Eating Disorders最新文献_第4页

Exploring restrictive practices in inpatient eating disorder services: a scoping review. 探索住院患者饮食失调服务的限制性做法：范围审查。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-08 DOI: 10.1080/10640266.2026.2692538

Una Foye, Kaylie Sunshine, Helen West, Anna Carnegie, Jessica R Griffiths, Vanessa Kellerman, Geoff Brennan, John Baker, Alan Simpson

{"title":"Exploring restrictive practices in inpatient eating disorder services: a scoping review.","authors":"Una Foye, Kaylie Sunshine, Helen West, Anna Carnegie, Jessica R Griffiths, Vanessa Kellerman, Geoff Brennan, John Baker, Alan Simpson","doi":"10.1080/10640266.2026.2692538","DOIUrl":"10.1080/10640266.2026.2692538","url":null,"abstract":"Restrictive practices (RPs) encompass interventions that limit an individual's freedom, such as restraint, seclusion, and enforced treatment. While widely studied in acute mental health settings, their use within inpatient eating disorder services remains underexplored despite evidence of high prevalence. In addition to these formal restrictive interventions, eating disorder inpatient wards commonly employ structured behavioural rules as part of nutritional rehabilitation programs, including enforced rest periods, supervised meals, locked bathrooms, and limits on fluids or activity. A scoping review methodology following a five-step framework was implemented. Four databases (CINAHL, MEDLINE, Embase, and PsycInfo) were searched. The analysis involved both numerical and narrative synthesis in line with the framework. Thirty-six studies were included. Most originated from the UK, focused on anorexia nervosa, and used quantitative designs, with a substantial proportion conducted in child and adolescent inpatient settings. Common RPs included nasogastric tube feeding under restraint, involuntary admission, and physical restraint. Prevalence varied widely, with a small subset of patients accounting for most RP episodes. RPs were primarily applied in response to medical or nutritional risk rather than aggression, differentiating them from acute psychiatric contexts. Evidence regarding outcomes such as weight restoration, length of stay, and mortality was inconsistent, and RPs were frequently described by patients and staff as distressing, coercive, and potentially traumatic. Findings highlight the distinct nature of RP use in eating disorder settings and the need for context-specific policies, ethical guidance, and intervention strategies to minimize harm while ensuring patient safety.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-44"},"PeriodicalIF":3.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stakeholder views on the proposed criteria for 'terminal anorexia': a mixed-methods study. 利益相关者对“终末期厌食症”拟议标准的看法：一项混合方法研究。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-06 DOI: 10.1080/10640266.2026.2691119

Sara Robb, Anita Federici

{"title":"Stakeholder views on the proposed criteria for 'terminal anorexia': a mixed-methods study.","authors":"Sara Robb, Anita Federici","doi":"10.1080/10640266.2026.2691119","DOIUrl":"https://doi.org/10.1080/10640266.2026.2691119","url":null,"abstract":"The proposed criteria for \"terminal anorexia nervosa\" (T-AN) by Gaudiani et al. (2022) sparked controversy within the eating disorder (ED) community. This study aimed to explore the perspectives of key stakeholders (individuals with lived experience, caregivers, and ED clinicians) on these criteria, which include: (1) an AN diagnosis, (2) age 30 or older, (3) prior engagement in high-quality treatment, and (4) consistent expression of treatment futility by an individual with decision-making capacity. A mixed-methods design was used, with up to 219 participants completing quantitative Likert-scale items and up to 182 completing qualitative open-ended questions. Data were analyzed using descriptive statistics and thematic analysis. Participants expressed more negative views or disagreement with three of the four criteria, particularly the age requirement (22.4% disagreed, 38.8% strongly disagreed). The fourth criteria received the most agreement (21.6% strongly agree, 25.2% agree). Overarching qualitative themes included ethical concerns; potential for harm; respect for autonomy; challenges in determining prognosis, capacity and futility; treatment issues; and the need for systemic reform over terminal labeling. While most were critical of T-AN, a subset of participants expressed support for elements of the framework, particularly in relation to autonomy and the alleviation of suffering. Overall, the data revealed that many participants engaged with the broader question of whether T-AN should be defined at all, rather than only evaluating the proposed criteria. Instead of a terminal prognosis, more participants advocated for systemic changes. These findings underscore the need for clear, consensus-driven terminology and a focus on patient-centered, ethically grounded care.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Welcomed as I am, not as I am expected to be": towards development of peer support for Autistic people with Eating Disorders. “我是受欢迎的，而不是被期待的”：发展对患有饮食失调症的自闭症患者的同伴支持。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-06 DOI: 10.1080/10640266.2026.2691121

