Pilot assessment of a virtual intensive outpatient program for adults with eating disorders.


Journal

European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977

Informations de publication

Date de publication:
11 2020
Historique:
received: 06 05 2020
revised: 28 07 2020
accepted: 02 08 2020
pubmed: 28 8 2020
medline: 27 2 2021
entrez: 27 8 2020
Statut: ppublish

Résumé

Access to evidence-based treatment for eating disorders is severely limited by patient barriers and available clinician training. While clinical parameters often point to the need for a high level of care, patients may resist pursuing higher levels of care due to these barriers. One option that might mitigate such obstacles is the provision of a higher level of care via internet-based treatment for eating disorders. We sought to determine the feasibility, acceptability, and preliminary clinical outcomes associated with treatment of eating disorders through virtual intensive outpatient programming (VIOP). Fifty-seven patients meeting DSM-5 criteria for an eating disorder participated in VIOP. Of the 57 patients in VIOP treatment, 3 did not complete voluntary measures at admission or discharge, and 9 additional patients did not complete voluntary measures at discharge. Overall, 45 VIOP patients completed admission and discharge assessments, including a net promoter score (NPS) question assessing patient acceptability. Recruitment, treatment adherence, and completion of assessments in VIOP were feasible and acceptable. VIOP patients showed significant and clinically meaningful improvements in all outcomes measured, including self-reported eating disorder symptoms, depression, self-esteem, quality of life, and overall satisfaction. VIOP appears feasible, acceptable, and evidences clinically meaningful changes in eating and mood disorder symptoms.

Identifiants

pubmed: 32844501
doi: 10.1002/erv.2785
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

789-795

Informations de copyright

© 2020 Eating Disorders Association and John Wiley & Sons Ltd.

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Auteurs

Dan V Blalock (DV)

Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.

Daniel Le Grange (D)

Department of Psychiatry, University of California, San Francisco, California, USA.

Craig Johnson (C)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Alan Duffy (A)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Jamie Manwaring (J)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Casey N Tallent (CN)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Karen Schneller (K)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Ashley M Solomon (AM)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.

Philip S Mehler (PS)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.
ACUTE, at Denver Health, Denver, Colorado, USA.
Department of Medicine, University of Colorado, Denver, Colorado, USA.

Susan F McClanahan (SF)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, Illinois, USA.
Department of Psychiatry, Rush University Medical Center, Chicago, Illinois, USA.

Renee D Rienecke (RD)

Eating Recover Center and Insight Behavioral Health Centers, Denver, Colorado, USA.
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, Illinois, USA.

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