Reach Out and Recover: Intentions to seek treatment in individuals using online support for eating disorders.


Journal

The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226

Informations de publication

Date de publication:
10 2019
Historique:
received: 15 01 2019
revised: 19 06 2019
accepted: 21 06 2019
pubmed: 13 7 2019
medline: 15 2 2020
entrez: 13 7 2019
Statut: ppublish

Résumé

The aim of this study was to explore characteristics and treatment-seeking intentions of consumers accessing an online resource for eating disorders support, Reach Out and Recover (ROAR). Factors associated with treatment-seeking intent among visitors to ROAR were also examined. Participants were 200 visitors to the website aged 18 to 60 plus. The majority of participants (93.5%) identified as women. Responses to self-report questions assessing treatment-seeking intention, eating disorder symptoms and their impact on health, and attitudes to treatment were collected. Participants experienced a range of eating disorder symptoms, yet the majority (86.0%) was not receiving treatment. Importantly, of those not in treatment, the majority (82.6%) indicated that they planned to get treatment. In addition, more than half of participants (52.9%) downloaded a report to present to their health practitioner to facilitate communication with a health professional. Intention to seek treatment and download of the report were positively associated with motivation to change, confidence to achieve change, greater frequency of binge eating, and greater recognition of the impact of eating disorder symptoms on relationships and well-being but not with stigma or ambivalence. Study findings indicated that the ROAR website was accessed by individuals for whom it was designed, namely those experiencing eating disorder symptoms who are not receiving treatment. Encouragingly, participants had strong intentions to seek treatment, and the majority downloaded a report that could be used to facilitate the first step toward treatment. Greater focus on enhancing motivation and confidence to change may further promote treatment-seeking.

Identifiants

pubmed: 31298791
doi: 10.1002/eat.23133
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1137-1149

