the content. Two further scripts were developed in cooperation with a psychotherapist with professional ED experience. The scripts for the psychotherapist contained the same content as those of the lived experience representative but were adapted to reflect a more professional point of view. In order to increase comparability, the psychotherapist was the same age and gender as the lived experience representative. Finally, two additional scripts were developed for the control condition, in which the lived experience representative discussed the same content presented in her initial two ED-focused videos, but with regard to a somatic condition unrelated to ED (i.e., a torn knee ligament). A professional videographer was hired to film all six videos in June, 2023. Further editing was completed to ensure that all videos were comparable regarding duration, with the final videos being approximately six minutes in length. Stage 4: Pilot Study with a Healthy Population Participants Participants were recruited via the online mailing systems of the University Hospital Tübingen and the Eberhard Karls University Tübingen. Female students and employees of the University and University Hospital were invited to participate, provided they fulfilled the following inclusion criteria: minimum age of 18 years, sufficient German language skills, no current acute psychiatric disorder (e.g., suicidal ideation or psychosis). Materials Used Participants completed a short demographic questionnaire including items regarding age, gender, nationality, and if they had any previous experiences with ED. A questionnaire was developed for this study in which participants were asked to rate the authenticity (e.g. Item 3: “I believe that the person in this video was personally affected by an eating disorder”) and empathy (e.g. Item 5: “I feel compassion for the person shown in this video”) of the person featured in the narrative videos featuring the lived experience expert, psychotherapist and control group videos, as well as the usefulness of the lived experience expert and psychotherapist videos (e.g. Item 9: “I think this video is helpful for people with eating disorders”) using a 5-Point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree. Participants were further asked to provide an overall rating for each of the six videos using a 6-Point Likert Scale ranging from 1 = insufficient to 6 = very good. Participants completed the questionnaire immediately after viewing each video. After viewing both the low emotionality and high emotionality versions of each narrative video, participants were asked to indicate which version (low vs. high emotionality) they preferred. In addition, a subgroup of randomly selected participants was invited to participate in a semi-structured interview in order to gain further qualitative insights into their perception of the videos, with particular focus on the authenticity, empathy, likeability, and usefulness of the videos as a whole, as well as which video/s they most preferred. Procedure All data collection was completed in the Department for Psychosomatic Medicine and Psychotherapy at the University Hospital Tübingen. Participants were required to attend one study appointment with a duration of approximately 60 minutes, for which they received a compensation. All participants were asked to view and rate all six patient narrative videos created for this study. Participants were not supplied with any information regarding the research aims or how the videos differed from one another (i.e., different perspectives or emotionality). The order in which the videos were presented was randomised for each participant. Statistical Analyses Data analyses were conducted using statistical software IBM SPSS Statistics Version 28 [19]. Authenticity, empathy, and usefulness scores were determined by calculating the mean of the respective items included for each domain in the questionnaire. A series of two-way repeated measures analyses of variance (ANOVA) were completed to compare participants’ authenticity, empathy, usefulness, and overall ratings for the different perspectives and level of emotionality of the six videos. Results Results from the Systematic Review In total, 73 studies were included in the systematic review, identifying 12 barriers and 13 facilitators to ED treatment uptake and/or engagement[1]. An overview of the most frequently reported barriers to treatment is provided in Figure 2. While patients most frequently reported stigma, shame, and guilt as barriers to treatment, caregivers and healthcare professionals reported that a lack of ED knowledge among clinicians was the most prominent treatment barrier. All groups reported positive social support to be the most important facilitator for treatment uptake and/or engagement. Further information and results of the systematic review have been published elsewhere [1]. Results from Focus Groups Two focus groups were completed between September and October 2022. The first focus group had a total of n = 5 participants, including both male and female patients with Binge Eating Disorder. The second focus group consisted of n = 3 female participants with Anorexia Nervosa or Bulimia Nervosa. Participants of both focus groups supported the findings of the systematic review by reporting stigma, shame, and guilt, as well as the role of the treating clinician as important barriers to seeking and/or engaging with treatment services. Participants further reported that a lack of positive social support had a negative effect on their treatment. In contrast to the results of the systematic review, participants of the focus groups reported that the severity of the ED symptoms and the accompanying feelings of distress were primarily responsible for their seeking and/or engaging with treatment services. Results from the Participatory Narrative Development Six patient narrative videos were developed from the perspectives of a lived experience representative (Videos 1A and 1B), a psychotherapist (Videos 2A and 2B), and the lived experience representative reporting on a somatic condition unrelated to ED (Videos 3A and 3B; for an overview, see Figure 3). Each video consists of four key categories, based on a combination of the lived experience representative’s personal experiences and the results of the systematic review [1] and focus groups with currently affected persons: The role of stigma, shame, and guilt as a barrier to treatment The role of subjective distress caused by the ED as a facilitator for treatment The importance of the social environment before and during treatment Overall advice and encouragement for currently affected persons. The level of emotionality was varied across the videos, so that a lower and a higher emotionality version was created for each perspective. To better demonstrate this, Table 1 shows the same excerpt of the script and how it is presented according to the different perspectives and levels of emotionality. Table 1. Script Excerpts According to Perspective and Level of Emotionality Lower Emotionality Higher Emotionality Lived Experience Representative “I had been suffering from an eating disorder for a few months and didn’t know how long I could continue living my life in this way, because I actually still had so many plans.” “It was only when the eating disorder had a big enough impact on my life that I realized that I might be “sick enough” for treatment. Over the course of a few months my symptoms worsened, and I suffered a lot due to the eating disorder and the associated fears, rules, and loneliness.” Psychotherapist “Patients often spend several months struggling with the eating disorder, during which time they suffer increasingly and become unsure if they can continue living in this way.” “Patients report that they will only admit to suffering from an eating disorder and being “sick enough” to receive treatment when the eating disorder has had a sufficient impact on their life. This usually takes some time, during which the patient’s physical health deteriorates and they suffer from the eating disorder and its associated fears, rules, and loneliness.” Control Group “I spent a few months struggling with the pain and restricted mobility, during which time the psychological suffering I experienced kept growing. I didn’t know how I could continue living my life in this way.” “It was only when the suffering had a big enough impact on my life that I thought I might be “sick enough” and should perhaps have surgery. Over the course of a few months my symptoms worsened, and I suffered a lot due to the pain and mobility restrictions. I didn’t know how I could continue living my life in this way.” Results from the Pilot Study with a Healthy Population In total, n = 19 participants were recruited for the initial pilot study. Participants identified as female (n = 18) or non-binary (n = 1), and ranged in age from 19 to 55 years ( M = 26.00, SD = 8.29). The majority of participants were German citizens (n = 17), while the remaining participants were British (n = 1) or Chinese (n = 1) citizens residing in Germany. When asked about previous experiences with ED, n = 1 participant reported having had personal historical experiences with an ED, while n = 9 participants reported having experiences through friends and/or family members. Perspectives of the Videos Authenticity. A significant main effect was found for the perspectives of the videos in regards to the authenticity ratings ( F (1, 18) = 6.909, p = .003, η 2 = .277). Post-hoc analyses showed that the lived experience videos were rated as significantly more authentic than the control group videos ( p = .002). No significant differences were found between the lived experience videos and the psychotherapist videos ( p = .106) or the psychotherapist videos and the control group videos ( p = .060). Empathy. A significant main effect was also found for the empathy ratings of the videos ( F (1, 18) = 9.301, p < .001, η 2 = .341). Post-hoc analyses showed that the lived experience perspective was rated as significantly more empathic than the psychotherapist videos ( p = .008) and the control group videos ( p = .004). No significant difference was found between the psychotherapist and the control group videos ( p = .767). Usefulness. The results further showed a significant main effect for the usefulness ratings of the videos ( F (1, 18) = 25.095, p < .001, η 2 = .582), wherein the lived experience videos were rated as significantly more useful than the psychotherapist videos. Overall Ratings. Lastly, the results showed a