One Sheet Does Not Fit All: The Dietetic Treatment Experiences of Individuals with High Eating Disorder Symptomatology Attending a Metabolic and Bariatric Clinic; an Exploratory Mixed-Methods Study

Author:

Yang Yive1,Conti Janet12ORCID,Piya Milan K.13ORCID,McMaster Caitlin M.4567,Hay Phillipa18ORCID

Affiliation:

1. Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia

2. School of Psychology, Western Sydney University, Penrith, NSW 2750, Australia

3. Camden and Campbelltown Hospitals, SWSLHD, Campbelltown, NSW 2560, Australia

4. Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2050, Australia

5. Eating Disorder and Nutrition Research Group (ENRG), Translational Health Research Institute, Faculty of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia

6. South Western Sydney Local Health District, Liverpool, NSW 2170, Australia

7. Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia

8. Mental Health Services, Camden and Campbelltown Hospitals, SWSLHD, Campbelltown, NSW 2560, Australia

Abstract

This study aimed to explore the dietetic treatment experiences of individuals with high eating disorder (ED) symptomatology attending a metabolic and bariatric clinic. An exploratory mixed methods cross-sectional study was conducted. Eighteen participants completed the survey, which included an adapted version of the Eating Disorders Treatment Experience Survey (EDTES), the Eating Disorder Examination Questionnaire Short (EDE-QS), and quantitative and qualitative questions relating to the roles and helpfulness of a dietitian in treatment. Data regarding the most and least helpful dietitians were collected. Differences between groups were tested with the Wilcoxon signed ranks test. A reflexive thematic analysis was used to analyse open-ended responses. The mean EDE-QS score reported by participants was 20.9 (SD = 6.0). The dietitians who were perceived as the most helpful were those who took into consideration an individual’s treatment preferences and choices (Z = −1.96, p = 0.05). Three themes were constructed: (1) nutrition knowledge and skills, (2) person-centred care, and (3) roles of the multidisciplinary team. Although further research is required, our findings suggest that the role of a dietitian in this setting may extend beyond weight-loss advice, and with additional training, could include individualised and collaborative supportive care that overlaps with ED treatment.

Funder

Australian Government, Department of Education and Training

Publisher

MDPI AG

Reference42 articles.

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