Michelle Sader, Nicola Llowarch, Jill Gerlof, Fiona Emmerson, Ellen Maloney, Fiona Duffy, Karri Gillespie-Smith

{"title":"\"Welcomed as I am, not as I am expected to be\": towards development of peer support for Autistic people with Eating Disorders.","authors":"Michelle Sader, Nicola Llowarch, Jill Gerlof, Fiona Emmerson, Ellen Maloney, Fiona Duffy, Karri Gillespie-Smith","doi":"10.1080/10640266.2026.2691121","DOIUrl":"https://doi.org/10.1080/10640266.2026.2691121","url":null,"abstract":"Autistic people with eating disorders (ED) report different experiences and needs for ED treatment with a need to expand what existing support looks like. This qualitative study seeks to investigate the perspectives of Autistic people to examine whether peer support may play a role in ED recovery. Twenty-five Autistic adults with experience of EDs completed a survey enquiring about peer support for their community. Survey answers were analysed using reflexive thematic analysis to generate emerging themes surrounding the perspectives and views towards bespoke peer support. Four identified themes encompass the importance and purpose of peer support for Autistic people with an ED: 1) Peer support to validate the unique considerations for Autistic people with an ED; 2) The importance of peer support to build a positive Autistic identity; 3) 'Welcomed as I am, not as I am expected to be\": Autistic people's hopes for peer support; 4) Where peer support may harm rather than help. This study is the first to establish community-led views towards the importance and purpose underlying peer support for Autistic adults with an ED. Generated themes can serve as an evidence base for future autism-affirming peer support for ED recovery.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Intuitive Eating Scale-3: an examination of its psychometric properties in French-speaking Canadian adults. 直觉饮食量表-3：对讲法语的加拿大成年人的心理测量特性的研究。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-05 DOI: 10.1080/10640266.2026.2680097

Christophe Maïano, Tracy L Tylka, Annie Aimé, Viren Swami

{"title":"The Intuitive Eating Scale-3: an examination of its psychometric properties in French-speaking Canadian adults.","authors":"Christophe Maïano, Tracy L Tylka, Annie Aimé, Viren Swami","doi":"10.1080/10640266.2026.2680097","DOIUrl":"https://doi.org/10.1080/10640266.2026.2680097","url":null,"abstract":"The Intuitive Eating Scale-3 (IES-3) is a new 12-item instrument that provides an updated assessment of intuitive eating, a recognized protective factor of disordered eating. However, the IES-3's psychometric properties have not been assessed outside the parent study. Here, we assessed the psychometric properties of a novel French translation of the IES-3 in 772 French-speaking Canadian adults. Respondents completed the French IES-3 alongside additional measures selected to provide assessments of validity. Exploratory factor analysis with a first split-half subsample showed that a 4-factor model fit the data well. In a second split-half subsample, a bifactor-exploratory structural equation model (B-ESEM) with a G-factor and four S-factors best fit the data. Across subsamples, the 4-factor and B-ESEM models demonstrated gender invariance, and did not show measurement bias in terms of age and body mass index (BMI). Additional analyses showed some variation in intuitive eating as a function of age, BMI, and gender identity. Finally, results supported the composite reliability and convergent and concurrent validity. In sum, the French IES-3 demonstrates strong psychometric properties.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.5,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The experience of Avoidant/Restrictive Food Intake Disorder: a survey of diagnosis, treatment, and care in Australia. 回避/限制性食物摄入障碍的经验：澳大利亚诊断、治疗和护理的调查。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-05 DOI: 10.1080/10640266.2026.2687510