significant main effect for the perspective of the videos regarding the overall ratings of the videos ( F (1, 18) = 6.018, p = .006, η 2 = .251). Post-hoc analyses showed that the lived experience perspective received a significantly better overall rating than the psychotherapist videos ( p < .001) and the control group videos ( p = .011). No significant difference was found between the psychotherapist and the control group videos ( p = .446). A summary of these findings can be found in Figure 4. Emotionality of the Videos Authenticity. No significant main effect was found for the emotionality of the videos regarding the authenticity ratings ( F (1, 18) = 1.704, p = .208, η 2 = .086). Empathy. A significant main effect was found for empathy ratings of the videos ( F (1, 18) = 9.357, p = .007, η 2 = .342), wherein the high emotionality videos were rated as more empathic than the low emotionality videos. Usefulness. A significant main effect was also found for the usefulness ratings of the videos ( F (1, 18) = 4.490, p = .048, η 2 = .200), wherein the high emotionality videos were rated as more useful than the low emotionality videos. Overall Ratings. Lastly, the results also showed a significant main effect for the overall ratings of the videos ( F (1, 18) = 5.586, p = .030, η 2 = .237), wherein the high emotionality videos received a better overall rating than the low emotionality videos. When asked to explicitly state which level of emotionality they preferred, 68.4% of participants reported they preferred the videos with higher emotional content (i.e., Video 1B, Video 2B, and Video 3B). A summary of these findings can be found in Figure 5. Interaction Effects No significant interactions were found between the perspective and emotionality of the videos in regards to the authenticity ( F (1,18) = 0.191, p = .827, η 2 = .010), empathy ( F (1,18) = 1.569, p = .222, η 2 = .080), usefulness ( F (1,18) = 0.175, p = .681, η 2 = .010), or overall ratings of the videos ( F (1, 18) = 2.661, p = .084, η 2 = .129). Qualitative Interviews The results of the interviews greatly mirror those of the post-intervention questionnaires. Participants reported that the videos were generally authentic and empathetic, and that they considered the videos as useful for patients with ED. Participants stated experiencing a variety of emotions while viewing the videos, including compassion, sympathy, and joy that the lived experience representative can present a positive outcome. When asked which videos they most preferred, n = 2 (40%) participants stated the lived experience videos, n = 1 (20%) stated the psychotherapist videos, and n = 2 (40%) stated they found both perspectives equally good. All participants reported that they found the lived experience videos to be more authentic than the psychotherapist videos. A selection of quotes from participants is provided in Box 1 to provide further insights. Discussion The use of patient narratives for mental disorders, and especially ED, is a new methodological approach in clinical care and research. As such, it is difficult to find relevant information regarding the efficient development and implementation of patient narratives. The approach described in this paper is an example of how PPI can be effectively applied throughout the process of creating evidence-based patient narrative videos. This study combined four stages for the development of patient narrative videos: a systematic literature review, focus groups, participatory narrative development, and a pilot study evaluating the narrative videos. A systematic review was completed to determine the barriers and facilitators which most strongly affect a person’s decision to seek and/or engage with ED treatment services. The results showed that patients frequently reported stigma, shame, and guilt as deterrents to the help-seeking process. Patients reported a fear that they may be treated differently as a result of their disorder, or that they believed they themselves were to blame for their symptoms and therefore responsible for their own treatment [ 1 ]. Caregivers and healthcare providers meanwhile reported that a lack of training regarding ED, and therefore insufficient knowledge among clinicians regarding the recognition and treatment of ED was the most prominent treatment barrier [ 1 ]. These results confirm the findings of previous systematic reviews (e.g., [ 2 , 20 , 21 ]), which also found that patients affected by ED most frequently reported stigma and shame as their biggest barriers to treatment. Across all groups, the establishment of positive social support networks were reported to be the most important facilitator for treatment uptake and/or engagement [ 1 ]. Confirming this finding, a recent systematic review by Robinson et al. [ 22 ] demonstrated a clear positive correlation between social supports and motivation to change among patients with a variety of ED, while a systematic review by Ramjan et al. [ 23 ] found a variety of positive outcomes including motivation to change among young people aged under 25 years among interventions which included social support as an adjunct to treatment. Similarly, other systematic reviews have reported that a lack of positive social support may be a significant barrier to treatment seeking and/or engagement among patients affected by ED [ 2 , 24 ]. The results of two focus groups completed with persons currently affected by ED further confirmed the results of the systematic review. Participants reported that they too experienced a considerable amount of stigma, shame, and guilt, which prevented them from seeking and/or engaging with treatment services. A lack of positive social support was further discussed as a significant barrier to treatment, with many participants stating that they felt the need to “hide” their ED from others. The severity of individual ED symptoms, and the resulting feelings of distress were discussed as primary motivation for treatment seeking among participants of the focus groups. Here the results varied somewhat from those of the systematic review, in which the importance of individual ED symptoms as a barrier to treatment was represented, albeit significantly less pronounced [ 1 ]. This finding emphasises the importance of validating research results in the desired target population, to ensure that these remain relevant. A total of six patient narrative videos were created on the basis of the results of the systematic review and the focus groups, using a collaborative approach with a lived experience expert. All six videos received positive ratings from a group of healthy participants. Videos featuring the lived experience expert were rated as significantly more authentic than the control group videos, significantly more empathic than the psychotherapist and control group videos, and as significantly more useful than the psychotherapist and control group videos. The lived experience videos further received a significantly better overall rating than the psychotherapist and control group videos. Although the majority of participants in this study had no personal experiences with ED, these findings nevertheless reflect those of prior studies in which content presented by former patients or “peers” was reported as significantly more empowering than the same content presented from the perspectives of healthcare professionals [ 17 , 25 ]. Additionally, videos with higher emotionality were rated as more empathic and useful and received a better overall rating in comparison with videos with lower emotionality, indicating that high emotionality may be more empowering as well. Strengths and Limitations One of the greatest strengths of this study was its focus on collaborative approaches and inclusion of PPI. The lived experience representative featured in the patient narrative videos not only actively constructed the content of the videos, but has also been included as a co-author of this paper, thereby following current recommendations [ 26 ] to integrate lived experience authors into the research process. A further strength of this study is the versatility of the patient narrative videos that were developed. The videos discuss aspects which may be relevant to all ED, so that affected persons can identify with them regardless of their ED diagnosis. Similar to the written narratives created by Dawson et al. [ 12 ], any possibly triggering content was removed, so that the videos remained purely motivational. Nevertheless, the videos are primarily focused on the experiences of one person and may therefore not be applicable to everyone. Consequently, there is a need for more diversity in future videos with regard to both the content and the person featured in the video. Conclusion & Perspectives A series of evidence-based participatory patient narrative videos detailing the experiences of patients with ED were created in this study by utilising a multistep development process. A healthy pilot sample rated the created videos as generally positive, with a clear preference for videos with content with higher emotionality. Overall, this work underlines the high potential of authentic patient narratives such as those created in this study, however, their evaluation by persons affected by ED remains unknown. Therefore, a 4-arm randomised controlled pilot study is currently being completed to assess the effects of the patient narrative videos developed in this study on the treatment motivation and uptake of treatment services for patients with eating disorders [ 27 ]. Based on these pilot results, the decision was made to utilize only those videos with higher emotionality (i.e., video Versions B) for this next phase of the study. The use of patient narratives for mental disorders, and especially ED, is a relatively new methodological approach in clinical care and research. As such, it is difficult to find relevant information regarding their efficient development and implementation. The approach used in this pilot study was one developed by the research team, and an example of how an evidence-based patient narrative may be constructed. We believe that it is important to document and share this process, so that other research groups may be able to use these findings for their own implementation and in order to stipulate more research in the field of patient narratives for clinical research on mental disorders. Declarations Ethics Approval and Consent to Participate: This study is conducted in accordance with Good Clinical Practice (GCP-ICH guidelines). Ethical approval was obtained from the ethics committee of the Medical Faculty of the University Hospital Tübingen (reference 417/2022BO2, 418/2022BO2). All participants provided written informed consent prior to participating in this study. Participants could withdraw from the study at any time without disadvantage. Consent for Publication: Consent for publication was obtained from both persons displayed in the videos. Availability of Data and Materials: Not applicable Competing Interests: The authors declare no conflicts of interest. Funding: MCD receives a PhD scholarship from the Hans-Böckler Foundation. KS is supported by the Ministry of Science, Research and the Arts Baden-Württemberg. Authors’ Contributions: Conceptualization: MCD, KS, KEG; Methodology: MCD, BG, SA, KS, JK, KEG; Writing - Original Draft: MCD; Writing - Review & Editing: MCD, BG, SA, KS, JK, KEG; Visualization: MCD; Supervision: KS, KEG; Funding acquisition: MCD, KEG Acknowledgements: Not applicable References Daugelat, M.C., et al., Barriers and facilitators affecting treatment uptake behaviours for patients with eating disorders: A systematic review synthesising patient, caregiver and clinician perspectives. European Eating Disorders Review, 2023. Ali, K., et al., Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review. Int J Eat Disord, 2017. 