Watt Jaclyn, Dickens Geoffrey L
Specialist Children's Services, NHS Greater Glasgow & Clyde, Glasgow, UK.
Division of Mental Health Nursing and Counselling, Abertay University, Dundee, UK.
J Child Adolesc Psychiatr Nurs. 2018 Feb;31(1):30-38. doi: 10.1111/jcap.12206. Epub 2018 Aug 29.
Community-based mealtime management is an intensive, focused, and time-limited intervention for young people with an eating disorder which aims to support refeeding at home and thus prevent hospital admission. Little is known about clinicians' experiences of delivering this intervention. We aimed to explore mental health clinicians' perspectives on community mealtime management with children and adolescents diagnosed with an eating disorder.
A qualitative design was used. Semistructured interviews were conducted with six mental health clinicians with experience of delivering or referral for the intervention. Interview recordings were transcribed and subjected to a thematic analysis.
Analysis resulted in identification of three themes: (a) technical aspects of mealtime management, (b) emotional aspects of mealtime management, and (c) a mixed zone of uncertainty around the use of dietary supplements. Overall, participants believed mealtime management to be a valuable intervention.
Findings highlight the perceived need for more formal training for clinicians undertaking mealtime management, and the positive impact this could potentially have on their practice. Clinicians' emotion regulation during intervention delivery was perceived to be important. There was a perceived need for greater adherence to protocols but an acceptance that flexibility was also required.
基于社区的进餐时间管理是针对饮食失调青少年的一种强化、集中且限时的干预措施，旨在支持在家重新进食，从而避免住院治疗。关于临床医生实施这种干预措施的经验，人们了解甚少。我们旨在探讨心理健康临床医生对为被诊断患有饮食失调症的儿童和青少年进行社区进餐时间管理的看法。
采用定性设计。对六位有实施或转介该干预措施经验的心理健康临床医生进行了半结构化访谈。访谈录音被转录并进行了主题分析。
分析确定了三个主题：（a）进餐时间管理的技术方面，（b）进餐时间管理的情感方面，以及（c）围绕膳食补充剂使用的不确定混合区域。总体而言，参与者认为进餐时间管理是一项有价值的干预措施。
研究结果凸显了对进行进餐时间管理的临床医生进行更正规培训的必要性，以及这可能对他们的实践产生的积极影响。人们认为临床医生在实施干预过程中的情绪调节很重要。人们认为需要更严格地遵守方案，但也认可灵活性的必要性。