Copeland G Winten, Esben Strodl, Lynda J Ross

{"title":"The experience of Avoidant/Restrictive Food Intake Disorder: a survey of diagnosis, treatment, and care in Australia.","authors":"Copeland G Winten, Esben Strodl, Lynda J Ross","doi":"10.1080/10640266.2026.2687510","DOIUrl":"10.1080/10640266.2026.2687510","url":null,"abstract":"The experience of the Australian healthcare system regarding diagnosis, treatment, management, and care was explored for adults with Avoidant/Restrictive Food Intake Disorder (ARFID) and their family and caregivers. Twenty-nine adults with ARFID and 24 parents completed an online survey asking about their subjective experiences with the Australian healthcare system. The survey data were analysed using thematic analysis, while ARFID characteristics were analysed using frequencies and a secondary analysis of the congruence of perceptions. All participants met diagnostic criteria for ARFID as per the Pica, ARFID, and Rumination Disorder Interview - ARFID Questionnaire. The themes identified were healthcare inequalities, diagnostic overshadowing of ARFID, negative relationships with food/eating, and negative social impacts. A tone of hopelessness was present throughout the responses. The beliefs of the two groups were largely congruent in their negative perceptions, with differences in the degree of negativity regarding views on access to treatment and health professionals' knowledge. The survey responses identified perceptions of significant barriers in the Australian healthcare system and call for improved clinician knowledge and access to treatment and care.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.5,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the role of intolerance of uncertainty and cognitive inflexibility in compulsive exercise in adolescent female athletes and adolescents with eating disorders. 探讨不确定性的不耐受和认知不灵活性在青少年女运动员和青少年饮食失调的强迫性运动中的作用。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-03 DOI: 10.1080/10640266.2026.2694682

Cristina Cuesta-Zamora, María Dolores Gómez-Castillo, Mercedes Esparcia-Moreno, Verónica Escrivá Sáez, José Miguel Latorre, Jorge Javier Ricarte Trives

{"title":"Exploring the role of intolerance of uncertainty and cognitive inflexibility in compulsive exercise in adolescent female athletes and adolescents with eating disorders.","authors":"Cristina Cuesta-Zamora, María Dolores Gómez-Castillo, Mercedes Esparcia-Moreno, Verónica Escrivá Sáez, José Miguel Latorre, Jorge Javier Ricarte Trives","doi":"10.1080/10640266.2026.2694682","DOIUrl":"https://doi.org/10.1080/10640266.2026.2694682","url":null,"abstract":"Evidence examining whether intolerance of uncertainty (IU) and cognitive inflexibility are risk factors for compulsive exercise (CE) remains scarce in athletes and adolescents with eating disorders (EDs). The main aims of this study were twofold: 1) to analyse whether there are significant differences in IU dimensions and cognitive inflexibility between athletes and adolescents with EDs with high CE compared to those with low CE; 2) to explore the associations between IU, cognitive inflexibility and elements of CE. A total of 52 female adolescents with EDs (AN = 29; BN = 5; OSFED = 18) and 72 adolescent female athletes (footballers = 38; dancers = 34) completed self-reported measures of IU, cognitive inflexibility, CE and ED symptoms. Results showed that high CE groups (in both the athlete and ED groups) scored significantly higher in cognitive inflexibility compared to low CE groups. Indeed, cognitive inflexibility remained significantly linked to the CE dimension of avoidance of negative affect, even when controlling for ED symptoms, anxiety and depression. Moreover, in the athlete group, those with high CE scored significantly higher on IU dimensions compared to those with low CE. The findings suggest that cognitive inflexibility and IU may be hallmarks of CE.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-22"},"PeriodicalIF":3.5,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Childhood abuse and neglect are differentially associated with quality of life changes during inpatient treatment for eating disorders. 儿童虐待和忽视与饮食失调住院治疗期间生活质量变化的差异相关。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-03 DOI: 10.1080/10640266.2026.2695319

Paolo Meneguzzo, Enrica Bucci, Anna Pillan, Anna Marzotto, Alice Garolla, Elisa Bonello, Filippo Pettenuzzo, Francesca Buscaglia, Patrizia Todisco