50 (1): p. 9-21. Dudley, L., et al., What Difference Does Patient and Public Involvement Make and What Are Its Pathways to Impact? Qualitative Study of Patients and Researchers from a Cohort of Randomised Clinical Trials. PLoS One, 2015. 10 (6): p. e0128817. 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Gumz, A., et al., Factors influencing the duration of untreated illness among patients with anorexia nervosa: A multicenter and multi‐informant study. International Journal of Eating Disorders, 2023. Austin, A., et al., Duration of untreated eating disorder and relationship to outcomes: A systematic review of the literature. Eur Eat Disord Rev, 2021. 29 (3): p. 329-345. Shaw, L.K. and J. Homewood, The Effect of Eating Disorder Memoirs in Individuals With Self-Identified Eating Pathologies. J Nerv Ment Dis, 2015. 203 (8): p. 591-5. Slade, M., et al., Effectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial. World Psychiatry, 2024. 23 (1): p. 101-112. McLeod, B., et al., Do recovery‐oriented messages improve self‐efficacy and positive emotions amongst people with lived experience of psychosis? Experimental investigation. Psychology and Psychotherapy: Theory, Research and Practice, 2022. 95 (4): p. 1003-1017. Williams, A., et al., Recovery after psychosis: qualitative study of service user experiences of lived experience videos on a recovery-oriented website. JMIR Mental Health, 2018. 5 (2): p. e9934. IBM Corp, IBM SPSS Statistics for Windows, Version 28. 2021, IBM Corp: Armonk, NY. Gulliver, A., K.M. Griffiths, and H. Christensen, Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC psychiatry, 2010. 10 (1): p. 1-9. Regan, P., F.M. Cachelin, and A.M. Minnick, Initial treatment seeking from professional health care providers for eating disorders: A review and synthesis of potential barriers to and facilitators of "first contact". Int J Eat Disord, 2017. 50 (3): p. 190-209. Robinson, L., M. Flynn, and M. Cooper, Individual differences in motivation to change in individuals with eating disorders: A systematic review. International Journal of Eating Disorders, 2024. Ramjan, L.M., et al., Social support for young people with eating disorders—An integrative review. International Journal of Mental Health Nursing, 2024. Radunz, M., K. Ali, and T.D. Wade, Pathways to improve early intervention for eating disorders: Findings from a systematic review and meta‐analysis. International Journal of Eating Disorders, 2023. 56 (2): p. 314-330. Lock, A., et al., Resisting anorexia/bulimia: Foucauldian perspectives in narrative therapy. British Journal of Guidance & Counselling, 2005. 33 (3): p. 315-332. Yeo, C., et al., Uses and Misuses of Recorded Mental Health Lived Experience Narratives in Healthcare and Community Settings: Systematic Review. Schizophr Bull, 2022. 48 (1): p. 134-144. Daugelat, M.-C., et al., Improving motivation and treatment uptake behaviors of patients with eating disorders using patient narrative videos: study protocol of a pilot randomized controlled trial. Journal of Eating Disorders, 2024. 12 (1): p. 1. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 20 Nov, 2024 Read the published version in Journal of Eating Disorders → Version 1 posted Editorial decision: Revision requested 25 Jul, 2024 Reviews received at journal 24 Jul, 2024 Reviews received at journal 11 Jul, 2024 Reviews received at journal 02 Jul, 2024 Reviewers agreed at journal 01 Jul, 2024 Reviewers agreed at journal 26 Jun, 2024 Reviewers agreed at journal 26 Jun, 2024 Reviewers invited by journal 26 Jun, 2024 Editor assigned by journal 26 Jun, 2024 Submission checks completed at journal 26 Jun, 2024 First submitted to journal 24 Jun, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4629747","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Method Article","associatedPublications":[],"authors":[{"id":327396891,"identity":"850a1140-92d9-4d75-8b7c-248d79a68b51","order_by":0,"name":"Melissa-Claire Daugelat","email":"data:image/png;base64,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","orcid":"","institution":"Medical University Hospital Tübingen","correspondingAuthor":true,"prefix":"","firstName":"Melissa-Claire","middleName":"","lastName":"Daugelat","suffix":""},{"id":327396892,"identity":"4494540b-ae55-4115-9dba-ecd3e66cec31","order_by":1,"name":"Bettina Gregg","email":"","orcid":"","institution":"Lived Experience Representative","correspondingAuthor":false,"prefix":"","firstName":"Bettina","middleName":"","lastName":"Gregg","suffix":""},{"id":327396893,"identity":"c39fcdfd-8764-4877-afe4-a3a73ad14d95","order_by":2,"name":"Sophia Adam","email":"","orcid":"","institution":"Medical University Hospital Tübingen","correspondingAuthor":false,"prefix":"","firstName":"Sophia","middleName":"","lastName":"Adam","suffix":""},{"id":327396894,"identity":"0fb384cb-60f9-4cd1-8159-910cfd383f21","order_by":3,"name":"Kathrin Schag","email":"","orcid":"","institution":"Medical University Hospital Tübingen","correspondingAuthor":false,"prefix":"","firstName":"Kathrin","middleName":"","lastName":"Schag","suffix":""},{"id":327396895,"identity":"41123bf6-907d-4e11-a65e-9c0e90e1846c","order_by":4,"name":"Joachim Kimmerle","email":"","orcid":"","institution":"Eberhard-Karls-University Tübingen","correspondingAuthor":false,"prefix":"","firstName":"Joachim","middleName":"","lastName":"Kimmerle","suffix":""},{"id":327396896,"identity":"7bba55be-03d8-4cba-871a-bd09c79869c2","order_by":5,"name":"Katrin Elisabeth Giel","email":"","orcid":"","institution":"Medical University Hospital Tübingen","correspondingAuthor":false,"prefix":"","firstName":"Katrin","middleName":"Elisabeth","lastName":"Giel","suffix":""}],"badges":[],"createdAt":"2024-06-24 11:14:13","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4629747/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4629747/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s40337-024-01146-1","type":"published","date":"2024-11-20T15:57:26+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":61107146,"identity":"de754c1b-8d3d-4f89-b0af-913eb1286bc2","added_by":"auto","created_at":"2024-07-25 16:26:05","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":66129,"visible":true,"origin":"","legend":"\u003cp\u003eOverview of the four stages of the video development process.\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/33a398253ef2c5372da82d71.png"},{"id":61107158,"identity":"32d2b92d-104e-45a8-b8ab-d4caef77a021","added_by":"auto","created_at":"2024-07-25 16:26:06","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":73221,"visible":true,"origin":"","legend":"\u003cp\u003eMost prominent barriers preventing treatment uptake, as reported by patients, caregivers, and healthcare professionals. Original publication in [1].\u003c/p\u003e","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/c05360eddc083382cd406d2b.png"},{"id":61107151,"identity":"b19dc4c9-40b0-453a-8668-6f1dd96ee2b4","added_by":"auto","created_at":"2024-07-25 16:26:06","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":111502,"visible":true,"origin":"","legend":"\u003cp\u003eOverview of the six narrative videos.\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/a0d84f9a62360fea8a212b54.png"},{"id":61107153,"identity":"8ba335d1-66ab-494c-bf69-2aee50fc342c","added_by":"auto","created_at":"2024-07-25 16:26:06","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":31382,"visible":true,"origin":"","legend":"\u003cp\u003eComparison of the perspectives of the videos regarding authenticity, empathy, usefulness, and overall ratings. Note. For authenticity, empathy and usefulness y-axis scale: 1 = strongly disagree and 5 = strongly agree. For overall rating y-axis scale: 1 = insufficient and 6 = very good. *\u003cem\u003ep\u003c/em\u003e= .05, **\u003cem\u003ep\u003c/em\u003e = .01, ***\u003cem\u003ep\u003c/em\u003e = .001\u003c/p\u003e","description":"","filename":"floatimage4.png","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/8dee210f5c46d3abfda199cd.png"},{"id":61107147,"identity":"bd67b37f-fa7a-4918-9118-69db948958c2","added_by":"auto","created_at":"2024-07-25 16:26:06","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":28013,"visible":true,"origin":"","legend":"\u003cp\u003eComparison of the emotionality of the videos regarding authenticity, empathy, usefulness, and overall ratings. Note. For authenticity, empathy and usefulness y-axis scale: 1 = strongly disagree and 5 = strongly agree. For overall rating y-axis scale: 1 = insufficient and 6 = very good. *\u003cem\u003ep\u003c/em\u003e= .05, **\u003cem\u003ep\u003c/em\u003e = .01, ***\u003cem\u003ep\u003c/em\u003e = .001\u003c/p\u003e","description":"","filename":"floatimage5.png","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/a7f8d7badcc75d8d0ff92d80.png"},{"id":69834837,"identity":"72457a5a-8ffb-4d15-a1f5-96efe012f0aa","added_by":"auto","created_at":"2024-11-25 16:09:25","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":924201,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4629747/v1/4a3a573d-4994-4c29-b703-29cf96fada66.