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Références

Aardoom, J. J., Dingemans, E. A., Spinhoven, P., van Ginkel, R. J., de Rooij, M., & van Furth, F. E. (2016). Web-based fully automated self-help with different levels of therapist support for individuals with eating disorder symptoms: A randomized controlled trial. Journal of Medical Internet Research, 18, e159. https://doi.org/10.2196/jmir.5709
Ali, K., Farrer, L., Fassnacht, D. B., Gulliver, A., Bauer, S., & Griffiths, K. M. (2017). Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review. International Journal of Eating Disorders, 50, 9-21. https://doi.org/10.1002/eat.22598
Angst, J., Gamma, A., Clarke, D., Ajdacic-Gross, V., Rössler, W., & Regier, D. (2010). Subjective distress predicts treatment seeking for depression, bipolar, anxiety, panic, neurasthenia and insomnia severity spectra. Acta Psychiatrica Scandinavica, 122, 488-498. https://doi.org/10.1111/j.1600-0447.2010.01580.x
Australian Bureau of Statitstics. (2018). Australian demographic statistics (3101.0). Retrieved from https://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/3101.0Sep%202018?OpenDocument
Bauer, S., Moessner, M., Wolf, M., Haug, S., & Kordy, H. (2009). ES[S]PRIT-An internet-based programme for the prevention and early intervention of eating disorders in college students. British Journal of Guidance & Counselling, 37, 327-336. https://doi.org/10.1080/03069880902957049
Bauer, S., Papezova, H., Chereches, R., Caselli, G., McLoughlin, O., Szumska, I., … Moessner, M. (2013). Advances in the prevention and early intervention of eating disorders: The potential of internet-delivered approaches. Mental Health & Prevention, 1, 26-32. https://doi.org/10.1016/j.mhp.2013.10.003
Cachelin, F. M., & Striegel-Moore, R. H. (2006). Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. International Journal of Eating Disorders, 39, 154-161. https://doi.org/10.1002/eat.20213
Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., & Brown, C. (2010). Mental health treatment seeking among older adults with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18, 531-543. https://doi.org/10.1097/JGP.0b013e3181cc0366
Currin, L., Waller, G., & Schmidt, U. (2009). Primary care physicians' knowledge of and attitudes toward the eating disorders: Do they affect clinical actions? International Journal of Eating Disorders, 42, 453-458. https://doi.org/10.1002/eat.20636
DeBar, L. L., Yarborough, B. J., Striegel-Moore, R. H., Rosselli, F., Perrin, N., Wilson, G. T., … Lynch, F. (2009). Recruitment for a guided self-help binge eating trial: Potential lessons for implementing programs in everyday practice settings. Contemporary Clinical Trials, 30, 326-333. https://doi.org/10.1016/j.cct.2009.02.007
Evans, E. J., Hay, P. J., Mond, J., Paxton, S. J., Quirk, F., Rodgers, B., … Sawoniewska, M. A. (2011). Barriers to help-seeking in young women with eating disorders: A qualitative exploration in a longitudinal community survey. Eating Disorders: The Journal of Treatment & Prevention, 19, 270-285. https://doi.org/10.1080/10640266.2011.566152
Fitzsimmons-Craft, E. E., Balantekin, K. N., Graham, A. K., Smolar, L., Park, D., Mysko, C., … Wilfley, D. E. (2019). Results of disseminating an online screen for eating disorders across the U.S.: Reach, respondent characteristics, and unmet treatment need. International Journal of Eating Disorders, 52, 721-729. https://doi.org/10.1002/eat.23043
Griffiths, S., Rossell, S. L., Mitchison, D., Murray, S. B., & Mond, J. M. (2018). Pathways into treatment for eating disorders: A quantitative examination of treatment barriers and treatment attitudes. Eating Disorders: The Journal of Treatment & Prevention, 26, 556-574. https://doi.org/10.1080/10640266.2018.1518086
Grillot, C. L., & Keel, P. K. (2018). Barriers to seeking treatment for eating disorders: The role of self-recognition in understanding gender disparities in who seeks help. International Journal of Eating Disorders, 51, 1285-1289. https://doi.org/10.1002/eat.22965
Hart, L. M., Granillo, M. T., Jorm, A. F., & Paxton, S. J. (2011). Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clinical Psychology Review, 31, 727-735. https://doi.org/10.1016/j.cpr.2011.03.004
Hay, P., Mitchison, D., Collado, A. E. L., González-Chica, D. A., Stocks, N., & Touyz, S. (2017). Burden and health-related quality of life of eating disorders, including avoidant/restrictive food intake disorder (ARFID), in the Australian population. Journal of Eating Disorders, 5, 21. https://doi.org/10.1186/s40337-017-0149-z
Hengartner, M. P., Angst, F., Ajdacic-Gross, V., Rössler, W., & Angst, J. (2016). Treated versus non-treated subjects with depression from a 30-year cohort study: Prevalence and clinical covariates. European Archives of Psychiatry and Clinical Neuroscience, 266, 173-180. https://doi.org/10.1007/s00406-015-0646-5
Hepworth, N. S., & Paxton, S. J. (2007). Pathways to help-seeking in bulimia nervosa and binge eating problems: A concept mapping approach. International Journal of Eating Disorders, 40, 493-504.
Innes, N. T., Clough, B. A., & Casey, L. M. (2017). Assessing treatment barriers in eating disorders: A systematic review. Eating Disorders, 25, 1-21. https://doi.org/10.1080/10640266.2016.1207455
Jennings, K. S., Cheung, J. H., Britt, T. W., Goguen, K. N., Jeffirs, S. M., Peasley, A. L., & Lee, A. C. (2015). How are perceived stigma, self-stigma, and self-reliance related to treatment-seeking? A three-path model. Psychiatric Rehabilitation Journal, 38, 109-116. https://doi.org/10.1037/prj0000138
