A5039866505- Eating Disorders and Behaviors
- Obsessive-Compulsive Spectrum Disorders
- Impact of Technology on Adolescents
- Body Image and Dysmorphia Studies
- Child Nutrition and Feeding Issues
- Family and Disability Support Research
- Health Policy Implementation Science
- Mental Health Research Topics
- Homelessness and Social Issues
- Behavioral Health and Interventions
- Food Security and Health in Diverse Populations
- Schizophrenia research and treatment
- Mental Health and Patient Involvement
King's College London
2023-2025
Abstract Background: Timely intervention is beneficial to the effectiveness of eating disorder (ED) treatment, but limited capacity within ED services means that these disorders are often not treated with sufficient speed. This service evaluation extends previous research into guided self-help (GSH) for adults bulimic spectrum EDs by assessing feasibility, acceptability, and preliminary virtually delivered GSH using videoconferencing. Method: Patients bulimia nervosa (BN), binge (BED) other...
Eating disorders (EDs) are serious, often chronic, conditions associated with pronounced morbidity, mortality, and dysfunction increasingly affecting young people worldwide. Illness progression, stages recovery trajectories of EDs still poorly characterised. The STORY study dynamically longitudinally assesses different (restricting; bingeing/bulimic presentations) illness durations (earlier; later stages) compared to healthy controls. Remote measurement technology (RMT) active passive...
Background A substantial proportion of anorexia nervosa patients require intensive treatments, commonly inpatient or day-patient treatment. The relative merits these treatments for adults with are unknown. Therefore, a trial investigating the clinical effectiveness and cost-effectiveness treatment-as-usual versus stepped-care approach in (DAISIES) was commissioned. This terminated prematurely due to poor recruitment, mainly resulting from COVID-19’s impact on service provision. Objective We...
Abstract Objective The DAISIES trial, comparing inpatient and stepped‐care day patient treatment for adults with severe anorexia nervosa was prematurely terminated in March 2022 due to poor recruitment. This qualitative study seeks understand the difficulties faced during trial by investigating stakeholders' views on experiences of its implementation. Method Semi‐structured interview focus group transcripts, management oversight meeting minutes from May 2020‐June were analysed using thematic...
Abstract Background The First Episode Rapid Early Intervention for Eating Disorders (FREED) service has been shown to reduce the wait care and improve clinical outcomes in initial evaluations. These findings led national scaling of FREED England. To support this scaling, we conducted a mixed method evaluation perceptions experiences clinicians early phases scaling. Normalisation Process Theory (NPT) was used as conceptual lens understand if how becomes embedded routine practice. Methods...
Food insecurity (FI) is associated with significant adverse effects on health and well-being increasingly recognised as a global problem. The current study explored the impact of FI eating disorder (ED) clinical practice in UK, aiming to assess healthcare professionals' (HCPs) knowledge, skills views topic their patients. This was an exploratory, mixed-methods, descriptive analysis online survey data collected from ED HCPs UK between September October 2022. A 15-item rating open-ended...
Abstract Objective The relative merits of inpatient or day‐treatment for adults with anorexia nervosa (AN) are unknown. DAISIES trial aimed to establish the non‐inferiority a stepped‐care day patient treatment (DPT) approach versus as usual (IP‐TAU) improving body mass index (BMI) at 12 months in AN. was terminated due poor recruitment. This paper presents outcomes and investigates reasons behind trial's failure. Method Fifteen patients AN (of 53 approached) participated were followed‐up 6...