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Participatory Development of Evidence-Based Patient Narrative Videos for Patients with Eating Disorders: A Methodological Approach and Pilot Data","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe treatment of eating disorders (ED) is influenced by a myriad of personal, social, and environmental factors. Research has shown that one of the most prominent factors influencing the initiation of ED treatment is social support, or rather the lack of positive social support commonly found among persons affected by ED [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. Patient and Public Involvement (PPI) refers to the collaboration between researchers, patients, and members of the public when planning, conducting or disseminating clinical research studies [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. PPI allows affected individuals to actively contribute the development of new interventions that are relevant to the target patient group [\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e, \u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e]. An example of PPI in clinical research is the inclusion of patient narratives, which can be defined as personal stories presented by persons previously or currently affected by a physical or mental health disorder. Patient narratives often comprise recovery reports, including insights into the patients\u0026rsquo; challenges, struggles, and ultimately successful management of their disorder [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e, \u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]. Patient narratives may be live, such as in peer-to-peer relationships, or else may be documented in a variety of mediums, including written texts such as books or blogs, documentary films, or videos posted on various social media platforms [\u003cspan additionalcitationids=\"CR8\" citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e], and are therefore easily accessible to affected persons. Patient narratives can foster empathy and feelings of support and belonging [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e], while showing that recovery is possible and providing currently affected persons with feelings of hope regarding their own recovery [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. In the field of ED, it has been suggested that patient narratives could provide a much needed boost to treatment motivation by inspiring affected persons with ED to seek and/or engage with treatment themselves [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]. In fact, a recent study by Gumz et al. [\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e] assessing factors influencing treatment uptake found that patients with anorexia nervosa who had reported reading and/or viewing patient narratives also reported significantly shorter durations of untreated ED (DUED), i.e. the amount of time that elapses between the onset of ED symptoms and treatment engagement [\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eTo date, only a handful of studies have examined the effects of patient narratives for patients with ED. One study which retrospectively asked female patients with ED about their experiences with written patient narratives found that while patients in recovery benefited from engagement with patient narratives, patients who were not receiving treatment at the time of engagement were increasingly at risk for developing harmful social comparisons or \u0026ldquo;copy-cat\u0026rdquo; behaviours on the basis of the narratives [\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e]. Dawson et al. [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e] further used patient interviews to create a series of written patient narratives, in which such possibly triggering or adverse contents were eliminated. Women with anorexia nervosa were recruited for the study and sent the patient narratives to read over a two-week period. While the results of this study showed no short-term effects on current patients\u0026rsquo; motivation or self-efficacy, qualitative results showed that the patient narratives were well accepted and that participants would recommend their use for other patients [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eStudies examining the use of patient narrative videos for other mental disorders, including depression and anxiety, found that engaging with at least one patient narrative video resulted in significant long-term increases in participants\u0026rsquo; reported quality of life and meaning of life [\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e]. Similar results have also been found in the field of psychosis, where viewing patient narrative videos resulted in increased self-efficacy and hope toward one\u0026rsquo;s own recovery [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e]. Interestingly, when presented with nearly identical content from a healthcare professional\u0026rsquo;s point of view, these effects remained but were significantly reduced [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e], suggesting that the peer element of patient narratives is a definitive and critical component of these videos. Nevertheless, to the best of our knowledge there exists only very little information regarding how patient narratives should be developed in order to be most beneficial for patients with regard to content, perspective, length, or level of emotionality required.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eStudy Aims\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe current study aimed to develop and assess a series of evidence-based patient narrative videos for patients with ED. The videos featured three varying perspectives from a) a lived experience representative (Video 1A and Video 1B), b) a psychotherapist (Video 2A and Video 2B), and c) the lived experience representative reporting on a somatic condition unrelated to ED (Video 3A and Video 3B). The videos further varied based on the level of emotionality of the content presented, with one half of the videos (i.e., video versions A) featuring content with a low degree of emotionality, and the other half of the videos (i.e., video versions B) featuring content with a higher degree of emotionality. A pilot study with a healthy student population further determined the acceptability and feasibility of these patient narrative videos, as well as which versions of the video (video version A vs. B) would be most suitable for a larger pilot study with affected persons with ED.\u003c/p\u003e"},{"header":"Method/Design","content":"\u003cp\u003eEthical approval for completion of this study was obtained from the ethics committee of the Medical Faculty at the University Hospital T\u0026uuml;bingen (reference 417/2022BO2, 418/2022BO2). An overview of the four stages of the video development process can be seen in Figure 1, while a detailed explanation is provided below.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStage 1: Systematic Review\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA systematic review [1] was completed to determine the most common barriers and facilitators affecting ED treatment uptake and engagement, including a synthesis of the perspectives of patients with ED, their caregivers, and healthcare professionals.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStage 2: Focus Groups with Affected Persons\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA series of focus groups were completed with affected persons with ED residing in the area of T\u0026uuml;bingen, Germany, so as to validate the results of the systematic review. Recruitment e-mails were sent to approximately 60 participants of previous ED research studies completed by the University Hospital T\u0026uuml;bingen. A total of n = 8 participants attended one of two 90-minute focus group appointments at the University Hospital T\u0026uuml;bingen. Participants were asked to rank the barriers and facilitators discovered by the systematic review, based on how important these were for their own personal recovery. A semi-structured group discussion followed, during which participants provided further insights into the most important barriers and facilitators of their treatment journey. Written informed consent was obtained from all participants prior to begin of the focus groups. Participants received a compensation for their participation. A narrative synthesis of the transcripts of both focus groups was completed to determine the most frequently mentioned barriers and facilitators to treatment. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStage 3: Participatory Narrative Development\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe current study utilised a collaborative approach to develop a series of evidence-based patient narratives. A former and currently recovered patient with an ED was recruited as a lived experience representative to ensure that the patient narratives would remain relevant and relatable for affected persons. The decision was made not to explicitly state which ED symptoms or diagnosis she previously experienced, but to focus instead on those aspects of the treatment journey which are shared by all patients with ED.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn order to gain further insight into her experiences, the lived experience representative was initially asked to summarise her ED journey in a letter to her \u0026ldquo;former self\u0026rdquo;, including what motivated her to seek treatment and what information she wished she would have known prior to treatment. During a series of collaborative discussions, four key categories were developed on the basis of the lived experience representative\u0026rsquo;s personal experiences and the results of the systematic review [1] and focus groups (see Results). Using these four categories, two scripts were developed in cooperation with the lived experience representative with identical content, but with a variation of the emotionality of the content. Two further scripts were developed in cooperation with a psychotherapist with professional ED experience. The scripts for the psychotherapist contained the same content as those of the lived experience representative but were adapted to reflect a more professional point of view. In order to increase comparability, the psychotherapist was the same age and gender as the lived experience representative. Finally, two additional scripts were developed for the control condition, in which the lived experience representative discussed the same content presented in her initial two ED-focused videos, but with regard to a somatic condition unrelated to ED (i.e., a torn knee ligament).