Feasibility and acceptability of comprehensive virtual treatment in eating disorders: perspectives from patients, parents and therapists during the COVID-19 pandemic
Maritza Rodríguez Guarin, Juanita Gempeler Rueda, Sergio Mario Castro, María Mercedes Ospina, Carolina Villanueva Betancourth, Juan Pablo Amórtegui, Laura Vázquez
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Abstract
Background
Lockdowns and social distancing as a result of the COVID-19 pandemic have brought about the need to continue treatment virtually in patients with Eating Disorders (ED).
Objective
To evaluate feasibility, acceptability and adherence to virtual treatment in patients, families and therapists.
Methods
Fourteen patients, 10 family members and eight therapists from an intensive outpatient program for ED answered online surveys and a SWOT analysis was performed with the responses.
Results
Virtual treatment during lockdown was considered feasible and useful by all respondents. Fear of contagion and the presence of parents in the home were identified as strengths. Parents reported problems with nutritional plan compliance, especially in anorexia patients. Therapists highlighted the importance of methodological adaptations in sessions to improve participation. Adherence to sessions was 100% for family members and 90% for patients.
Conclusions
Adaptation to a virtual program is a valid and useful option during lockdowns. It improves family participation, but does not replace face-to-face treatment.
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