{"title":"Childhood abuse and neglect are differentially associated with quality of life changes during inpatient treatment for eating disorders.","authors":"Paolo Meneguzzo, Enrica Bucci, Anna Pillan, Anna Marzotto, Alice Garolla, Elisa Bonello, Filippo Pettenuzzo, Francesca Buscaglia, Patrizia Todisco","doi":"10.1080/10640266.2026.2695319","DOIUrl":"https://doi.org/10.1080/10640266.2026.2695319","url":null,"abstract":"Quality of life (QoL) is markedly impaired in eating disorders (EDs) and often remains compromised after treatment. Although adverse childhood experiences (ACEs) are linked to ED severity and prognosis, less is known about how specific ACE subtypes are associated with changes in functional outcomes. A sample of 221 cisgender women inpatients with EDs completed the Childhood Trauma Questionnaire (CTQ) and the Eating Disorder Quality of Life questionnaire (EDQoL) at admission and discharge. Moderation models examined whether ACE dimensions were associated with differences in the association between baseline and discharge QoL, adjusting for age, body mass index, and illness duration. Patients showed marked QoL impairment at admission and significant improvement by discharge. Emotional and physical neglect were differentially associated with QoL change patterns: higher emotional neglect was associated with weaker baseline-discharge continuity, whereas higher physical neglect was associated with stronger continuity. Overall, 54% of patients achieved reliable improvement. Abuse-only and neglect-only profiles were associated with a lower likelihood of reliable QoL improvement compared with no CTQ elevation. Specific forms of childhood adversity, particularly neglect, are differentially associated with short-term functional recovery during inpatient treatment for EDs, highlighting the relevance of ACE-informed, subtype-sensitive clinical approaches.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.5,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial. 比较一种新颖的、虚拟的、基于群体的指导自助与非指导自助治疗成人暴食症：一项随机对照试验。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-01 Epub Date: 2025-05-02 DOI: 10.1080/10640266.2025.2497665

Anastasia L Harris, Abraham Nunes, Laura Dixon, Sarrah I Ali, Joel Town, Emilie Lacroix, Susan Gamberg, Aaron Keshen

{"title":"Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.","authors":"Anastasia L Harris, Abraham Nunes, Laura Dixon, Sarrah I Ali, Joel Town, Emilie Lacroix, Susan Gamberg, Aaron Keshen","doi":"10.1080/10640266.2025.2497665","DOIUrl":"10.1080/10640266.2025.2497665","url":null,"abstract":"Binge Focused Therapy (BFT) is a 3-session, group-based, guided self-help treatment for binge-eating disorder (BED). In this parallel-group randomized controlled trial (RCT), adults with BED were randomized to virtual BFT or a traditional unguided self-help approach (Overcoming Binge Eating; Fairburn, 2013). Self-report measures were collected at baseline, week 6, week 10 (posttreatment), 6- and 12-month follow-up. We hypothesized BFT (n = 82) would lead to better BED outcomes and lower dropout than unguided self-help (n = 82). Our intention-to-treat analysis demonstrated a significant effect of treatment group on BED symptomatology (primary outcome; β= - 5.04, p < .001, 95% CI [ - 7.57, - 2.52]), binge frequency (β= - 3.24, p = .001, 95% CI [ - 5.22, - 1.26]), general ED symptomatology (β= - 0.91, p < .001, 95% CI [ - 1.17, - 0.65]), clinical impairment (β= - 6.27, p < .001, 95% CI [ - 8.78, - 3.77]), confidence to change binge eating (β = 1.22, p < .001, 95% CI [0.56, 1.89]), BED remission (OR = 4.98, p = .003, 95% CI [1.72, 14.40]), and treatment attrition (β = 0.456, p < .001), with the BFT group reporting greater improvements and lower dropout. We did not find evidence of a significant effect of group on binge-eating abstinence (OR = 2.01, p = .103, 95% CI [0.87, 4.64]). BFT may be an effective BED treatment that could overcome common barriers to treatment implementation and accessibility.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"414-432"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating the factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in a clinical sample of patients with eating disorders in Mexico. 调查墨西哥饮食失调患者临床样本中饮食失调检查问卷（ed - q）的因素结构。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-01 Epub Date: 2025-03-10 DOI: 10.1080/10640266.2025.2475264