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eA professional videographer was hired to film all six videos in June, 2023. Further editing was completed to ensure that all videos were comparable regarding duration, with the final videos being approximately six minutes in length. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStage 4: Pilot Study with a Healthy Population\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eParticipants\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eParticipants were recruited via the online mailing systems of the University Hospital T\u0026uuml;bingen and the Eberhard Karls University T\u0026uuml;bingen. Female students and employees of the University and University Hospital were invited to participate, provided they fulfilled the following inclusion criteria: minimum age of 18 years, sufficient German language skills, no current acute psychiatric disorder (e.g., suicidal ideation or psychosis).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eMaterials Used\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eParticipants completed a short demographic questionnaire including items regarding age, gender, nationality, and if they had any previous experiences with ED. A questionnaire was developed for this study in which participants were asked to rate the authenticity (e.g. Item 3: \u0026ldquo;I believe that the person in this video was personally affected by an eating disorder\u0026rdquo;) and empathy (e.g. Item 5: \u0026ldquo;I feel compassion for the person shown in this video\u0026rdquo;) of the person featured in the narrative videos featuring the lived experience expert, psychotherapist and control group videos, as well as the usefulness of the lived experience expert and psychotherapist videos (e.g. Item 9: \u0026ldquo;I think this video is helpful for people with eating disorders\u0026rdquo;) using a 5-Point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree. Participants were further asked to provide an overall rating for each of the six videos using a 6-Point Likert Scale ranging from 1 = insufficient to 6 = very good. Participants completed the questionnaire immediately after viewing each video. After viewing both the low emotionality and high emotionality versions of each narrative video, participants were asked to indicate which version (low vs. high emotionality) they preferred. In addition, a subgroup of randomly selected participants was invited to participate in a semi-structured interview in order to gain further qualitative insights into their perception of the videos, with particular focus on the authenticity, empathy, likeability, and usefulness of the videos as a whole, as well as which video/s they most preferred.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eProcedure\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data collection was completed in the Department for Psychosomatic Medicine and Psychotherapy at the University Hospital T\u0026uuml;bingen. Participants were required to attend one study appointment with a duration of approximately 60 minutes, for which they received a compensation. All participants were asked to view and rate all six patient narrative videos created for this study. Participants were not supplied with any information regarding the research aims or how the videos differed from one another (i.e., different perspectives or emotionality). The order in which the videos were presented was randomised for each participant.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eStatistical Analyses\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eData analyses were conducted using statistical software IBM SPSS Statistics Version 28 [19]. Authenticity, empathy, and usefulness scores were determined by calculating the mean of the respective items included for each domain in the questionnaire. A series of two-way repeated measures analyses of variance (ANOVA) were completed to compare participants\u0026rsquo; authenticity, empathy, usefulness, and overall ratings for the different perspectives and level of emotionality of the six videos.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e\u003cstrong\u003eResults from the Systematic Review\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn total, 73 studies were included in the systematic review, identifying 12 barriers and 13 facilitators to ED treatment uptake and/or engagement[1]. An overview of the most frequently reported barriers to treatment is provided in Figure 2. While patients most frequently reported stigma, shame, and guilt as barriers to treatment, caregivers and healthcare professionals reported that a lack of ED knowledge among clinicians was the most prominent treatment barrier. All groups reported positive social support to be the most important facilitator for treatment uptake and/or engagement. Further information and results of the systematic review have been published elsewhere\u0026nbsp;[1].\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults from Focus Groups\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTwo focus groups were completed between September and October 2022. The first focus group had a total of n = 5 participants, including both male and female patients with Binge Eating Disorder. The second focus group consisted of n = 3 female participants with Anorexia Nervosa or Bulimia Nervosa. Participants of both focus groups supported the findings of the systematic review by reporting stigma, shame, and guilt, as well as the role of the treating clinician as important barriers to seeking and/or engaging with treatment services. Participants further reported that a lack of positive social support had a negative effect on their treatment. In contrast to the results of the systematic review, participants of the focus groups reported that the severity of the ED symptoms and the accompanying feelings of distress were primarily responsible for their seeking and/or engaging with treatment services.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults from the Participatory Narrative Development\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSix patient narrative videos were developed from the perspectives of a lived experience representative (Videos 1A and 1B), a psychotherapist (Videos 2A and 2B), and the lived experience representative reporting on a somatic condition unrelated to ED (Videos 3A and 3B; for an overview, see Figure 3).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eEach video consists of four key categories, based on a combination of the lived experience representative\u0026rsquo;s personal experiences and the results of the systematic review [1] and focus groups with currently affected persons:\u0026nbsp;\u003c/p\u003e\n\u003col\u003e\n \u003cli\u003eThe role of stigma, shame, and guilt as a barrier to treatment\u003c/li\u003e\n \u003cli\u003eThe role of subjective distress caused by the ED as a facilitator for treatment\u0026nbsp;\u003c/li\u003e\n \u003cli\u003eThe importance of the social environment before and during treatment\u0026nbsp;\u003c/li\u003e\n \u003cli\u003eOverall advice and encouragement for currently affected persons. \u0026nbsp;\u003c/li\u003e\n\u003c/ol\u003e\n\u003cp\u003eThe level of emotionality was varied across the videos, so that a lower and a higher emotionality version was created for each perspective. To better demonstrate this, Table 1 shows the same excerpt of the script and how it is presented according to the different perspectives and levels of emotionality.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 1.\u0026nbsp;\u003c/strong\u003eScript Excerpts According to Perspective and Level of Emotionality\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"20.330578512396695%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"37.52066115702479%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eLower Emotionality\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"42.14876033057851%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHigher Emotionality\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"20.330578512396695%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eLived Experience Representative\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"37.52066115702479%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;I had been suffering from an eating disorder for a few months and didn\u0026rsquo;t know how long I could continue living my life in this way, because I actually still had so many plans.\u0026rdquo;\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"42.14876033057851%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;It was only when the eating disorder had a big enough impact on my life that I realized that I might be \u0026ldquo;sick enough\u0026rdquo; for treatment. Over the course of a few months my symptoms worsened, and I suffered a lot due to the eating disorder and the associated fears, rules, and loneliness.\u0026rdquo;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"20.330578512396695%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003ePsychotherapist\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"37.52066115702479%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;Patients often spend several months struggling with the eating disorder, during which time they suffer increasingly and become unsure if they can continue living in this way.\u0026rdquo;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"42.14876033057851%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;Patients report that they will only admit to suffering from an eating disorder and being \u0026ldquo;sick enough\u0026rdquo; to receive treatment when the eating disorder has had a sufficient impact on their life. This usually takes some time, during which the patient\u0026rsquo;s physical health deteriorates and they suffer from the eating disorder and its associated fears, rules, and loneliness.\u0026rdquo;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"20.330578512396695%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eControl Group\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"37.52066115702479%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;I spent a few months struggling with the pain and restricted mobility, during which time the psychological suffering I experienced kept growing. I didn\u0026rsquo;t know how I could continue living my life in this way.