Addressing Disparities in Adolescent Eating Disorders: A Case Report of Family-Based Treatment in Primary Care

O’Brien, Jennifer; Sim, Leslie; Narr, Cassandra; Mattke, Angela; Billings, Marcie; Jacobson, Robert M.; Lebow, Jocelyn

doi:10.1016/j.pedhc.2020.11.003

Cited by 5 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reluctance to seek care may be fuelled by shame and stigma, poor mental health literacy (Grammer et al ., 2022; Hamilton et al ., 2022; Sonneville and Lipson, 2018), denial of the illness and the belief that others cannot help (Radunz et al ., 2023). Delays in diagnosis or treatment-seeking are especially prominent in historically marginalized ethnic/racial groups, men, and individuals in larger bodies (Becker et al ., 2003; Coffino et al ., 2019; Garb, 2021; Gewirtz O’Brien et al ., 2021; Harrop, 2020; Marques et al ., 2011; Sonneville and Lipson, 2018), which may be related to higher levels of stigma felt by these groups (Benuto et al ., 2019; Griffiths et al ., 2015). Unfortunately, early descriptions of individuals with EDs – focusing nearly exclusively on white, young, cisgender women, from higher socioeconomic backgrounds (Smolak and Striegel-Moore, 2001) – inform implicit bias.…”

Section: Case-based Examplesmentioning

confidence: 99%

Equitable access to evidence-based treatment for eating disorders for patients with low-income: identifying barriers and exploring solutions

Bailey-Straebler,

Glasofer,

Ojeda

et al. 2024

tCBT

View full text Add to dashboard Cite

Eating disorders are equally prevalent across socioeconomic status, and yet individuals facing socioeconomic adversity are far less likely to receive evidence-based treatments. A range of barriers contribute to this disparity, including limited awareness and provider training about eating disorders leading to underdiagnosis; a shortage of available services and long waitlists due to a lack of trained therapists, associated treatment costs (e.g. transportation expenses and costly treatment materials) and an insufficient understanding of the impact of an individual’s cultural context. While these barriers are experienced by many individuals with eating disorders, those with low income are particularly vulnerable. To ensure equitable access to effective eating disorder treatment, therapists should actively consider and address the barriers faced by these patients. In this paper, we share guidance based on our experience treating a socioeconomically diverse patient population, on factors to consider when extending the reach of recommended psychological treatments for eating disorders and suggest areas of future research. We emphasize the opportunities available to therapists to improve equity in eating disorders treatment by making accommodations that enhance access to existing evidence-based approaches rather than by making modifications to the treatments. Key learning aims (1) To identify obstacles experienced by individuals with eating disorders and low income in accessing and engaging in treatment. (2) To learn practical strategies to reduce or eliminate barriers preventing the uptake of evidence-based psychological eating disorder interventions for individuals with low income. (3) To appreciate the intersectionality of low income with other factors impacting equity of eating disorder treatment access.

show abstract

Section: Case-based Examplesmentioning

confidence: 99%

Equitable access to evidence-based treatment for eating disorders for patients with low-income: identifying barriers and exploring solutions

Bailey-Straebler,

Glasofer,

Ojeda

et al. 2024

tCBT

View full text Add to dashboard Cite

show abstract

“…This gap in training is especially concerning given the rise in youth seeking services for EDs during the COVID‐19 pandemic (Lin et al, 2021; Radhakrishnan et al, 2022). Given pervasive stereotypes about EDs, there are likely greater gaps in knowledge surrounding EDs in boys and men, marginalized racial and ethnic groups, and higher‐weight individuals, which may lead to inequities in case identification (Gewirtz O'Brien et al, 2021; Hornberger & Lane, 2021).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a one‐hour asynchronous video training for eating disorder screening and referral in U.S. Pediatric Primary Care: A pilot study

Raffoul

Vitagliano

Sarda

et al. 2022

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective: Develop and pilot-test the efficacy of an online training in improving comfort, knowledge, and behaviors related to eating disorders (EDs) screening among U.S.-based pediatric primary care providers (PCPs). Methods: PCPs (N = 84) completed a baseline survey assessing comfort, knowledge, and behaviors regarding ED screening and referral, then watched a 1-h training video followed by a post-video survey. Half of the participants were randomly assigned to complete spaced-education questions in the following 2 months. All participants completed a 2-month follow-up survey. We used McNemar's and McNemar-Bowker tests to assess differences from baseline to post-video and post-video to follow-up, and logistic models to assess differences by spaced-education condition.Results: From baseline to post-video, there were significant improvements in PCPs' knowledge about and comfort in screening and making referrals for EDs (p < .05).There were no differences between spaced-education conditions in knowledge and behaviors from baseline or post-video to follow-up, but spaced-education participants reported significantly greater comfort in screening for BN (p < .01) and BED (p < .01) compared to non-spaced-education participants.

show abstract

Does embedding pediatric eating disorder treatment in primary care bridge the access gap?

Lebow,

Billings,

Mattke

et al. 2024

Eating Disorders

View full text Add to dashboard Cite

Addressing Disparities in Adolescent Eating Disorders: A Case Report of Family-Based Treatment in Primary Care

Cited by 5 publications

References 28 publications

Equitable access to evidence-based treatment for eating disorders for patients with low-income: identifying barriers and exploring solutions

Equitable access to evidence-based treatment for eating disorders for patients with low-income: identifying barriers and exploring solutions

Evaluation of a one‐hour asynchronous video training for eating disorder screening and referral in U.S. Pediatric Primary Care: A pilot study

Does embedding pediatric eating disorder treatment in primary care bridge the access gap?

Contact Info

Product

Resources

About