Shortening duration of untreated illness in young people with first episode eating disorders: protocol of a randomised controlled feasibility trial of a smartphone friendly multi-modal decision-making tool (FREED-M) to improve help-seeking DOI Creative Commons
Luiza Grycuk, Dina Monssen, Molly R. Davies

и другие.

Pilot and Feasibility Studies, Год журнала: 2025, Номер 11(1)

Опубликована: Фев. 7, 2025

Abstract Background Early intervention gives young people the best chance to recover from eating disorders (EDs). An important focus of early is shortening time between a person first developing symptoms and starting treatment (duration untreated disorder; DUED). Patient-related factors (e.g. poor mental health literacy help-seeking difficulties) are strongly associated with DUED. The aims our study co-design test feasibility FREED-Mobile (FREED-M), an online tool for early-stage EDs. This improve knowledge about EDs, increase motivation seek teach steps towards change or recovery, thus reducing Methods We will carry out randomised controlled trial comparing FREED-M control where individuals sign-posted ED charity website. objectives proposed establish/estimate: (a) attrition rates at follow-up (primary outcome); (b) participant recruitment; (c) uptake, completion acceptability; (d) effect sizes standard deviations outcomes inform sample size calculation large-scale (RCT); (e) stakeholder views on intervention. aim recruit 116 participants (young people, aged 16–25, episode ED) primary care, schools universities, services social media. Online assessments be carried baseline, end (weeks 0, 4 12 post-randomisation, respectively). Outcomes include readiness change, attitudes intentions help-seeking, symptoms, mood functioning, health-related quality life. Additionally, we qualitative evaluation participants’ design. Discussion results this adaptations as needed, well design size, outcomes) future RCT assess effectiveness If effective, novel, has potential wide dissemination substantially DUED long-term patient outcomes. Trial registration ISRCTN, ISRCTN15662055. Registered 27 July 2022, https://www.isrctn.com/ISRCTN15662055 .

Язык: Английский

Designing Digital Interventions for Eating Disorders DOI
Andrea K. Graham, Jacqueline A. Kosmas, Thomas Massion

и другие.

Current Psychiatry Reports, Год журнала: 2023, Номер 25(4), С. 125 - 138

Опубликована: Март 16, 2023

Язык: Английский

Процитировано

13
Virtually delivered guided self-help for binge eating disorder and bulimia nervosa: findings from a service evaluation DOI Creative Commons
Bethan Dalton, Molly R. Davies, Michaela Flynn

и другие.

Behavioural and Cognitive Psychotherapy, Год журнала: 2024, Номер 52(3), С. 211 - 225

Опубликована: Янв. 24, 2024

Abstract Background: Timely intervention is beneficial to the effectiveness of eating disorder (ED) treatment, but limited capacity within ED services means that these disorders are often not treated with sufficient speed. This service evaluation extends previous research into guided self-help (GSH) for adults bulimic spectrum EDs by assessing feasibility, acceptability, and preliminary virtually delivered GSH using videoconferencing. Method: Patients bulimia nervosa (BN), binge (BED) other specified feeding (OSFED) waiting treatment in a large specialist adult out-patient were offered GSH. The programme used an evidence-based cognitive behavioural book. Individuals supported non-expert coaches, who eight-session via Results: One hundred thirty patients allocated coach between 1 September 2020 30 2022; 106 (82%) started 78 (60%) completed treatment. Amongst completers, there reductions behaviours attitudinal symptoms, measured ED-15. largest effect sizes change pre- post-treatment seen episode frequency ( d = –0.89) concerns around –1.72). from minoritised ethnic groups over-represented non-completer group. Conclusions: Virtually feasible, acceptable effective reducing symptoms amongst those disorders. Implementing reduced times, offering potential solution long times Further needed compare brief therapies investigate barriers culturally diverse groups.

Язык: Английский

Процитировано

5
Short- and long-term effects of Covid-19 pandemic on health care system for individuals with eating disorders DOI Creative Commons
Margherita Boltri, Federico Brusa,

Emanuela Apicella

и другие.

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Март 14, 2024

Introduction The Covid-19 pandemic and its consequences have negatively impacted the incidence of EDs, determining a substantial burden on patients, caregivers healthcare systems world-wide. This literature review aims to investigate short- long-term effects care provider systems, exploring possibility “rethinking” ED programs. Methods Records were systematically (following PRISMA guidelines) identified through PubMed, Google Scholar Scopus searching. Results led an abrupt increase in pediatric adolescent visits hospital admissions. Despite decline second-year post-onset, absolute visit volumes remained elevated relative pre-pandemic levels. Barriers access specialist emerged, including socio-economic status lack public outpatient services. Consequently, this situation has prompted providers explore innovative bridge plans multidisciplinary telehealth solutions face such challenges. Discussion Challenges insurance shifts, treatment disruptions discharge planning underscore need for comprehensive strategies care. Overall, our findings highlight importance adopting approaches, implementing location-specific plans, integrating effectively address evolving challenges posed by enhance efficiency

Язык: Английский

Процитировано

5
Efectos de la terapia dialéctico conductual en línea sobre la insatisfacción corporal y síntomas de trastornos alimentarios en mujeres: estudio piloto DOI
Mayaro Ortega-Luyando, Lúcia Roque, Alejandro Pérez Ortiz

и другие.

Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders, Год журнала: 2025, Номер 15(1), С. 90 - 102

Опубликована: Янв. 6, 2025

Процитировано

0
Shortening duration of untreated illness in young people with first episode eating disorders: protocol of a randomised controlled feasibility trial of a smartphone friendly multi-modal decision-making tool (FREED-M) to improve help-seeking DOI Creative Commons
Luiza Grycuk, Dina Monssen, Molly R. Davies

и другие.

Pilot and Feasibility Studies, Год журнала: 2025, Номер 11(1)

Опубликована: Фев. 7, 2025

Abstract Background Early intervention gives young people the best chance to recover from eating disorders (EDs). An important focus of early is shortening time between a person first developing symptoms and starting treatment (duration untreated disorder; DUED). Patient-related factors (e.g. poor mental health literacy help-seeking difficulties) are strongly associated with DUED. The aims our study co-design test feasibility FREED-Mobile (FREED-M), an online tool for early-stage EDs. This improve knowledge about EDs, increase motivation seek teach steps towards change or recovery, thus reducing Methods We will carry out randomised controlled trial comparing FREED-M control where individuals sign-posted ED charity website. objectives proposed establish/estimate: (a) attrition rates at follow-up (primary outcome); (b) participant recruitment; (c) uptake, completion acceptability; (d) effect sizes standard deviations outcomes inform sample size calculation large-scale (RCT); (e) stakeholder views on intervention. aim recruit 116 participants (young people, aged 16–25, episode ED) primary care, schools universities, services social media. Online assessments be carried baseline, end (weeks 0, 4 12 post-randomisation, respectively). Outcomes include readiness change, attitudes intentions help-seeking, symptoms, mood functioning, health-related quality life. Additionally, we qualitative evaluation participants’ design. Discussion results this adaptations as needed, well design size, outcomes) future RCT assess effectiveness If effective, novel, has potential wide dissemination substantially DUED long-term patient outcomes. Trial registration ISRCTN, ISRCTN15662055. Registered 27 July 2022, https://www.isrctn.com/ISRCTN15662055 .

Язык: Английский

Процитировано

0