\u0026rdquo;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"42.14876033057851%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026ldquo;It was only when the suffering had a big enough impact on my life that I thought I might be \u0026ldquo;sick enough\u0026rdquo; and should perhaps have surgery. Over the course of a few months my symptoms worsened, and I suffered a lot due to the pain and mobility restrictions. I didn\u0026rsquo;t know how I could continue living my life in this way.\u0026rdquo;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003eResults from the Pilot Study with a Healthy Population\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn total, n = 19 participants were recruited for the initial pilot study. Participants identified as female (n = 18) or non-binary (n = 1), and ranged in age from 19 to 55 years (\u003cem\u003eM\u003c/em\u003e = 26.00, \u003cem\u003eSD\u003c/em\u003e = 8.29). The majority of participants were German citizens (n = 17), while the remaining participants were British (n = 1) or Chinese (n = 1) citizens residing in Germany. When asked about previous experiences with ED, n = 1 participant reported having had personal historical experiences with an ED, while n = 9 participants reported having experiences through friends and/or family members. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003ePerspectives of the Videos\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthenticity.\u0026nbsp;\u003c/strong\u003eA significant main effect was found for the perspectives of the videos in regards to the authenticity ratings (\u003cem\u003eF\u003c/em\u003e(1, 18) = 6.909, \u003cem\u003ep\u003c/em\u003e = .003, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e= .277). Post-hoc analyses showed that the lived experience videos were rated as significantly more authentic than the control group videos (\u003cem\u003ep\u003c/em\u003e = .002). No significant differences were found between the lived experience videos and the psychotherapist videos (\u003cem\u003ep\u003c/em\u003e = .106) or the psychotherapist videos and the control group videos (\u003cem\u003ep\u003c/em\u003e = .060).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEmpathy.\u0026nbsp;\u003c/strong\u003eA significant main effect was also found for the empathy ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 9.301, \u003cem\u003ep\u003c/em\u003e \u0026lt; .001, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .341). Post-hoc analyses showed that the lived experience perspective was rated as significantly more empathic than the psychotherapist videos (\u003cem\u003ep\u003c/em\u003e = .008) and the control group videos (\u003cem\u003ep\u003c/em\u003e = .004). No significant difference was found between the psychotherapist and the control group videos (\u003cem\u003ep\u003c/em\u003e = .767).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eUsefulness.\u0026nbsp;\u003c/strong\u003eThe results further showed a significant main effect for the usefulness ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 25.095,\u003cem\u003e\u0026nbsp;p\u003c/em\u003e \u0026lt; .001, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .582), wherein the lived experience videos were rated as significantly more useful than the psychotherapist videos.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOverall Ratings.\u0026nbsp;\u003c/strong\u003eLastly, the results showed a significant main effect for the perspective of the videos regarding the overall ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 6.018, \u003cem\u003ep\u003c/em\u003e = .006, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .251). Post-hoc analyses showed that the lived experience perspective received a significantly better overall rating than the psychotherapist videos (\u003cem\u003ep\u003c/em\u003e \u0026lt; .001) and the control group videos (\u003cem\u003ep\u003c/em\u003e = .011). No significant difference was found between the psychotherapist and the control group videos (\u003cem\u003ep\u003c/em\u003e = .446). A summary of these findings can be found in Figure 4.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eEmotionality of the Videos\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthenticity.\u0026nbsp;\u003c/strong\u003eNo significant main effect was found for the emotionality of the videos regarding the authenticity ratings (\u003cem\u003eF\u003c/em\u003e(1, 18) = 1.704, \u003cem\u003ep\u003c/em\u003e = .208, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .086).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEmpathy.\u0026nbsp;\u003c/strong\u003eA significant main effect was found for empathy ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 9.357, \u003cem\u003ep\u003c/em\u003e = .007, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .342), wherein the high emotionality videos were rated as more empathic than the low emotionality videos.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eUsefulness.\u0026nbsp;\u003c/strong\u003eA significant main effect was also found for the usefulness ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 4.490, \u003cem\u003ep\u003c/em\u003e = .048, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .200), wherein the high emotionality videos were rated as more useful than the low emotionality videos.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOverall Ratings.\u0026nbsp;\u003c/strong\u003eLastly, the results also showed a significant main effect for the overall ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 5.586, \u003cem\u003ep\u003c/em\u003e = .030, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .237), wherein the high emotionality videos received a better overall rating than the low emotionality videos. When asked to explicitly state which level of emotionality they preferred, 68.4% of participants reported they preferred the videos with higher emotional content (i.e., Video 1B, Video 2B, and Video 3B). A summary of these findings can be found in Figure 5.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eInteraction Effects\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNo significant interactions were found between the perspective and emotionality of the videos in regards to the authenticity (\u003cem\u003eF\u003c/em\u003e(1,18) = 0.191, \u003cem\u003ep\u003c/em\u003e = .827, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e= .010), empathy (\u003cem\u003eF\u003c/em\u003e(1,18) = 1.569, \u003cem\u003ep\u003c/em\u003e = .222, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e= .080), usefulness (\u003cem\u003eF\u003c/em\u003e(1,18) = 0.175, \u003cem\u003ep\u003c/em\u003e = .681, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .010), or overall ratings of the videos (\u003cem\u003eF\u003c/em\u003e(1, 18) = 2.661, \u003cem\u003ep\u003c/em\u003e = .084, \u003cem\u003e\u0026eta;\u003c/em\u003e\u003cem\u003e\u003csup\u003e2\u003c/sup\u003e\u003c/em\u003e = .129).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eQualitative Interviews\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe results of the interviews greatly mirror those of the post-intervention questionnaires. Participants reported that the videos were generally authentic and empathetic, and that they considered the videos as useful for patients with ED. Participants stated experiencing a variety of emotions while viewing the videos, including compassion, sympathy, and joy that the lived experience representative can present a positive outcome. When asked which videos they most preferred, n = 2 (40%) participants stated the lived experience videos, n = 1 (20%) stated the psychotherapist videos, and n = 2 (40%) stated they found both perspectives equally good. All participants reported that they found the lived experience videos to be more authentic than the psychotherapist videos. A selection of quotes from participants is provided in Box 1 to provide further insights.\u003c/p\u003e\n\u003cp\u003e\u003cimg 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\" width=\"966\" height=\"722\"\u003e\u003c/p\u003e\n\u003cp\u003e\u003cbr\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe use of patient narratives for mental disorders, and especially ED, is a new methodological approach in clinical care and research. As such, it is difficult to find relevant information regarding the efficient development and implementation of patient narratives. The approach described in this paper is an example of how PPI can be effectively applied throughout the process of creating evidence-based patient narrative videos. This study combined four stages for the development of patient narrative videos: a systematic literature review, focus groups, participatory narrative development, and a pilot study evaluating the narrative videos.\u003c/p\u003e \u003cp\u003eA systematic review was completed to determine the barriers and facilitators which most strongly affect a person’s decision to seek and/or engage with ED treatment services. The results showed that patients frequently reported stigma, shame, and guilt as deterrents to the help-seeking process. Patients reported a fear that they may be treated differently as a result of their disorder, or that they believed they themselves were to blame for their symptoms and therefore responsible for their own treatment [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. Caregivers and healthcare providers meanwhile reported that a lack of training regarding ED, and therefore insufficient knowledge among clinicians regarding the recognition and treatment of ED was the most prominent treatment barrier [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. These results confirm the findings of previous systematic reviews (e.g., [\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e, \u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e, \u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e]), which also found that patients affected by ED most frequently reported stigma and shame as their biggest barriers to treatment. Across all groups, the establishment of positive social support networks were reported to be the most important facilitator for treatment uptake and/or engagement [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. Confirming this finding, a recent systematic review by Robinson et al. [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e] demonstrated a clear positive correlation between social supports and motivation to change among patients with a variety of ED, while a systematic review by Ramjan et al. [\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e] found a variety of positive outcomes including motivation to change among young people aged under 25 years among interventions which included social support as an adjunct to treatment. Similarly, other systematic reviews have reported that a lack of positive social support may be a significant barrier to treatment seeking and/or engagement among patients affected by ED [\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e, \u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eThe results of two focus groups completed with persons currently affected by ED further confirmed the results of the systematic review. Participants reported that they too experienced a considerable amount of stigma, shame, and guilt, which prevented them from seeking and/or engaging with treatment services. A lack of positive social support was further discussed as a significant barrier to treatment, with many participants stating that they felt the need to “hide” their ED from others. The severity of individual ED symptoms, and the resulting feelings of distress were discussed as primary motivation for treatment seeking among participants of the focus groups. Here the results varied somewhat from those of the systematic review, in which the importance of individual ED symptoms as a barrier to treatment was represented, albeit significantly less pronounced [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. This finding emphasises the importance of validating research results in the desired target population, to ensure that these remain relevant.