Dietary interventions in family-based treatment for eating disorders: results of a randomized comparative effectiveness study.
Family-based treatment (FBT) is a first-line treatment for adolescents with eating disorders (ED's) for which weight gain early in treatment and caregiver empowerment are predictive of success. A variety of dietary interventions are used in practice, but little is known about their effectiveness. We...
| Publicado en: | Eating Disorders Vol. 32; no. 5; pp. 525 - 546 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep/Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179769508&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179769508 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10640266 C9I jtl: Eating Disorders issn: 10640266 maglogo: N pubinfo: dt: Sep/Oct2024 vid: 32 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 179769508 176485048 179769508 179769508 10.1080/10640266.2024.2336278 179769508 ppf: 525 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Dietary interventions in family-based treatment for eating disorders: results of a randomized comparative effectiveness study. aug: au: Hellner, Megan Steinberg, Dori Baker, Jessica Cai, Kelly Freestone, Dave affil: Research Department, Equip Health, Carlsbad, California, USA sug: subj: Diet Eating Disorders Therapy Family Therapy Treatment Outcomes Weight Gain Feeding Methods Human Empowerment Food Intake Caregivers Confidence Dietitians Young Adult Random Assignment Scales Semi-Structured Interview Chi Square Test T-Tests Thematic Analysis Child Adolescence Adult Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years ab: Family-based treatment (FBT) is a first-line treatment for adolescents with eating disorders (ED's) for which weight gain early in treatment and caregiver empowerment are predictive of success. A variety of dietary interventions are used in practice, but little is known about their effectiveness. We compared clinical outcomes of patients (N = 100) undergoing eating disorder treatment, and user experience across two virtually delivered interventions: (1) Daily calorie target and (2) Plate-by-Plate™ approach. The calorie group gained more weight on average, though the difference was small (β = 1.62 [−0.02, 3.26]). Participants in both groups improve their eating disorder symptoms at roughly the same rate (β = 0.09 [−0.83, 1.04]). Caregivers in the Plate-by-Plate group increased confidence at a slower rate (β = 0.05 [−0.002, 0.09]). Caregivers rated the daily calorie target as more effective (β = 2.18 [0.94, 3.6]), and rated the two approaches equally for ease of use (β = -0.73 [−1.92, 0.48]). The daily calorie target approach was rated as more effective and was preferred overall by caregivers and dietitians. Findings challenge long-standing assumptions underlying FBT and suggest that clinicians should consider using a calorie framework with caregivers to guide renourishment efforts. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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