In this study, we aimed to explore the process of recovery over time from perspective those who had fully recovered chronic anorexia nervosa (AN), using stringent criteria. Eight women, assessed as AN, told their story recovery. Data were analyzed qualitative method, narrative inquiry. Recovery was identified a long and complex that spanned four phases: being unable or unready change, experiencing tipping point where motivation increased changed in quality, allowing women take action against...

Abstract This study aimed to explore and synthesize expert clinical knowledge on defining managing unhealthy exercise in adolescents with AN. The Delphi methodology was used. Clinicians ( n = 25) considered experts the treatment of AN were recruited internationally form panel. first round questionnaires comprised five open‐ended questions regarding defining, assessing, treating Statements derived from this data using content analysis, included as Likert‐based items two subsequent rounds,...

Abstract Objective This study reviewed the quantitative and qualitative evidence‐base for multi‐family therapy (MFT) eating disorders regarding change in physical psychological symptoms, broader individual family factors, experience of treatment. Method A systematic scoping review was conducted. Four databases (PsycInfo, Medline, Embase, CENTRAL) five grey literature were searched on 24th June 2021 relevant peer‐reviewed journal articles, book chapters, dissertations. No beginning time‐point...

Abstract The devastating impacts of the COVID-19 pandemic highlighted missing voices families and residents in long-term care (LTC) decision-making policy processes. Family resident councils constitute one method raising these voices, but there is currently a gap evidence how to promote effectiveness councils. We conducted five focus groups two interviews with LTC home leaders, residents, family members, advocates British Columbia using participatory approach integrating knowledge-users...

Emerging evidence suggests that changes in quality of life (QoL) predicts later eating disorder (ED) symptoms. The objective this study was to explore individual sufferers' perspectives on the influence QoL onset, maintenance, and/or remission ED symptoms.19 women from community with a history disorders (n = 13 currently symptomatic; n 6 recovered) were interviewed about their observations relationship between and symptoms over time own lives. Interviews audio-taped transcribed, then...

This article explores the implementation of an innovative approach to mental health care in a private setting. Open Dialogue is recovery-oriented that emerged Finland, which emphasises family involvement, interdisciplinary collaboration and flexible, needs-adapted approach. Early research promising; however, little has explored outside Finland. study aimed explore introduction this at private, inpatient young-adult unit Australia. Drawing on data from long-term ethnographic field included...

Abstract Open Dialogue is a need‐adapted approach to mental health care that was originally developed in Finland. Like other approaches, aims meet consumer’s needs and promote collaborative person‐centred dialogue support recovery. Need‐adapted distinguished by flexibility responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions high quality effective fashion key consideration care. However, presents challenges for evaluating...

The aim of this research was to investigate the process familial relationship change for adolescents with anorexia nervosa and their parents, who participated in Family-Based Treatment (FBT).A Constructionist grounded theory design employed purposive sampling. Sixteen young people between 12 18 years a good outcome FBT twenty-eight parents participated. Young took part separate interviews at end treatment. Each interview transcribed analysed identify unifying phenomenon across data elicit...

Anecdotally it is well known that eating disorder memoirs are popular with people anorexia nervosa and recovery stories readily available online. However, no research to date has empirically explored whether such helpful for current sufferers. The aim of the pilot study was explore efficacy narratives as a means improving motivation self-efficacy qualitatively patient perspectives stories.Fifty-seven women subclinical participated in this online study. Participants were randomised either...

There is no consensus in the field of eating disorders as to how recovery from anorexia nervosa (AN) should be best defined. Definitions vary vastly between studies. This has been identified a major barrier field. The aim current article was determine whether leading experts could reach on define AN and method/s for assessing this. study used Delphi technique, method designed reaching agreement an issue. Participants were 21 international who completed 3 rounds iterative questionnaires....

Conventional mental health services are frequently criticized for failing to support people and communities in their care. Open Dialogue is a non-conventional humanistic approach care, which has been implemented many different settings globally. At two Australian public care services, implementation of the led positive client outcomes sustained organizational clinical change. The aim study was identify explore organizational, management, leadership cultural factors that contributed these...

