Evaluation of the Junior MARSIPAN risk assessment framework
Research type
Research Study
Full title
An evaluation of the Junior MARSIPAN risk assessment framework in adolescent anorexia nervosa treatment in the UK
IRAS ID
298190
Contact name
Dee Bhakta
Contact email
Sponsor organisation
London Metropolitan University
Duration of Study in the UK
3 years, 5 months, 0 days
Research summary
The Junior MARSIPAN is a consensus guideline, based on limited evidence available at the time of its creation. It provides a framework for managing physical risk in young people with anorexia nervosa (AN). The guidance report is recognised nationally in the UK as the gold standard for the management of young people with AN and has been incorporated into the NICE quality standards. Despite this, the risk assessment tool has not yet been evaluated in this patient group.
The aim of this project is to evaluate the Junior MARSIPAN risk assessment tool in young people with anorexia nervosa. The project will evaluate the tools ability to predict physical risk and need for paediatric admission, and, investigate if medical and nutritional risks that are identified are managed appropriately.
Evaluation of the tool will indicate if it accurately predicts physical risk in young people with AN. Issues identified will allow the tool to be refined to increase the effectivity of the tool. Exploring the predictive validity of the tool will ensure that patients at high risk of medical instability are identified early and managed appropriately, to avoid poor outcomes.
Outcomes from this study will enable the development of a revised risk assessment system to target any shortcomings of the current Junior MARSIPAN tool. This will likely include percentage median BMI cut offs whereby physical risk and medical admission is more likely, identification of key parameters that indicate the need for medical admission and early risk factors associated to the development of refeeding hypophosphatemia.
REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
21/WM/0273
Date of REC Opinion
5 Jan 2022
REC opinion
Further Information Favourable Opinion