Preliminary Report on Dietitians’ Views and Confidence Related to Nutrition Care for Eating Disorders

Ozier, Amy D.; Henry, Beverly

doi:10.1177/1941406409359536

Cited by 9 publications

(23 citation statements)

References 15 publications

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“…Our survey findings indicate final year student and new graduate dietitians perceive a lack of confidence to practice confidently in the area of EDs and they identify a number of training gaps. This result was expected given that experienced dietitians also report a lack of professional confidence in working with clients experiencing mental health issues [ 48 ]. Future research examining the ways new graduate dietitians plan to upskill in this clinical area would be valuable, and importantly, whether these activities are likely to positively influence their practice should be examined.…”

Section: Discussionmentioning

confidence: 99%

Understanding training needs in eating disorders of graduating and new graduate dietitians in Australia: an online survey

et al. 2021

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Background Following recent reforms by the Australian Government to the Medicare Benefits Schedule, people living with a diagnosed eating disorder (ED) in Australia have greater access to dietetic services. However, new graduate dietitians anecdotally lack confidence to provide appropriate interventions to support patients with an ED. Therefore, this cross-sectional study aims to explore the perceived confidence, and educational and professional development needs of student dietitians and new graduate dietitians in the area of EDs. Methods An online survey with 17 questions was designed, consisting of a combination of discrete (yes/no) questions, free text, ordered scales and 5-point Likert scales. Student dietitians, and first- and second- year graduates (n = 1456) were approached via email as potential participants, from the professional organisation Dietitians Australia member list. Survey data was analysed using descriptive statistics and odds ratios. Results In total, 150 surveys were completed, with a response rate of 10.3%. Respondents reported a lack of confidence in managing patients with an ED and implementing ED treatment approaches (81 and 95%, respectively). However, participants previously exposed to patients with an ED, such as anorexia nervosa, were 4.7 times (95% CI 1.72, 12.97) more likely to be confident compared to those not exposed to patients with an ED. The majority of respondents (37%) stated they would seek assistance from other dietitians, and develop their skills via online webinars (27%) and workshops (25%). Conclusions This survey identified that final year dietetics students and new graduate dietitians perceive lower levels of confidence to practice in the area of EDs. The desire for further ED-specific training and education was reported.

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Section: Discussionmentioning

confidence: 99%

Understanding training needs in eating disorders of graduating and new graduate dietitians in Australia: an online survey

et al. 2021

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“…24 In a 2010 quantitative study, researchers assessed knowledge, beliefs, practices, and self-efficacy of RDNs related to ED counseling through an online survey in the United States (n = 291). 25 The most common responses were related to anxiety (feeling unsure and unprepared) and the challenge of working with clients with ED. However, little emphasis was placed on the resources that impacted perceived self-efficacy and capability, such as college or internship programs, continuing education, or personal experience.…”

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confidence: 99%

Education and Practice Gaps of Registered Dietitian Nutritionists Working With Clients With Eating Disorders

Trammell

Reed

Boylan

2016

Topics in Clinical Nutrition

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The purpose of this qualitative study was to explore the self-efficacy of registered dietitian nutritionists working with clients with eating disorders (ED) and factors that might influence efficacy. Three focus groups (n = 16) were held with registered dietitian nutritionists at the 2013 Academy of Nutrition and Dietetics Food and Nutrition Conference and Expo. Open coding identified several themes: challenges with clients' mental health, treatment apprehension, blurred practice boundaries, poor ED awareness among professionals, need for mentor/colleague collaboration, minimal formal education on ED, and difficulty with protocol expectations for ED. Identification of these factors indicates a need for continued ED resource development for registered dietitian nutritionists to provide optimal care.

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“…The total number of participants included in the review was 1192 (range 3–310). Most participants were dietitians ( n = 638), 8,15,29–36 followed by people with a lived experience of an ED ( n = 261), 36–40 parents/carers ( n = 205) 36,37,40 and other health professionals ( n = 88) 35,36 . Eight studies included dietitian participants only 8,15,29–34 and one study explored collaboration between dietitians and mental health professionals 35 .…”

Section: Resultsmentioning

confidence: 99%

“…Most participants were dietitians ( n = 638), 8,15,29–36 followed by people with a lived experience of an ED ( n = 261), 36–40 parents/carers ( n = 205) 36,37,40 and other health professionals ( n = 88) 35,36 . Eight studies included dietitian participants only 8,15,29–34 and one study explored collaboration between dietitians and mental health professionals 35 . Two studies only included people with a lived experience of EDs 38,39 and a further two explored patients’ and parents’ perspectives of dietetic care for EDs 37,40 .…”

Section: Resultsmentioning

confidence: 99%

“…Because dietitians of varying levels of experience may encounter patients experiencing an ED, it is important to explore the perspectives of specialist and non‐specialist clinicians regarding the provision of care for this population. This can provide insight into the experience of delivering ED care, levels of confidence among clinicians and their ideal role, as well as identify any knowledge and practice gaps within the profession 14,15 …”

Section: Introductionmentioning

confidence: 99%

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What role do dietitians have in providing nutrition care for eating disorder treatment? An integrative review

Heafala

Ball

Rayner

et al. 2021

J Human Nutrition Diet

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Background Dietitians are recognised as experts in nutrition care and essential members of multidisciplinary healthcare teams. However, the role of dietitians in caring for people with eating disorders is not well understood. The present review aimed to identify, critically appraise and synthesise the current evidence exploring the views and experiences of dietitians, other health professionals, patients and carers regarding the role of dietitians in the treatment of eating disorders. Methods CINAHL, MEDLINE, Embase, Scopus and PsycINFO were searched in April 2020 and again in February 2021. Studies were included if they were original research; explored views and experiences of the role of dietitians in the treatment of eating disorders, including perceptions of patients, carers and other health professionals regarding nutrition care for eating disorders; and the full‐text article was available in English. Title and abstract screening, full‐text screening, quality assessment and data extraction were completed in duplicate. Quality assessment was conducted using the Mixed Methods Assessment Tool. Thematic synthesis was used for data analysis. Results Fourteen studies met the inclusion criteria. Quantitative, qualitative and mixed‐methods study designs were included. Four themes emerged inductively from the data: (i) dietitians as collaborators, educators and counsellors; (ii) dietitians individualising care and desiring a holistic approach; (iii) opportunities for dietitians to gain confidence; and (iv) experiencing nutrition care as a patient or carer. Conclusions This review suggests that dietitians have a varied role in eating disorder treatment but desire further training. Understanding the training needs of dietitians can identify practice gaps and opportunities to enhance clinician confidence.

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Preliminary Report on Dietitians’ Views and Confidence Related to Nutrition Care for Eating Disorders

Cited by 9 publications

References 15 publications

Understanding training needs in eating disorders of graduating and new graduate dietitians in Australia: an online survey

Understanding training needs in eating disorders of graduating and new graduate dietitians in Australia: an online survey

Education and Practice Gaps of Registered Dietitian Nutritionists Working With Clients With Eating Disorders

What role do dietitians have in providing nutrition care for eating disorder treatment? An integrative review

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