\u003c/p\u003e \u003cp\u003eA total of six patient narrative videos were created on the basis of the results of the systematic review and the focus groups, using a collaborative approach with a lived experience expert. All six videos received positive ratings from a group of healthy participants. Videos featuring the lived experience expert were rated as significantly more authentic than the control group videos, significantly more empathic than the psychotherapist and control group videos, and as significantly more useful than the psychotherapist and control group videos. The lived experience videos further received a significantly better overall rating than the psychotherapist and control group videos. Although the majority of participants in this study had no personal experiences with ED, these findings nevertheless reflect those of prior studies in which content presented by former patients or “peers” was reported as significantly more empowering than the same content presented from the perspectives of healthcare professionals [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e]. Additionally, videos with higher emotionality were rated as more empathic and useful and received a better overall rating in comparison with videos with lower emotionality, indicating that high emotionality may be more empowering as well.\u003c/p\u003e \u003cdiv id=\"Sec22\" class=\"Section2\"\u003e \u003ch2\u003eStrengths and Limitations\u003c/h2\u003e \u003cp\u003eOne of the greatest strengths of this study was its focus on collaborative approaches and inclusion of PPI. The lived experience representative featured in the patient narrative videos not only actively constructed the content of the videos, but has also been included as a co-author of this paper, thereby following current recommendations [\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e] to integrate lived experience authors into the research process. A further strength of this study is the versatility of the patient narrative videos that were developed. The videos discuss aspects which may be relevant to all ED, so that affected persons can identify with them regardless of their ED diagnosis. Similar to the written narratives created by Dawson et al. [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e], any possibly triggering content was removed, so that the videos remained purely motivational. Nevertheless, the videos are primarily focused on the experiences of one person and may therefore not be applicable to everyone. Consequently, there is a need for more diversity in future videos with regard to both the content and the person featured in the video.\u003c/p\u003e \u003cdiv id=\"Sec23\" class=\"Section3\"\u003e \u003c/div\u003e \u003c/div\u003e"},{"header":"Conclusion \u0026 Perspectives","content":"\u003cp\u003eA series of evidence-based participatory patient narrative videos detailing the experiences of patients with ED were created in this study by utilising a multistep development process. A healthy pilot sample rated the created videos as generally positive, with a clear preference for videos with content with higher emotionality. Overall, this work underlines the high potential of authentic patient narratives such as those created in this study, however, their evaluation by persons affected by ED remains unknown. Therefore, a 4-arm randomised controlled pilot study is currently being completed to assess the effects of the patient narrative videos developed in this study on the treatment motivation and uptake of treatment services for patients with eating disorders [\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e]. Based on these pilot results, the decision was made to utilize only those videos with higher emotionality (i.e., video Versions B) for this next phase of the study.\u003c/p\u003e\u003cp\u003eThe use of patient narratives for mental disorders, and especially ED, is a relatively new methodological approach in clinical care and research. As such, it is difficult to find relevant information regarding their efficient development and implementation. The approach used in this pilot study was one developed by the research team, and an example of how an evidence-based patient narrative may be constructed. We believe that it is important to document and share this process, so that other research groups may be able to use these findings for their own implementation and in order to stipulate more research in the field of patient narratives for clinical research on mental disorders.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics Approval and Consent to Participate:\u0026nbsp;\u003c/strong\u003eThis study is conducted in accordance with Good Clinical Practice (GCP-ICH guidelines). Ethical approval was obtained from the ethics committee of the Medical Faculty of the University Hospital T\u0026uuml;bingen (reference 417/2022BO2, 418/2022BO2). All participants provided written informed consent prior to participating in this study. Participants could withdraw from the study at any time without disadvantage.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for Publication:\u0026nbsp;\u003c/strong\u003eConsent for publication was obtained from both persons displayed in the videos.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of Data and Materials:\u0026nbsp;\u003c/strong\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting Interests:\u0026nbsp;\u003c/strong\u003eThe authors declare no conflicts of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding:\u0026nbsp;\u003c/strong\u003eMCD receives a PhD scholarship from the Hans-B\u0026ouml;ckler Foundation.\u0026nbsp;KS is supported by the Ministry of Science, Research and the Arts Baden-W\u0026uuml;rttemberg.\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; Contributions:\u0026nbsp;\u003c/strong\u003eConceptualization: MCD, KS, KEG; Methodology: MCD, BG, SA, KS, JK, KEG;\u0026nbsp;Writing - Original Draft: MCD; Writing - Review \u0026amp; Editing: MCD, BG, SA, KS, JK, KEG; Visualization: MCD; Supervision: KS, KEG;\u0026nbsp;Funding acquisition: MCD, KEG\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements:\u0026nbsp;\u003c/strong\u003eNot applicable\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eDaugelat, M.C., et al., \u003cem\u003eBarriers and facilitators affecting treatment uptake behaviours for patients with eating disorders: A systematic review synthesising patient, caregiver and clinician perspectives.\u003c/em\u003e European Eating Disorders Review, 2023.\u003c/li\u003e\n\u003cli\u003eAli, K., et al., \u003cem\u003ePerceived barriers and facilitators towards help-seeking for eating disorders: A systematic review.\u003c/em\u003e Int J Eat Disord, 2017. \u003cstrong\u003e50\u003c/strong\u003e(1): p. 9-21.\u003c/li\u003e\n\u003cli\u003eDudley, L., et al., \u003cem\u003eWhat Difference Does Patient and Public Involvement Make and What Are Its Pathways to Impact? Qualitative Study of Patients and Researchers from a Cohort of Randomised Clinical Trials.\u003c/em\u003e PLoS One, 2015. \u003cstrong\u003e10\u003c/strong\u003e(6): p. e0128817.\u003c/li\u003e\n\u003cli\u003eMcCarron, T.L., et al., \u003cem\u003ePatients as partners in health research: A scoping review.\u003c/em\u003e Health Expect, 2021. \u003cstrong\u003e24\u003c/strong\u003e(4): p. 1378-1390.\u003c/li\u003e\n\u003cli\u003eGiel, K., et al., \u003cem\u003eEnriching a randomized controlled treatment trial for anorexia nervosa by lived experience \u0026ndash; Chances and effects of a lived experience council in the SUSTAIN study.\u003c/em\u003e International Journal of Eating Disorders, 2023.\u003c/li\u003e\n\u003cli\u003eLlewellyn-Beardsley, J., et al., \u003cem\u003eCharacteristics of mental health recovery narratives: Systematic review and narrative synthesis.\u003c/em\u003e PloS one, 2019. \u003cstrong\u003e14\u003c/strong\u003e(3): p. e0214678.\u003c/li\u003e\n\u003cli\u003eYeo, C., et al., \u003cem\u003eUses and Misuses of Recorded Mental Health Lived Experience Narratives in Healthcare and Community Settings: Systematic Review.\u003c/em\u003e Schizophr Bull, 2021.\u003c/li\u003e\n\u003cli\u003eRennick-Egglestone, S., et al., \u003cem\u003eMental health recovery narratives and their impact on recipients: systematic review and narrative synthesis.\u003c/em\u003e The Canadian Journal of Psychiatry, 2019. \u003cstrong\u003e64\u003c/strong\u003e(10): p. 669-679.\u003c/li\u003e\n\u003cli\u003eEggeling, M., et al., \u003cem\u003eThe impact of patient narratives on medical students\u0026rsquo; perceptions of shared decision making: A randomized controlled trial.\u003c/em\u003e Medical education online, 2021. \u003cstrong\u003e26\u003c/strong\u003e(1): p. 1886642.\u003c/li\u003e\n\u003cli\u003eWenig, V. and H. Janetzke, \u003cem\u003e\u0026ldquo;That You Just Know You\u0026rsquo;re Not Alone and Other People Have Gone through It Too.\u0026rdquo; Eating Disorder Recovery Accounts on Instagram as a Chance for Self-Help? A Qualitative Interview Study among People Affected and Self-Help Experts.\u003c/em\u003e International Journal of Environmental Research and Public Health, 2022. \u003cstrong\u003e19\u003c/strong\u003e(18): p. 11334.