Assessing implementation fidelity in the First Episode Rapid Early Intervention for Eating Disorders service model
| Autor: | Victoria Mountford, Frances Connan, Lucy Serpell, Kuda Kali, Karina L. Allen, Gabrielle Brady, Michaela Flynn, Katie Lang, Monique Schelhase, Katie Richards, Amelia Austin, Danielle Glennon, Ranjeet Bassi, Ulrike Schmidt, Amy Brown, William Rhys Jones, Kate Mahony, Nicole Nunes, Antonia Koskina, Mary Franklin-Smith, Nina Grant |
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| Rok vydání: | 2021 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty Eating Disorders medicine.medical_treatment bulimia nervosa Anorexia nervosa anorexia nervosa Treatment and control groups 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Psychoeducation 0501 psychology and cognitive sciences Psychiatry First episode Bulimia nervosa business.industry emerging adults 05 social sciences medicine.disease 030227 psychiatry early intervention Psychiatry and Mental health Eating disorders Papers Attribution business |
| Zdroj: | BJPsych Open |
| ISSN: | 2056-4724 |
| Popis: | BackgroundThe First Episode Rapid Early Intervention for Eating Disorders (FREED) service model is associated with significant reductions in wait times and improved clinical outcomes for emerging adults with recent-onset eating disorders. An understanding of how FREED is implemented is a necessary precondition to enable an attribution of these findings to key components of the model, namely the wait-time targets and care package.AimsThis study evaluated fidelity to the FREED service model during the multicentre FREED-Up study.MethodParticipants were 259 emerging adults (aged 16–25 years) with an eating disorder of ResultsThere were significant increases (16–40%) in adherence to the wait-time targets following the introduction of FREED, irrespective of diagnosis. Receiving FREED under optimal conditions also increased adherence to the targets. Care package use differed by component and diagnosis. The most used care package activities were psychoeducation and dietary change. Attention to transitions was less well used.ConclusionsThis study provides an indication of adherence levels to key components of the FREED model. These adherence rates can tentatively be considered as clinically meaningful thresholds. Results highlight aspects of the model and its implementation that warrant future examination. |
| Databáze: | OpenAIRE |
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