One Sheet Does Not Fit All: The Dietetic Treatment Experiences of Individuals with High Eating Disorder Symptomatology Attending a Metabolic and Bariatric Clinic; an Exploratory Mixed-Methods Study

Dietetics Pub Date : 2024-04-02 DOI:10.3390/dietetics3020009
Yive Yang, J. Conti, M. Piya, Caitlin M. McMaster, Phillipa Hay
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Abstract

This study aimed to explore the dietetic treatment experiences of individuals with high eating disorder (ED) symptomatology attending a metabolic and bariatric clinic. An exploratory mixed methods cross-sectional study was conducted. Eighteen participants completed the survey, which included an adapted version of the Eating Disorders Treatment Experience Survey (EDTES), the Eating Disorder Examination Questionnaire Short (EDE-QS), and quantitative and qualitative questions relating to the roles and helpfulness of a dietitian in treatment. Data regarding the most and least helpful dietitians were collected. Differences between groups were tested with the Wilcoxon signed ranks test. A reflexive thematic analysis was used to analyse open-ended responses. The mean EDE-QS score reported by participants was 20.9 (SD = 6.0). The dietitians who were perceived as the most helpful were those who took into consideration an individual’s treatment preferences and choices (Z = −1.96, p = 0.05). Three themes were constructed: (1) nutrition knowledge and skills, (2) person-centred care, and (3) roles of the multidisciplinary team. Although further research is required, our findings suggest that the role of a dietitian in this setting may extend beyond weight-loss advice, and with additional training, could include individualised and collaborative supportive care that overlaps with ED treatment.
一刀切并不适合所有人:在代谢和减肥诊所就诊的进食障碍症状严重者的饮食治疗经历;一项探索性混合方法研究
本研究旨在探讨在代谢和减肥诊所就诊的进食障碍(ED)症状严重者的饮食治疗经验。研究采用探索性混合方法进行横断面研究。18名参与者完成了调查,其中包括饮食失调治疗经验调查(EDTES)的改编版、饮食失调检查问卷简表(EDE-QS),以及与营养师在治疗中的作用和帮助有关的定量和定性问题。收集了最有帮助和最没有帮助的营养师的相关数据。组间差异采用 Wilcoxon 符号行列检验。采用反思性主题分析法对开放式回答进行分析。参与者的平均 EDE-QS 得分为 20.9(SD = 6.0)。认为最有帮助的营养师是那些考虑到个人治疗偏好和选择的营养师(Z = -1.96, p = 0.05)。我们构建了三个主题:(1)营养知识和技能;(2)以人为本的护理;(3)多学科团队的作用。尽管还需要进一步的研究,但我们的研究结果表明,营养师在这种情况下的作用可能会超出减肥建议的范围,在接受额外培训后,营养师的作用可能会包括与 ED 治疗重叠的个性化协作支持护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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