\u003c/li\u003e\n\u003cli\u003eBientzle, M., M. Eggeling, and J. Kimmerle, \u003cem\u003eGood reasons for bad behavior: a randomized controlled experiment on the impact of narrative reading and writing on empathic concern, perspective-taking, and attitude.\u003c/em\u003e Frontiers in Public Health, 2024. \u003cstrong\u003e12\u003c/strong\u003e: p. 1343225.\u003c/li\u003e\n\u003cli\u003eDawson, L., et al., \u003cem\u003eAre recovery stories helpful for women with eating disorders? A pilot study and commentary on future research.\u003c/em\u003e J Eat Disord, 2018. \u003cstrong\u003e6\u003c/strong\u003e: p. 21.\u003c/li\u003e\n\u003cli\u003eGumz, A., et al., \u003cem\u003eFactors influencing the duration of untreated illness among patients with anorexia nervosa: A multicenter and multi‐informant study.\u003c/em\u003e International Journal of Eating Disorders, 2023.\u003c/li\u003e\n\u003cli\u003eAustin, A., et al., \u003cem\u003eDuration of untreated eating disorder and relationship to outcomes: A systematic review of the literature.\u003c/em\u003e Eur Eat Disord Rev, 2021. \u003cstrong\u003e29\u003c/strong\u003e(3): p. 329-345.\u003c/li\u003e\n\u003cli\u003eShaw, L.K. and J. Homewood, \u003cem\u003eThe Effect of Eating Disorder Memoirs in Individuals With Self-Identified Eating Pathologies.\u003c/em\u003e J Nerv Ment Dis, 2015. \u003cstrong\u003e203\u003c/strong\u003e(8): p. 591-5.\u003c/li\u003e\n\u003cli\u003eSlade, M., et al., \u003cem\u003eEffectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial.\u003c/em\u003e World Psychiatry, 2024. \u003cstrong\u003e23\u003c/strong\u003e(1): p. 101-112.\u003c/li\u003e\n\u003cli\u003eMcLeod, B., et al., \u003cem\u003eDo recovery‐oriented messages improve self‐efficacy and positive emotions amongst people with lived experience of psychosis? Experimental investigation.\u003c/em\u003e Psychology and Psychotherapy: Theory, Research and Practice, 2022. \u003cstrong\u003e95\u003c/strong\u003e(4): p. 1003-1017.\u003c/li\u003e\n\u003cli\u003eWilliams, A., et al., \u003cem\u003eRecovery after psychosis: qualitative study of service user experiences of lived experience videos on a recovery-oriented website.\u003c/em\u003e JMIR Mental Health, 2018. \u003cstrong\u003e5\u003c/strong\u003e(2): p. e9934.\u003c/li\u003e\n\u003cli\u003eIBM Corp, \u003cem\u003eIBM SPSS Statistics for Windows, Version 28.\u003c/em\u003e 2021, IBM Corp: Armonk, NY.\u003c/li\u003e\n\u003cli\u003eGulliver, A., K.M. Griffiths, and H. Christensen, \u003cem\u003ePerceived barriers and facilitators to mental health help-seeking in young people: a systematic review.\u003c/em\u003e BMC psychiatry, 2010. \u003cstrong\u003e10\u003c/strong\u003e(1): p. 1-9.\u003c/li\u003e\n\u003cli\u003eRegan, P., F.M. Cachelin, and A.M. Minnick, \u003cem\u003eInitial treatment seeking from professional health care providers for eating disorders: A review and synthesis of potential barriers to and facilitators of \u0026quot;first contact\u0026quot;.\u003c/em\u003e Int J Eat Disord, 2017. \u003cstrong\u003e50\u003c/strong\u003e(3): p. 190-209.\u003c/li\u003e\n\u003cli\u003eRobinson, L., M. Flynn, and M. Cooper, \u003cem\u003eIndividual differences in motivation to change in individuals with eating disorders: A systematic review.\u003c/em\u003e International Journal of Eating Disorders, 2024.\u003c/li\u003e\n\u003cli\u003eRamjan, L.M., et al., \u003cem\u003eSocial support for young people with eating disorders\u0026mdash;An integrative review.\u003c/em\u003e International Journal of Mental Health Nursing, 2024.\u003c/li\u003e\n\u003cli\u003eRadunz, M., K. Ali, and T.D. Wade, \u003cem\u003ePathways to improve early intervention for eating disorders: Findings from a systematic review and meta‐analysis.\u003c/em\u003e International Journal of Eating Disorders, 2023. \u003cstrong\u003e56\u003c/strong\u003e(2): p. 314-330.\u003c/li\u003e\n\u003cli\u003eLock, A., et al., \u003cem\u003eResisting anorexia/bulimia: Foucauldian perspectives in narrative therapy.\u003c/em\u003e British Journal of Guidance \u0026amp; Counselling, 2005. \u003cstrong\u003e33\u003c/strong\u003e(3): p. 315-332.\u003c/li\u003e\n\u003cli\u003eYeo, C., et al., \u003cem\u003eUses and Misuses of Recorded Mental Health Lived Experience Narratives in Healthcare and Community Settings: Systematic Review.\u003c/em\u003e Schizophr Bull, 2022. \u003cstrong\u003e48\u003c/strong\u003e(1): p. 134-144.\u003c/li\u003e\n\u003cli\u003eDaugelat, M.-C., et al., \u003cem\u003eImproving motivation and treatment uptake behaviors of patients with eating disorders using patient narrative videos: study protocol of a pilot randomized controlled trial.\u003c/em\u003e Journal of Eating Disorders, 2024. \u003cstrong\u003e12\u003c/strong\u003e(1): p. 1.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"journal-of-eating-disorders","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"joed","sideBox":"Learn more about [Journal of Eating Disorders](http://jeatdisord.biomedcentral.com)","snPcode":"40337","submissionUrl":"https://submission.nature.com/new-submission/40337/3","title":"Journal of Eating Disorders","twitterHandle":"@JEatDisord","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"eating disorders, motivation, help-seeking, lived experience, patient involvement, patient narratives, recovery stories, treatment","lastPublishedDoi":"10.21203/rs.3.rs-4629747/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4629747/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003ePatient narratives can best be defined as personal stories of persons previously or currently affected by a physical or mental health disorder. The collaborative development and implementation of such narratives reflects a participatory approach between researchers, patients, and members of the public towards the development of new interventions. Patient narratives can foster feelings of support and belonging, as well as increase hope and motivation towards recovery. Aims of this pilot study were (a) the collaborative development of a series of evidence-based patient narrative videos about eating disorders, (b) their evaluation with a group of healthy participants, and (c) to provide a reproducible documentation of this methodological approach.\u003c/p\u003e\u003ch2\u003eMethod\u003c/h2\u003e \u003cp\u003eA multi-stage participatory process was used including a) a systematic review, b) focus groups with affected persons, c) the participatory narrative development, and d) a pilot study with healthy participants. A former and currently recovered patient was recruited as a lived experience representative, while a psychotherapist provided the same information from a professional perspective. Control group videos featured the lived experience representative discussing a somatic condition unrelated to eating disorders (i.e., torn knee ligament). Two videos were created for each perspective with varying degrees of emotionality of the content. Healthy participants were recruited to view and assess the videos for their authenticity, empathy, and usefulness.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eNineteen female participants were recruited for the pilot study. All videos received positive ratings, however, participants rated videos in which the lived experience representative discussed her eating disorder as significantly more authentic than the control group videos, as well as significantly more empathic, useful, and better overall than the psychotherapist and control group videos. Participants further indicated a clear preference for videos with higher emotionality, regardless of which perspective or disorder was being presented.\u003c/p\u003e\u003ch2\u003eDiscussion\u003c/h2\u003e \u003cp\u003eThe use of patient narratives for eating disorders is a relatively new methodological approach. This paper provides one example of how evidence-based patient narratives can be constructed. The patient narratives created in this study received positive feedback from healthy participants and are currently being tested in a 4-arm randomised controlled pilot study with patients affected by eating disorders.\u003c/p\u003e","manuscriptTitle":"Participatory Development of Evidence-Based Patient Narrative Videos for Patients with Eating Disorders: A Methodological Approach and Pilot Data","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-07-25 16:26:01","doi":"10.21203/rs.3.rs-4629747/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-07-25T16:33:01+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-07-24T17:29:30+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-07-11T21:28:31+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-07-02T17:46:58+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"275228010076918791131581939031387538584","date":"2024-07-02T00:20:14+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"127581376034228197560147467593730027","date":"2024-06-27T01:55:04+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"217515706039374821844378348597031912643","date":"2024-06-26T22:39:10+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-06-26T22:05:13+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-06-26T05:40:45+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-06-26T05:40:42+00:00","index":"","fulltext":""},{"type":"submitted","content":"Journal of Eating Disorders","date":"2024-06-24T11:12:24+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"journal-of-eating-disorders","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"joed","sideBox":"Learn more about [Journal of Eating Disorders](http://jeatdisord.biomedcentral.com)","snPcode":"40337","submissionUrl":"https://submission.nature.com/new-submission/40337/3","title":"Journal of Eating Disorders","twitterHandle":"@JEatDisord","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"2ccbe943-26c8-49d6-b128-178fa3937f4a","owner":[],"postedDate":"July 25th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-11-25T16:01:00+00:00","versionOfRecord":{"articleIdentity":"rs-4629747","link":"https://doi.org/10.1186/s40337-024-01146-1","journal":{"identity":"journal-of-eating-disorders","isVorOnly":false,"title":"Journal of Eating Disorders"},"publishedOn":"2024-11-20 15:57:26","publishedOnDateReadable":"November 20th, 2024"},"versionCreatedAt":"2024-07-25 16:26:01","video":"","vorDoi":"10.1186/s40337-024-01146-1","vorDoiUrl":"https://doi.org/10.1186/s40337-024-01146-1","workflowStages":[]},"version":"v1","identity":"rs-4629747","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4629747","identity":"rs-4629747","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}