Preliminary Report on Dietitians’ Views and Confidence Related to Nutrition Care for Eating Disorders

Abstract

Evidence suggests that nutrition professionals have gaps in knowledge and skills related to prevention and treatment of eating disorders and disordered eating, thus inhibiting effective interventions. The purpose of this study was to explore registered dietitians’ (RDs’) views and confidence levels regarding nutrition care across the spectrum of eating disorders. An online survey management tool was used to collect data from a convenience sample of RDs (N = 291) participating in Pedi-RD list servs and dietetic practice groups including the Pediatric Nutrition Practice Group. Participants answered closed- and open-ended questions about their knowledge, beliefs, and practices related to eating disorders and disordered eating. On average, participants responded that genetics was least important in the development of eating disorders and that psychological issues and obsession with food were most important. Participants indicated that working with a multidisciplinary team was most important to improve the RDs’ knowledge and skills about eating disorders. Analysis of variance results revealed that RDs who worked with individuals with eating disorders had significantly higher ratings of comfort level and self-efficacy counseling for eating disorders than those RDs who did not work with eating disorders (P < .05), although these ratings were still low overall. RDs’ job emphasis also appeared to be an influence, with differences between groups on a variety of questions. This study highlights the need for educational opportunities for RDs to expand their knowledge, skills, and self-efficacy base related to eating disorders and disordered eating.