School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, Australia.
Eating Disorders and Nutrition Research Group (ENRG), Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Int J Eat Disord. 2024 Jan;57(1):116-123. doi: 10.1002/eat.24084. Epub 2023 Oct 30.
Across healthcare broadly, team treatment approaches range from siloed multidisciplinary treatment to synergistic Interprofessional Collaborative Practice (IPCP), with IPCP increasingly favored. In eating disorders, clinical practice guidelines endorse team outpatient treatment, and these approaches are widely used in clinical practice. However, there is limited evidence to describe attitudes toward and experiences of team approaches, including IPCP, among individuals with a lived experience.
Twenty-seven participants (aged 20-51 years) with a formal eating disorder diagnosis were recruited. Each had received outpatient eating disorder treatment from a team or teams comprising a mental health professional, dietitian, and general practitioner (GP) in the past 2 years. Qualitative data were collected via semi-structured interviews and analyzed using Braun and Clarke's reflexive thematic analysis.
Four themes were derived from the qualitative analysis. Themes included: (1) working together is better; (2) the linchpin of teamwork is communication; (3) teams should foster autonomy with limit-setting; and (4) systemic failures negatively affect team treatment. Participants favored highly collaborative treatment from a team including a mental health professional, dietitian, and GP at a minimum, where the team engaged in high-quality communication and fostered autonomy with limit-setting. Systemic failures negatively affecting team treatment were reported across the care continuum.
Findings endorse the application of IPCP to outpatient eating disorder treatment as a strategy to improve treatment satisfaction, engagement, and outcomes. Given the paucity of evidence exploring IPCP in this field, however, the development and evaluation of interprofessional education and treatment models is a foundational necessity.
Team eating disorder treatment is widely used in clinical practice, although there is limited evidence to guide interventions. This study explores attitudes toward and experiences of team outpatient eating disorder treatment among individuals with a lived experience. Understanding preferred team treatment characteristics delivers important information to improve treatment satisfaction, engagement, and outcomes for individuals receiving outpatient eating disorder treatment.
在整个医疗保健领域，团队治疗方法从多学科治疗的孤立模式到协同的跨专业协作实践（IPC）不等，IPC 越来越受到青睐。在饮食失调中，临床实践指南支持团队门诊治疗，这些方法在临床实践中广泛使用。然而，对于具有生活体验的个体而言，关于团队方法（包括 IPC）的态度和经验，目前仅有有限的证据来描述。
招募了 27 名（年龄 20-51 岁）有正式饮食失调诊断的参与者。他们过去 2 年内都曾接受过由精神健康专业人员、营养师和全科医生（GP）组成的团队或团队的门诊饮食失调治疗。通过半结构化访谈收集定性数据，并使用 Braun 和 Clarke 的反思性主题分析进行分析。
从定性分析中得出了四个主题。主题包括：（1）共同工作更好；（2）团队合作的关键是沟通；（3）团队应在设定限制的同时促进自主性；（4）系统故障对团队治疗产生负面影响。参与者赞成由精神健康专业人员、营养师和 GP 组成的高度协作的团队治疗，团队内进行高质量的沟通，并促进自主性和设定限制。整个医疗保健连续体都报告了系统故障对团队治疗的负面影响。
研究结果支持将 IPC 应用于门诊饮食失调治疗作为一种提高治疗满意度、参与度和结果的策略。然而，鉴于在这一领域探索 IPC 的证据有限，因此开发和评估跨专业教育和治疗模式是基础必要的。
团队饮食失调治疗在临床实践中广泛使用，尽管目前仅有有限的证据可以指导干预措施。本研究探讨了具有生活体验的个体对门诊饮食失调治疗团队的态度和经验。了解首选的团队治疗特征为接受门诊饮食失调治疗的个体提供了重要信息，可提高治疗满意度、参与度和结果。
