从权宜之计到机会:在一个精心设计的远程饮食失调治疗项目中,跨年龄组的结果。

IF 3.5 3区 医学 Q2 PSYCHIATRY
Caitlin B Shepherd, Hannah Wolfe, Rebecca G Boswell, Jessica Genet, Wendy Oliver-Pyatt
{"title":"从权宜之计到机会:在一个精心设计的远程饮食失调治疗项目中,跨年龄组的结果。","authors":"Caitlin B Shepherd, Hannah Wolfe, Rebecca G Boswell, Jessica Genet, Wendy Oliver-Pyatt","doi":"10.1080/10640266.2025.2534803","DOIUrl":null,"url":null,"abstract":"<p><p>Telehealth-based intermediate level of care programs for eating disorders largely yield comparable outcomes to in-person settings. However, extant research is primarily based on programs that transitioned to virtual formats in response to the COVID-19 pandemic, rather than those intentionally designed for remote delivery. Additional research is needed to evaluate programs specifically created for telehealth environments (i.e. intentionally-remote) and to understand how outcomes vary across age groups. In this retrospective chart review, clinical outcomes at end-of-treatment for 116 patients enrolled in an intentionally-remote eating disorder treatment program were analyzed, including eating disorder symptomatology, quality of life impairment, depressive symptoms, trait anxiety, body mass index, and percentage of ideal body weight. Mixed ANOVAs revealed significant improvements (<i>p</i>s < .001) from admission to discharge across all outcomes with large effects and no interaction by age, suggesting similar effectiveness across groups. By discharge, mean eating disorder symptomatology scores were below the clinical cut-off, quality of life impairment was within the minor to moderate range, depressive symptoms were mild, and weight restoration benchmarks were achieved for all age groups. While these findings support the potential of remote care as an accessible means of offering effective eating disorder treatment, further research is needed to determine generalizability to diverse populations, assess the impact of program features, and examine longitudinal outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"From stopgap to opportunity: outcomes across age groups in an intentionally designed, remote eating disorder treatment program.\",\"authors\":\"Caitlin B Shepherd, Hannah Wolfe, Rebecca G Boswell, Jessica Genet, Wendy Oliver-Pyatt\",\"doi\":\"10.1080/10640266.2025.2534803\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Telehealth-based intermediate level of care programs for eating disorders largely yield comparable outcomes to in-person settings. However, extant research is primarily based on programs that transitioned to virtual formats in response to the COVID-19 pandemic, rather than those intentionally designed for remote delivery. Additional research is needed to evaluate programs specifically created for telehealth environments (i.e. intentionally-remote) and to understand how outcomes vary across age groups. In this retrospective chart review, clinical outcomes at end-of-treatment for 116 patients enrolled in an intentionally-remote eating disorder treatment program were analyzed, including eating disorder symptomatology, quality of life impairment, depressive symptoms, trait anxiety, body mass index, and percentage of ideal body weight. Mixed ANOVAs revealed significant improvements (<i>p</i>s < .001) from admission to discharge across all outcomes with large effects and no interaction by age, suggesting similar effectiveness across groups. By discharge, mean eating disorder symptomatology scores were below the clinical cut-off, quality of life impairment was within the minor to moderate range, depressive symptoms were mild, and weight restoration benchmarks were achieved for all age groups. While these findings support the potential of remote care as an accessible means of offering effective eating disorder treatment, further research is needed to determine generalizability to diverse populations, assess the impact of program features, and examine longitudinal outcomes.</p>\",\"PeriodicalId\":48835,\"journal\":{\"name\":\"Eating Disorders\",\"volume\":\" \",\"pages\":\"1-17\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10640266.2025.2534803\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10640266.2025.2534803","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

以远程医疗为基础的饮食失调中级护理方案在很大程度上产生了与面对面设置相当的结果。然而,现有的研究主要基于为应对COVID-19大流行而过渡到虚拟格式的项目,而不是专门为远程交付而设计的项目。需要进一步的研究来评估专门为远程保健环境(即故意远程)制定的方案,并了解不同年龄组的结果如何不同。在这一回顾性图表回顾中,我们分析了116名患者在治疗结束时的临床结果,包括饮食失调症状、生活质量损害、抑郁症状、特质焦虑、体重指数和理想体重百分比。混合方差分析显示显著改善(ps
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From stopgap to opportunity: outcomes across age groups in an intentionally designed, remote eating disorder treatment program.

Telehealth-based intermediate level of care programs for eating disorders largely yield comparable outcomes to in-person settings. However, extant research is primarily based on programs that transitioned to virtual formats in response to the COVID-19 pandemic, rather than those intentionally designed for remote delivery. Additional research is needed to evaluate programs specifically created for telehealth environments (i.e. intentionally-remote) and to understand how outcomes vary across age groups. In this retrospective chart review, clinical outcomes at end-of-treatment for 116 patients enrolled in an intentionally-remote eating disorder treatment program were analyzed, including eating disorder symptomatology, quality of life impairment, depressive symptoms, trait anxiety, body mass index, and percentage of ideal body weight. Mixed ANOVAs revealed significant improvements (ps < .001) from admission to discharge across all outcomes with large effects and no interaction by age, suggesting similar effectiveness across groups. By discharge, mean eating disorder symptomatology scores were below the clinical cut-off, quality of life impairment was within the minor to moderate range, depressive symptoms were mild, and weight restoration benchmarks were achieved for all age groups. While these findings support the potential of remote care as an accessible means of offering effective eating disorder treatment, further research is needed to determine generalizability to diverse populations, assess the impact of program features, and examine longitudinal outcomes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信