英国饮食失调服务机构中PEACE途径的实施见解。
Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services.
作者信息
Tchanturia Kate, Chubinidze Dimitri, Duffy Fiona, Nimbley Emy, Li Zhuo, Holliday Joanna
机构信息
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
Eating Disorders Unit, South London and Maudsley NHS Foundation Trust, London SE5 8AZ, UK.
出版信息
Nutrients. 2025 Apr 30;17(9):1532. doi: 10.3390/nu17091532.
BACKGROUND/OBJECTIVES: Autistic individuals with eating disorders (ED) face socio-emotional, sensory, and communication difficulties that influence engagement and treatment outcomes. We examined how the PEACE Pathway-an autism-informed approach to ED treatment-addresses these challenges through tailored adaptations in clinical care.
METHODS
A qualitative multiple case studies design was employed, drawing data from clinical documentation, stakeholder feedback, and service evaluations.
RESULTS
We identified eight core domains essential for implementation: pathway knowledge, assessment and planning, psychological interventions, sensory management, nutritional care, lived-experience feedback, family/community engagement, and staff training. These domains informed the development of the PEACE Self-Assessment Checklist to support the wider adoption of the pathway.
CONCLUSIONS
The PEACE Pathway offers a structured approach to adapting ED treatment for autistic individuals. The checklist provides practical guidance for implementing autism-friendly adaptions.
背景/目的：患有饮食失调（ED）的自闭症患者面临社会情感、感官和沟通方面的困难，这些困难会影响治疗参与度和治疗效果。我们研究了PEACE途径——一种了解自闭症情况的ED治疗方法——如何通过临床护理中的量身定制来应对这些挑战。
方法
采用定性多案例研究设计，从临床记录、利益相关者反馈和服务评估中提取数据。
结果
我们确定了实施该途径必不可少的八个核心领域：途径知识、评估与规划、心理干预、感官管理、营养护理、生活经验反馈、家庭/社区参与和工作人员培训。这些领域为制定PEACE自我评估清单提供了依据，以支持该途径的更广泛采用。
结论
PEACE途径为调整针对自闭症患者的ED治疗提供了一种结构化方法。该清单为实施适合自闭症患者的调整提供了实用指导。
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