Jennings, K. S., Goguen, K. N., Britt, T. W., Jeffirs, S. M., Wilkes, J. R., III, Brady, A. R., … DiMuzio, D. J. (2017). The role of personality traits and barriers to mental health treatment seeking among college students. Psychological Services, 14, 513-523. https://doi.org/10.1037/ser0000157
Jones, W. R., Saeidi, S., & Morgan, J. F. (2013). Knowledge and attitudes of psychiatrists towards eating disorders. European Eating Disorders Review, 21, 84-88. https://doi.org/10.1002/erv.2155
Kazdin, A. E., Fitzsimmons-Craft, E. E., & Wilfley, D. E. (2017). Addressing critical gaps in the treatment of eating disorders. International Journal of Eating Disorders, 50, 170-189. https://doi.org/10.1002/eat.22670
Keshen, A., Helson, T., Town, J., & Warren, K. (2017). Self-efficacy as a predictor of treatment outcome in an outpatient eating disorder program. Eating Disorders, 25, 406-419. https://doi.org/10.1080/10640266.2017.1324073
Leavey, G., Vallianatou, C., Johnson-Sabine, E., Rae, S., & Gunputh, V. (2011). Psychosocial barriers to engagement with an eating disorder service: A qualitative analysis of failure to attend. Eating Disorders, 19, 425-440. https://doi.org/10.1080/10640266.2011.609096
Lindenberg, K., Moessner, M., Harney, J., McLaughlin, O., & Bauer, S. (2011). E-health for individualized prevention of eating disorders. Clinical Practice and Epidemiology in Mental Health, 7, 74-83.
Melioli, T., Bauer, S., Franko, D. L., Moessner, M., Ozer, F., Chabrol, H., & Rodgers, R. F. (2016). Reducing eating disorder symptoms and risk factors using the internet: A meta-analytic review. International Journal of Eating Disorders, 49, 19-31. https://doi.org/10.1002/eat.22477
Moessner, M., Minarik, C., Özer, F., & Bauer, S. (2016). Can an internet-based program for the prevention and early intervention in eating disorders facilitate access to conventional professional healthcare? Journal of Mental Health, 25, 441-447. https://doi.org/10.3109/09638237.2016.1139064
O'Connor, P. J., Martin, B., Weeks, C. S., & Ong, L. (2014). Factors that influence young people's mental health help-seeking behaviour: A study based on the health belief model. Journal of Advanced Nursing, 70, 2577-2587. https://doi.org/10.1111/jan.12423
Parslow, R. A., Lewis, V., & Marsh, G. (2011). The general practitioner's role in providing mental health services to Australians, 1997 and 2007: Findings from the national surveys of mental health and wellbeing. Medical Journal of Australia, 195, 205-209. https://doi.org/10.5694/j.1326-5377.2011.tb03282.x
Pettersen, G., & Rosenvinge, J. H. (2002). Improvement and recovery from eating disorders: A patient perspective. Eating Disorders, 10, 61-71.
Pinto, A. M., Heinberg, L. J., Coughlin, J. W., Fava, J. L., & Guarda, A. S. (2008). The Eating Disorder Recovery Self-Efficacy Questionnaire (EDRSQ): Change with treatment and prediction of outcome. Eating Behaviors, 9, 143-153. https://doi.org/10.1016/j.eatbeh.2007.07.001
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19, 276-288. https://doi.org/10.1037/h0088437
Regan, P., Cachelin, F. M., & Minnick, A. M. (2017). Initial treatment seeking from professional health care providers for eating disorders: A review and synthesis of potential barriers to and facilitators of “first contact”. International Journal of Eating Disorders, 50, 190-209. https://doi.org/10.1002/eat.22683
Reyes-Rodríguez, M. L., Ramírez, J., Davis, K., Patrice, K., & Bulik, C. M. (2013). Exploring barriers and facilitators in eating disorders treatment among Latinas in the United States. Journal of Latina/o Psychology, 1, 112-131. https://doi.org/10.1037/a0032318
Striegel Weissman, R., & Rosselli, F. (2017). Reducing the burden of suffering from eating disorders: Unmet treatment needs, cost of illness, and the quest for cost-effectiveness. Behaviour Research and Therapy, 88, 49-64. https://doi.org/10.1016/j.brat.2016.09.006
Taylor, C., Bryson, S., Luce, K. H., Cunning, D., Doyle, A. C., Abascal, L. B., … Wilfley, D. E. (2006). Prevention of eating disorders in at-risk college-age women. Archives of General Psychiatry, 63, 881-888.
Vitousek, K., Watson, S., & Wilson, G. T. (1998). Enhancing motivation for change in treatment-resistant eating disorders. Clinical Psychology Review, 18, 391-420. https://doi.org/10.1016/S0272-7358(98)00012-9
Wade, N. G., Vogel, D. L., Armistead-Jehle, P., Meit, S. S., Heath, P. J., & Strass, H. A. (2015). Modeling stigma, help-seeking attitudes, and intentions to seek behavioral healthcare in a clinical military sample. Psychiatric Rehabilitation Journal, 38, 135-141. https://doi.org/10.1037/prj0000131
Wilksch, S. M., O'Shea, A., Taylor, C. B., Wilfley, D., Jacobi, C., & Wade, T. D. (2017). Online prevention of disordered eating in at-risk young-adult women: A two-country pragmatic randomized controlled trial. Psychological Medicine, 48, 1-11. https://doi.org/10.1017/S0033291717003567

Auteurs

Siân A McLean (SA)

Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.
School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Victorian Centre of Excellence in Eating Disorders, Melbourne Health, Melbourne, Victoria, Australia.

Belinda Caldwell (B)

Victorian Centre of Excellence in Eating Disorders, Melbourne Health, Melbourne, Victoria, Australia.

Michelle Roberton (M)

Victorian Centre of Excellence in Eating Disorders, Melbourne Health, Melbourne, Victoria, Australia.

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