Discrepancies Between Australian Eating Disorder Clinicians and Consumers Regarding Essential Components of Dietetic Treatment |
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| Institution: | 1. Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, New South Wales, Australia;2. Blackbird Initiative, Órama Institute, Flinders University, Adelaide, South Australia, Australia;3. Metabolism and Obesity Services, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia;4. Nutrition and Dietetics Department, St Vincent’s Hospital, Sydney, New South Wales, Australia;1. PSG College of Arts and Science, Coimbatore, India;2. CEO/EF Myers Consulting, Inc, St Louis, MO;3. Sir Vithaldas Thackersey College of Home Science (Autonomous), SNDT Women’s University, Mumbai, India;4. Kansas State University, Manhattan, KS;5. Department of Statistics, PSG College of Arts, Coimbatore, India;6. Nutrition Support Services, Sundaram Medical Foundation, Annanagar, India;7. Jupiter Hospital, Maharashtra, India;8. Sir H. N. Reliance Foundation Hospital, Mumbai, India;9. Department of Dietetics, Dayanand Medical College & Hospital, Punjab, India;10. College of Home Science, Mumbai, India;11. Department of Studies in Food Science and Nutrition, University of Mysore, Kamataka, India;1. Department of Human Nutrition, Winthrop University, Rock Hill, SC;2. Family Medicine, North Central Family Medical Center, Rock Hill, SC;3. Department of Nutrition and Health Care Management, Appalachian State University, Boone, NC;4. Department of Nutrition Science, East Carolina University, Greenville, NC;1. College of Nursing & Health Sciences, Flinders University, Bedford Park, Australia;2. Southern Adelaide Local Health Network, Bedford, Australia;1. Department of Medicine, NYU Langone Health, New York, New York;2. Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;3. School of Computing and Information Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania;4. Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania;5. Division of Pediatric Surgery, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;6. Department of Immunology, Children’s Hospital Research Institute, Pittsburgh, Pennsylvania |
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| Abstract: | BackgroundA recent Delphi study indicated that, compared with eating disorder (ED) consumers and carers, ED specialists were less likely to endorse involvement of a dietitian as a standard component of treatment. In addition, there was disagreement between these groups regarding the inclusion of a number of components of dietetic treatment.ObjectiveThis study aimed to further investigate these data to identify areas of disagreement among ED specialist dietitians, ED specialist non–dietetic clinicians, consumers, and carers with regard to outpatient dietetic treatment.Design and participants/settingThe ED specialists panel from a previous Delphi study was recoded into 2 panels: ED specialist dietitians (n = 31) and ED specialist non–dietetic clinicians (n = 48) to compare responses of these panels with responses from consumers (n = 32) and carers (n = 23).Main outcome measuresStatements in 7 categories relating to referral to dietitian, essential components of outpatient dietetic treatment regarding 4 ED patient populations, strategies to promote multidisciplinary collaboration, and skills dietitians should possess if treating patients with an ED were rated on a 5-point Likert scale.Statistical analysis performedOne-way analysis of variance was conducted with post-hoc multiple comparisons to compare mean statement ratings.ResultsThirty-seven statements (30%) showed statistically significant differences (P < .05) in responses between panels. Discrepancies were primarily observed for statements regarding how and when dietetics is included in treatment and essential components of dietetic treatment, particularly the use of behavioral tasks, such meal plans and self-monitoring. Results also highlighted deficits in participants’ understanding of core responsibilities of dietitians in ED treatment and dietitians “drifting” from delivering evidence-based components of dietetic treatment.ConclusionsResults of this study show discrepancies among ED dietitians, clinicians, consumers, and carers regarding what dietetic treatment for people with EDs should encompass. It also indicates the need for further research into optimizing dietetic treatment for EDs that is conducted in collaboration with individuals with lived experience. |
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| Keywords: | Feeding and eating disorders Dietetics Delphi technique Consensus Outpatient |
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