Eva María Trujillo-ChiVacuán, Lorena Pérez, Karen Hutchinson-Segura, Esperanza Leal-Alanis, Paulina González-Garza, Anakaren Guzmán-Arámburo, Dilia Moreno-Saldívar, Anid Cortés-Morales, Emilio J Compte

{"title":"Investigating the factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in a clinical sample of patients with eating disorders in Mexico.","authors":"Eva María Trujillo-ChiVacuán, Lorena Pérez, Karen Hutchinson-Segura, Esperanza Leal-Alanis, Paulina González-Garza, Anakaren Guzmán-Arámburo, Dilia Moreno-Saldívar, Anid Cortés-Morales, Emilio J Compte","doi":"10.1080/10640266.2025.2475264","DOIUrl":"10.1080/10640266.2025.2475264","url":null,"abstract":"Eating Disorders (EDs) in Mexicans have been associated with an elevated psychiatric comorbidity, highlighting the necessity for a reliable assessment tool. However, previous validations of the Eating Disorders Examination Questionnaire (EDE-Q) in Mexico yielded diverse results regarding its underlying factor structure, leading to uncertainty and complexity in understanding its latent models. This study will evaluate multiple previously proposed EDE-Q models in a sample of 173 patients with EDs undergoing various standard-of-care programs in Monterrey, Mexico. Through Confirmatory Factor Analysis, eight models were scrutinized. Different coefficients were considered to assess the internal consistency of the retained model. Concurrent and convergent validity were assessed using measures of EDs, body image, and clinical parameters. A brief 7-item 3-factor model demonstrated the optimal fit to the data. Internal consistency indices, including Cronbach's alpha, Omega and Spearman-Brown coefficients, exhibited adequate values. Concurrent and convergent validity were supported by significant associations with measures of ED, body appreciation, body dissatisfaction, clinical impairment, and depression. This study comprehensively assessed multiple EDE-Q models, identifying a brief 7-item 3-factor model, consistent with previous findings among Mexicans. The establishment of a robust EDE-Q model holds promise for enhancing EDs prevention, treatment, and research efforts in Mexico.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"347-363"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses. 基于证据的预防干预措施在大学校园实施过程中的修改和适应的定性研究。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-07-01 Epub Date: 2025-04-30 DOI: 10.1080/10640266.2025.2497638

Chinwendu Duru, Sarah Kate Bearman, Paul Rohde, Heather Shaw, Eric Stice

{"title":"A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses.","authors":"Chinwendu Duru, Sarah Kate Bearman, Paul Rohde, Heather Shaw, Eric Stice","doi":"10.1080/10640266.2025.2497638","DOIUrl":"10.1080/10640266.2025.2497638","url":null,"abstract":"Rates of eating disorders increase during young adulthood, but access to evidence-based intervention is limited in routine healthcare settings such as on college campuses. A preventive approach and task-shifting eating disorder interventions to peer educators trained by on-campus supervisors might increase access, but may introduce changes as they move further from developer oversight. Modifications are commonplace during implementation in routine care settings; understanding the nature of these modifications can help to clarify whether they improve intervention fit or undermine fidelity. Peer education supervisors from 63 colleges that implemented an evidence-based preventive intervention for eating disorders (Body Project) as part of a larger randomized trial completed semi-structured interviews about modifications made to the Body Project when it was delivered by peer educators. Thematic analyses of the interviews using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) suggested that modifications were primarily fidelity-consistent, adherent, planned/proactive, and made to improve fit with recipients. Results support prior work suggesting that delivery of evidence-based interventions in routine settings may require at least minor modifications to meet recipient needs without compromising fidelity. This study was preregistered with ClinicalTrials: https://clinicaltrials.gov/ct2/show/NCT03409809.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"397-413"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0