Enhancing assessment for eating disorders: the impact of a podcast-based pre-treatment psychoeducation intervention.

IF 3 3区 医学 Q2 PSYCHIATRY Eating Disorders Pub Date : 2024-12-26 DOI:10.1080/10640266.2024.2435691
Madeleine Tatham, Harriet Wells, Jessica Beard, Glenn Waller
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Abstract

This study reports the outcome of a low intensity pre-treatment intervention (a guided e-health podcast) for patients with anorexia nervosa and bulimia nervosa, delivered between assessment and the start of the full outpatient treatment programme. A case series design was used. A total of 254 patients at a specialist eating disorder service were offered a pre-treatment three-week psychoeducational intervention (Keeping Myself Safe; KMS), and 203 undertook the intervention. The intervention consisted of six podcasts (107 mins), an accompanying workbook, and a follow-up review appointment. Body Mass Index and Eating Disorder Examination-Questionnaire scores were taken at assessment, end of the KMS intervention (mean duration = 21.9 days) and start of treatment (mean = 79.8 days post KMS intervention). Generalised Linear Mixed Models were used to test main and interaction effects (diagnosis x time). There were improvements on most variables following the KMS intervention. The effects were more pronounced for patients with bulimia nervosa across several measures. Pre-treatment guided e-health psychoeducational interventions can be associated with early attitudinal and behavioural change in patients with bulimia nervosa and anorexia nervosa whilst on the waiting list for treatment. They allow greater, affordable accessibility to effective psychoeducation and enhance potential engagement. More research is required to investigate the longer-term impact on retention and outcome, particularly in anorexia nervosa.

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加强对饮食失调的评估:基于播客的治疗前心理教育干预的影响。
本研究报告了对神经性厌食症和神经性贪食症患者进行低强度治疗前干预(引导电子健康播客)的结果,该干预在评估和全面门诊治疗方案开始之间进行。采用病例系列设计。共有254名患者在一个专门的饮食失调服务中心接受了为期三周的治疗前心理教育干预(保持自己的安全;203例接受干预。干预包括6个播客(107分钟),一个随附的工作簿,以及一个随访审查预约。在评估时、KMS干预结束时(平均21.9天)和治疗开始时(KMS干预后平均79.8天)分别测量体重指数和饮食失调检查问卷得分。广义线性混合模型用于检验主效应和交互效应(诊断x时间)。在KMS干预后,大多数变量都有改善。这种效果在神经性贪食症患者中更为明显。治疗前指导的电子卫生心理教育干预可与等待治疗名单上的神经性贪食症和神经性厌食症患者的早期态度和行为改变有关。它们提供了更大的、负担得起的有效心理教育机会,并提高了潜在的参与度。需要更多的研究来调查对保留和结果的长期影响,特别是对神经性厌食症的影响。
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来源期刊
Eating Disorders
Eating Disorders PSYCHIATRY-PSYCHOLOGY
CiteScore
7.70
自引率
9.10%
发文量
25
期刊介绍: Eating Disorders is contemporary and wide ranging, and takes a fundamentally practical, humanistic, compassionate view of clients and their presenting problems. You’ll find a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.
期刊最新文献
The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa. The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series. Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment. An evaluation of lived experience email peer support for young people with eating disorders. Eating disorder treatment experiences among racially/ethnically minoritized samples.
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