Open Dialogue practitioners aim to reduce social hierarchies by not privileging any one voice in network conversations, and thus creating space for a polyphony of voices. This sits contrast the traditional those voices credited with more knowledge or power because position professional expertise. Using qualitative interviews, this current study was explore practitioners’ descriptions challenges implementing at women’s health clinic Australia. Findings revealed how attempts rhetorically...

Abstract Open Dialogue is a resource‐oriented approach to mental health care that originated in Finland. As has been adopted across diverse international healthcare settings, it adapted according contextual factors. One important development the incorporation of paid, formal peer work. Peer work draws on knowledge and wisdom gained through lived experience distress hardship establish mutual, reciprocal, supportive relationships with service users. now being implemented services Australia,...

Objective. Motor vehicle crashes remain the leading cause of death among US children 1 year age and older. Although age-appropriate child passenger restraint use back seating position are effective injury prevention strategies, many 12 years younger ride inappropriately restrained seated in front seat. In Georgia most states, surveillance is less than optimal. safety seat legislation mechanisms for increasing correct position, Georgia's occupant law, like laws falls short practices...

Open Dialogue is an approach to working with people and their families experiencing psychosocial distress. Interest in Australia has been growing recently, raising questions about its adaption implementation local contexts. This article attempt answer some of the frequently asked we have encountered training discussions Dialogue. We provide responses how different what done already, it fits current approaches, you know if are doing it, whether passive or just reflections, issues including...

Abstract Objective Anorexia nervosa (AN) commonly develops during adolescence. Existing literature offers some treatment guidelines, but clear clinical criteria for initial recommendations and steps of care are needed. The aim the present study was to develop expert consensus a stepped‐care algorithm adolescents with AN. Method Delphi approach used identify parameters that guide transitions between levels care. provides useful when empirical data limited. Individuals at least 10 years...

The evidence for efficacy of family‐based approaches psychological problems is extensive, although model‐specific effects have not been established. However, implementation family therapy in tertiary mental health settings has challenging due to factors such as negative staff attitudes and difficulties engaging families. Open Dialogue an emerging network‐based that a focus on genuine collaboration, flexibility, authenticity, openness. This study describes the experiences perspectives...

It is well established that connection and support are associated with supporting recovery from eating disorders whereas isolation feeling misunderstood can be barriers to change. While the consumer movements have long advocated for treatments go beyond symptom reduction alone include factors such as others, there few designed target these directly young people their families. In 2014 Sydney Children's Hospital Network Eating Disorder Service at The Westmead introduced multi‐family therapy (...

The current study aimed to explore the effect of recovery stories on challenging stigma towards those who experience anorexia nervosa. Semi-structured interviews were conducted with 25 participants before and after exposure an nervosa narrative. Audio recordings transcribed verbatim. Transcripts then analysed using thematic analysis, informed by interpretative phenomenological framework. Exposure a narrative challenged participants, enabling them recognise subjective living anorexia. Their...

Improving patients’ postoperative sleep: a randomized control study comparing subcutaneous with intravenous patient‐controlled analgesia One hundred female patients undergoing major reconstructive plastic or gynaecological surgery were to either receive (PCA) (bolus dose 2·5 mg diamorphine in 1 ml 20‐minute lockout) PCA 0·5 5‐minute lockout). Data collected by questionnaire and interview evaluate the intervention on pain scores, quality of sleep first night, nausea vomiting (PONV) overall...

Open Dialogue is a family/social network-centered psychotherapeutic approach to responding people in crisis and distress. In 2017, network meetings were implemented an Australian inner-city shelter for disadvantaged women. The aim of this study was explore the experience participating these from perspective service users practitioners. Qualitative interviews completed with thirteen participants (six seven practitioners) analyzed thematically. findings suggested that dialogical processes...

Knowing someone with tuberculosis (TB) as a person, rather than defining them by their illness, is part of recognising dignity and unique individuality, requirement for effective care.An adaptation the Patient Dignity Question (PDQ) was formalised persons receiving treatment active TB or latent tuberculous infection (LTBI), its impact evaluated both person health care providers (HCPs).Individuals LTBI in Winnipeg, MB, Canada, were asked PDQ routine care. Patients HCPs subsequently invited to...