What is day programme treatment for anorexia nervosa really like? Part 2: A reflexive thematic analysis of feedback from caregivers.

IF 4.5 3区医学 Q2 NUTRITION & DIETETICS

Journal of Eating Disorders Pub Date : 2025-09-26 DOI:10.1186/s40337-025-01312-z

Lucinda J Gledhill, Chiara Calissano, Jasmin Turner, Charlotte Watson, Mima Simic, Julian Baudinet

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引用次数: 0

Abstract

Background: A significant proportion of young people do not respond to NICE recommended treatment for anorexia nervosa: Family Therapy (FT-AN). Evidence is building for the effectiveness of day programmes as an alternative to inpatient admissions for young people whom traditional community treatment has not benefited. One day programme that has been found to be effective is the Intensive Treatment Programme (ITP) of the Maudsley Centre for Child & Adolescent Eating Disorders in London, UK. However, limited data are available on how caregivers of young people attending experience such a day programme.

Method: Anonymous feedback was completed via online survey by 64 caregivers over a 5-year period (2018-2023) on discharge from ITP.

Results: Five main themes emerged: (1) Clarity and consistency are key; (2) Skills and practical support; (3) Collaborative relationships; (4) Layers of change; (5) It wasn't all great.

Conclusions: Expanding our understanding of caregiver experiences is important given the FT-AN model holds expectations that "the family is needed as a resource" and that caregivers should "take a lead in managing their child's eating". It is hoped that increased understanding will lead to services continuing to improve the support they provide.

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神经性厌食症的日间方案治疗到底是什么样的？第2部分：对照顾者反馈的反身性专题分析。

背景：相当大比例的年轻人对NICE推荐的神经性厌食症治疗：家庭治疗（FT-AN）没有反应。越来越多的证据表明，对于传统社区治疗没有受益的年轻人来说，日间方案作为住院治疗的替代方案是有效的。在英国伦敦，莫兹利儿童和青少年饮食失调中心的强化治疗项目（ITP）被发现是有效的。然而，关于参加这种日间项目的年轻人的照料者如何体验的数据有限。方法：在ITP出院后的5年（2018-2023年）期间，通过在线调查对64名护理人员进行匿名反馈。结果：出现了五个主要主题：(1)清晰度和一致性是关键；(2)技能和实际支持；(3)协作关系；(4)变化层次；并不是所有的事情都很好。结论：扩大我们对照顾者经验的理解是很重要的，因为FT-AN模型期望“家庭是一种资源”，照顾者应该“带头管理孩子的饮食”。希望增进了解将导致服务部门继续改进它们所提供的支助。

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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来源期刊

Journal of Eating Disorders Neuroscience-Behavioral Neuroscience

CiteScore

5.30

自引率

17.10%

发文量

161

审稿时长

16 weeks

期刊介绍： Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.