Deconstructing Complex Interventions: Piloting a Framework of Delivery Features and Intervention Strategies for the Eating Disorders in Weight-Related Therapy (EDIT) Collaboration

Author:

Lister Natalie B.12ORCID,Jebeile Hiba12,Khalid Rabia1,Pryde Samantha3,Johnson Brittany J.3ORCID

Affiliation:

1. Children’s Hospital Westmead Clinical School, The University of Sydney, Sydney 2145, Australia

2. Institute of Endocrinology and Diabetes, The Children’s Hospital at Westmead, Sydney 2145, Australia

3. Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide 5042, Australia

Abstract

(1) Background: weight-management interventions vary in their delivery features and intervention strategies. We aimed to establish a protocol to identify these intervention components. (2) Methods: a framework was developed through literature searches and stakeholder consultation. Six studies were independently coded by two reviewers. Consensus included recording conflict resolutions and framework changes. (3) Results: more conflicts occurred for intervention strategies compared to delivery features; both required the updating of definitions. The average coding times were 78 min (SD: 48) for delivery features and 54 min (SD: 29) for intervention strategies. (4) Conclusions: this study developed a detailed framework and highlights the complexities in objectively mapping weight-management trials.

Funder

Australian National Health and Medical Research Council

NHMRC Peter Doherty Early Career Fellowship

Sydney Medical School Foundation

NHMRC Emerging Leadership Investigator Grant

NHMRC postgraduate scholarship

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

Reference33 articles.

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2. Dietetic management of obesity and severe obesity in children and adolescents: A scoping review of guidelines;Alman;Obes. Rev.,2020

3. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity;Hampl;Pediatrics,2023

4. National Clinical Guideline Centre (UK) (2014). Identification, Assessment and Management of Overweight and Obesity in Children, Young People and Adults. (NICE Clinical Guideline 189), National Institute for Health and Care Excellence (UK). Available online: www.nice.org.uk/guidance/cg189.

5. Contextualising Eating Disorder Concerns for Paediatric Obesity Treatment;Lister;Curr. Obes. Rep.,2021

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