Empowering Parent‐Focused Involvement in Early Detection and Treatment of Eating Disorders.

Objective: To critically appraise Sidari et al.'s pilot evaluation of the Strong Foundations programme ‐ a 6‐week pre‐treatment, family‐centred intervention that reconceptualises the waitlist as an active window for support, and to assess whether scalable caregiver interventions can improve clinical...

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Publicado en:European Eating Disorders Review Vol. 34; no. 3; pp. 643 - 648
Autores principales: Prema, Suriyaraj Shanmugasundaram, Shanmugamprema, Deepankumar
Formato: review Journal Article
Publicado: Wiley-Blackwell May2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Eating Disorders Review
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      dt: May2026
      vid: 34
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        189515105
        192765397
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        10.1002/erv.70060
        192765397
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        atl: Empowering Parent‐Focused Involvement in Early Detection and Treatment of Eating Disorders.
      aug:
        au:
          Prema, Suriyaraj Shanmugasundaram
          Shanmugamprema, Deepankumar
        affil: Department of Biotechnology, Rathinam Technical Campus, Rathinam Techzone, Coimbatore Tamil Nadu,, India
      sug:
        subj:
          Empowerment
          Early Diagnosis
          Early Intervention
          Family Centered Care
          Eating Disorders Therapy
          Eating Disorders Diagnosis
          Parents Psychosocial Factors
          Parents Education
          Waiting Lists
          Support, Psychosocial
          Caregivers Psychosocial Factors
          Patient Compliance
          Program Evaluation
          Confidence
          Self-Efficacy
          Psychoeducation
          Psychopathology
          Health Services Accessibility
          Mental Health Services
          Motivation
          Primary Health Care
          Telehealth
          Health Care Delivery
          Multidisciplinary Care Team
          Depression Psychosocial Factors
          Anxiety Psychosocial Factors
          Parent-Child Relations
          Implementation Science
          Digital Health
          Adolescence
          Motivational Interviewing
          Health Care Costs
          Eating Behavior
          Health Food
          Adolescent: 13-18 years
      ab: Objective: To critically appraise Sidari et al.'s pilot evaluation of the Strong Foundations programme ‐ a 6‐week pre‐treatment, family‐centred intervention that reconceptualises the waitlist as an active window for support, and to assess whether scalable caregiver interventions can improve clinical outcomes and treatment engagement. Method: Critical synthesis of the pilot study's design, implementation, and outcomes. The programme delivered structured psychoeducation to parents alongside specialist medical oversight for adolescents during the pre‐treatment period. We summarise reported process and clinical indicators, assess methodological strengths and limitations, and explore adaptations such as digital delivery, peer co‐facilitation and primary care integration within stepped‐care frameworks. Results: Participating parents reported increased caregiving confidence and understanding of treatment pathways. Adolescents demonstrated preliminary improvements in BMI, affective symptoms and eating‐disorder psychopathology. Strengths included focus on an overlooked treatment interval and integrated medical support; limitations included small sample size, absence of a control condition, selection bias, and brief follow‐up. Proposed adaptations may increase scalability while preserving family‐centred elements. Conclusions: Reframing waitlists as active therapeutic intervals via brief, caregiver‐focused interventions are promising for improving early outcomes, uptake and retention. Larger, controlled trials of condensed and digitally enabled formats are needed to establish effectiveness, cost‐effectiveness, implementation feasibility and generalisability. Highlights: Parent‐focused pre‐treatment workshops (e.g., Strong Foundations) are feasible and may boost caregiver knowledge and self‐efficacy, though current evidence needs cautious interpretation.Recommend a pragmatic 60–90 min parent workshop with digital pre‐work and brief boosters within a stepped‐care pathway.Future work should use randomized designs, embedded mixed‐methods process evaluations, and implementation frameworks (e.g., RE‐AIM) to test effectiveness and scalability.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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