Exploring the perceived usefulness of practical food groups in day treatment for individuals with eating disorders

Biddiscombe, Rachel J.; Scanlan, Justin Newton; Ross, J. Megan; Horsfield, Sarah; Aradas, Jessica; Hart, Susan

doi:10.1111/1440-1630.12442

Cited by 17 publications

(14 citation statements)

References 30 publications

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“…A number of statements regarding essential components of dietetic treatment did not reach consensus, despite evidence for their use with patients who have AN, BN, and BED. This included: avoidance of diet foods (Hart, Marnane, McMaster, & Thomas, 2018; Schebendach et al, 2017); use of meal plans in adult treatment (S. Hart, et al, 2011; Herrin & Larkin, 2013); support to improve meal preparation skills (Biddiscombe et al, 2018; Lock, Williams, Bamford, & Lacey, 2012); use of a meal plan which includes exposure to feared foods (Hart et al, 2018; S. Hart, et al, 2011; Herrin & Larkin, 2013; Ozier & Henry, 2011; Setnick, 2016); and monitoring of weight (Herrin & Larkin, 2013; Setnick, 2016; Wakefield & Williams, 2009). It is not possible, however, to determine whether these results suggest components such as exposure to feared foods and monitoring of weight should not be included in dietetic treatment or that they should be led by a non‐dietetic clinician.…”

Section: Discussionmentioning

confidence: 99%

Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

McMaster

Wade

Franklin

et al. 2020

Intl J Eating Disorders

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Objective To generate consensus‐based guidelines for outpatient dietetic treatment of patients with an eating disorder (ED) using Delphi methodology. Method A modified Delphi method was used to develop consensus‐based guidelines in several categories: referral to a dietitian; essential components of outpatient dietetic treatment; strategies to promote collaboration between dietitians and other healthcare professionals; and skills dietitians should possess if treating patients with an ED. Participants (n = 162) were coded into three panels: ED specialists (n = 79), non‐ED specialists (n = 28), and consumers and carers with lived experience of an ED (n = 55). A total of 122 statements were rated across three rounds. Results Eighty‐one statements reached consensus level (66.4%). A high proportion of endorsed statements were consistent with current guidelines for ED treatment, though some statements for which evidence exists were not endorsed as essential components of dietetic treatment. Compared to consumers and carers, ED specialists were less likely to endorse assessment or involvement by a dietitian as a standard component of treatment, and a number of discrepancies between ED specialists and consumers and carers were observed regarding essential components of dietetic treatment. Discussion This study provides consensus‐based guidelines in the current absence of clinical practice guidelines for dietetic treatment of EDs. It also highlights the importance of further research into: (a) the effectiveness of different components of dietetic intervention in this population and (b) how dietetic assessment and intervention is best incorporated into outpatient treatment.

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Section: Discussionmentioning

confidence: 99%

Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

McMaster

Wade

Franklin

et al. 2020

Intl J Eating Disorders

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“…This was both in terms of understanding which interventions should be used and in justifying the value of occupational therapy to others. This lack of evidence has been highlighted in previous literature (Biddiscombe et al ., ; Clark & Nayar, ; Gardiner & Brown, ) and is compounded by the focus on outcomes such as weight restoration and cognition that overlook the improvements in daily functioning that may result from occupational therapy interventions.…”

Section: Discussionmentioning

confidence: 99%

“…This leaves little time for meaningful activities, interferes with performance in work and study and makes social situations, especially those involving food, more difficult (Clark & Nayar;Gardiner & Brown, 2010). The ability to address these performance issues has been identified as a unique and important contribution of occupational therapists (Biddiscombe et al, 2018;Clark & Nayar;Costa, 2009;Lock & P epin, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…In eating disorder services, occupational therapists are likely to work in small teams, may be the only occupational therapist and, given the very small workforce, may have limited access to eating disorder‐specific occupational therapy supervision. There is also a very sparse evidence base for occupational therapy interventions in these settings (Biddiscombe et al ., ; Clark & Nayar, ; Gardiner & Brown, ). Considered together, all of these factors suggest that the professional identity of occupational therapists in eating disorder services may be substantially compromised.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with professional identity, job satisfaction and burnout for occupational therapists working in eating disorders: A mixed methods study

Devery

Scanlan

Ross

2018

Aus Occup Therapy J

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Occupational therapists working in eating disorders do face challenges. These are particularly related to the lack of evidence base for occupational therapy in this area. Future research should focus on developing further evidence for occupational therapy in eating disorders and designing outcome measures that capture improvements in daily functioning. These efforts would strengthen the role of occupational therapy and may reduce the risk of burnout and improve job satisfaction and sense of professional identity.

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“…De forma geral, no contexto brasileiro encontram-se estudos que abordam processos de intervenção da Terapia Ocupacional com o público adulto com TA's, com foco na promoção da autoexpressão, organização de rotina (questões relacionadas a alimentação, aceitação e adesão ao tratamento) e potencialização das relações sociais (Kubota et al, 2013;Morais, 2006;Quiles-Cestari & Ribeiro, 2012). Internacionalmente, encontrou-se estudos com discussão das alterações sensoriais em pessoas com AN e BN, pesquisas que abordam possibilidades de intervenção direcionadas para a promoção do envolvimento em diferentes ocupações e mediação das relações sociais (Biddiscombe, et al, 2018;Brand-Gothelf et al, 2016;Henderson, 2016;Maeztu et al, 2009;Ordos, 2012;Pérez, 2019;Shad, 2015).…”

Section: Introductionunclassified

Alterações ocupacionais relacionadas à vivência da anorexia e bulimia nervosa por adolescentes: Revisão de escopo

Silva

Gontijo

2021

RSD

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Introdução: Os transtornos alimentares, especificamente a anorexia nervosa (AN) e bulimia nervosa (BN), acometem principalmente adolescentes. A vivência destes transtornos pode causar impactos e limitações funcionais no cotidiano. A Terapia Ocupacional tem como um de seus focos de atenção, a análise de fatores que podem influenciar no envolvimento das pessoas em suas ocupações. Objetivo: Descrever as alterações ocupacionais relacionadas a vivência da AN/BN por adolescentes, discutidas em artigos científicos publicados em revistas brasileiras no período de 2009 a 2019. Método: Revisão de escopo cujos dados foram coletados nas plataformas BVS, BVS Adolec Brasil e na base de dado SciELO. Foram incluídos os textos publicados no período de 2009 a 2019, que utilizaram o método de pesquisa de campo, escritos em português e que relataram impactos nas ocupações de adolescentes com AN/BN. As alterações nas ocupações foram categorizadas considerando seus diferentes tipos, e apresentadas de forma descritiva. Resultados: As publicações foram de revistas de diversas áreas profissionais; com maior frequência de autores da psicologia e apenas um texto de terapeuta ocupacional; o principal local de pesquisa foram hospitais e o maior número dos estudos foram com participantes apenas do gênero feminino. As ocupações alteradas foram relacionadas ao cuidado pessoal, alimentação, relações sociais, atividade física, autoagressão, estudar e dormir. Conclusão: Os resultados obtidos evidenciaram as alterações ocupacionais relacionadas à vivência de AN/BN por adolescentes, como também a importância de direcionamentos da Terapia Ocupacional para este público.

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Exploring the perceived usefulness of practical food groups in day treatment for individuals with eating disorders

Cited by 17 publications

References 30 publications

Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

Factors associated with professional identity, job satisfaction and burnout for occupational therapists working in eating disorders: A mixed methods study

Alterações ocupacionais relacionadas à vivência da anorexia e bulimia nervosa por adolescentes: Revisão de escopo

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