Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Eur Eat Disord Rev. 2023 May;31(3):433-442. doi: 10.1002/erv.2970. Epub 2023 Feb 9.
To assess self-reported knowledge and confidence regarding avoidant restrictive food intake disorder (ARFID) diagnosis and treatment in Swedish clinicians from various disciplines.
The study included 489 clinicians who attended educational lectures about ARFID. Participants responded to 20 ARFID-related questions and statements using the online audience engagement platform Mentimeter. Items assessed ARFID-related knowledge, education, and experience, as well as treatment methods offered to ARFID patients at clinicians' healthcare units.
We found predominantly correct responses to three basic knowledge-based items about ARFID. However, most participants (64.0%) reported never having received education about ARFID, and few participants reported feeling confident in their ability to diagnose (13.4%) and treat (10.7%) ARFID. Nearly half the sample reported either not knowing which ARFID treatments their unit offered (22.3%) or that no treatment was offered (21.3%).
Experience and confidence in diagnosing and treating ARFID are generally low in Swedish clinicians, and many individuals with ARFID do not receive treatment. We identify a pressing need for resources, clearer organisation, and structure, and for additional education and training opportunities for clinicians meeting individuals with ARFID.
评估来自不同学科的瑞典临床医生对回避性限制型食物摄入障碍（ARFID）诊断和治疗的自我报告知识和信心。
本研究纳入了 489 名参加 ARFID 教育讲座的临床医生。参与者使用在线观众参与平台 Mentimeter 对 20 个与 ARFID 相关的问题和陈述进行了回答。项目评估了与 ARFID 相关的知识、教育和经验，以及临床医生医疗单位为 ARFID 患者提供的治疗方法。
我们发现，有三个关于 ARFID 的基本知识项目的回答主要是正确的。然而，大多数参与者（64.0%）报告从未接受过 ARFID 方面的教育，很少有参与者表示对自己诊断（13.4%）和治疗（10.7%）ARFID 的能力有信心。近一半的样本报告说，他们不知道自己单位提供哪些 ARFID 治疗方法（22.3%），或者根本没有提供治疗（21.3%）。
瑞典临床医生在诊断和治疗 ARFID 方面的经验和信心普遍较低，许多 ARFID 患者未得到治疗。我们发现，迫切需要为遇到 ARFID 患者的临床医生提供资源、更清晰的组织和结构，以及更多的教育和培训机会。
