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Traditional versus virtual partial hospital programme for eating disorders: Feasibility and preliminary comparison of effects.
Penwell, Taylor E; Smith, Melanie; Ortiz, Shelby N; Brooks, Gayle; Thompson-Brenner, Heather.
Affiliation
  • Penwell TE; The Renfrew Center, Coconut Creek, FL, USA.
  • Smith M; The Renfrew Center, Coconut Creek, FL, USA.
  • Ortiz SN; Department of Psychology, Miami University, Oxford, OH, USA.
  • Brooks G; The Renfrew Center, Coconut Creek, FL, USA.
  • Thompson-Brenner H; Cambridge Biotherapies, Cambridge, MA, USA.
Eur Eat Disord Rev ; 32(2): 163-178, 2024 Mar.
Article in En | MEDLINE | ID: mdl-37677002
OBJECTIVE: Minimal research has examined teletherapy for group or intensive eating disorder (ED) treatment, particularly partial hospital programme (PHP). This study compared treatment outcomes for individuals treated before and after a pandemic-driven implementation of virtual PHP. METHOD: Patients received care at ED treatment centres using the Renfrew Unified Treatment for Eating Disorders and Comorbidity. Patients treated with virtual PHP were compared to patients treated with traditional PHP. Measures of ED symptomology and behaviours, depressive symptoms, anxiety severity, anxiety sensitivity, experiential avoidance, mindfulness, and body mass index (BMI; reported for anorexia nervosa [AN] patients only) were collected at intake and discharge. Multiple regression analyses were conducted to examine the effect of treatment group on outcomes, controlling for intake score, comorbidity, discharge status, AN diagnosis, and step-down status. RESULTS: Differences in treatment type were only found for binge eating frequency, with those in virtual PHP reporting significantly lower binge eating episodes at discharge than those in traditional PHP. Body mass index showed significantly less improvement in virtual PHP than in traditional PHP. CONCLUSIONS: Preliminary results suggest virtual PHP is feasible and effective, potentially increasing access to evidence-based, intensive ED treatment. However, additional research is needed to establish efficacious support for weight gain among individuals with AN in virtual programs.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Anorexia Nervosa / Feeding and Eating Disorders / Binge-Eating Disorder Aspects: Implementation_research Limits: Humans Language: En Journal: Eur Eat Disord Rev Journal subject: CIENCIAS DA NUTRICAO Year: 2024 Document type: Article Affiliation country: United States Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Anorexia Nervosa / Feeding and Eating Disorders / Binge-Eating Disorder Aspects: Implementation_research Limits: Humans Language: En Journal: Eur Eat Disord Rev Journal subject: CIENCIAS DA NUTRICAO Year: 2024 Document type: Article Affiliation country: United States Country of publication: United kingdom