Top

The Journal of Behavioral Health Services & Research

Published in:

30-09-2022 | Eating Disorder

Barriers and Facilitators to the Implementation of an Eating Disorders Knowledge Exchange Program for Non-specialist Professionals

Authors: Lea Thaler, PhD, Chloé Paquin-Hodge, PsyD, Anne-Gaëlle Leloup, MA, Aimée Wallace, BA, Stephanie Oliverio, BSc, Shiri Freiwald, MA, Mimi Israel, MD, Howard Steiger, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 3/2023

Abstract

Despite availability of evidence-based treatments for eating disorders (EDs), individuals with EDs often do not receive informed treatment. Training of non-specialized clinicians by experienced professionals through knowledge exchange (KE) programs is an effective way to enhance accessibility to evidence-based treatments for EDs. The authors conducted a qualitative analysis of factors that facilitated or impeded the uptake of an ED-focused KE program. Semi-structured interviews were conducted with mental health professionals (n = 43) and managers (n = 11) at 13 community mental-health sites at which the KE program was offered. Data were analyzed using a qualitative content analysis. Key facilitators identified were management support for the program and building competence through ongoing supervision of clinicians. Main barriers were limited access to ED patients to treat and having insufficient time to apply ED interventions in front-line settings. The results provide insights into the practical imperatives involved in implementing a KE initiative for ED treatment.

Available only for authorised users

Cooper Z, Bailey-Straebler S, Morgan KE, et al. Using the internet to train therapists: randomized comparison of two scalable methods. Journal of Medical Internet Research 2017; 19(10):e8336.CrossRef

Kazdin A, Fitzsimmons-Craft E, Wilfley, D. Addressing critical gaps in the treatment of eating disorders. International Journal of Eating Disorders 2017; 50(3):170–189.CrossRefPubMed

Wallace LM, Von Ranson, KM. Perceptions and use of empirically-supported psychotherapies among eating disorder professionals. Behaviour Research and Therapy 2012; 50(3):215–222.CrossRefPubMed

Waller G. Treatment protocols for eating disorders: Clinicians’ attitudes, concerns, adherence and difficulties delivering evidence-based psychological interventions. Current Psychiatry Reports, 2016; 18(4):36.CrossRefPubMedPubMedCentral

Von Ranson KM, Wallace LM, Stevenson A. Psychotherapies provided for eating disorders by community clinicians: Infrequent use of evidence-based treatment. Psychotherapy Research, 2013; 23(3):333–343.CrossRef

Graham I, Logan J, Harrison M, et al. Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 2006; 26(1);13–24. https://doi.org/10.1002/chp.47. Accessed 19 Jan 2022.

Hilbert A, Hoek HW, Schmidt R. Evidence-based clinical guidelines for eating disorders: International comparison. Current Opinion in Psychiatry, 2017; 30(6):423.CrossRefPubMedPubMedCentral

Mitton C, Adair C, McKenzie E, et al. Designing a knowledge transfer and exchange strategy for the Alberta depression initiative: Contributions of qualitative research with key stakeholders. International Journal of Mental Health Systems, 2009; 3(1):11 Available at https://doi.org/10.1186/1752-4458-3-11. Accessed 12 Jan 2022.

Thaler L, Freiwald S, Hodge CP, et al. A tertiary-care/primary-care partnership aimed at improving care for people with eating disorders. Community Mental Health Journal, 2018; 54(8):1154-1161.CrossRefPubMed

10.

Stolee P, McAiney C, Hillier L, et al. Sustained transfer of knowledge to practice in long-term care: Facilitators and barriers of a mental health learning initiative. Gerontology & Geriatrics Education, 2009; 30(1):1-20.CrossRef

11.

Couturier J, Kimber M, Jack S, et al. Using a knowledge transfer framework to identify factors facilitating implementation of family-based treatment. International Journal of Eating Disorders, 2014; 47(4):410–417. Available at https://doi.org/10.1002/eat.22225. Accessed 3 Nov 2021.

12.

Joy EA, Wilson C, Varechok S. The multidisciplinary team approach to the outpatient treatment of disordered eating. Current Sports Medicine Reports, 2003; 2(6):331–6. Available at doi: https://doi.org/10.1249/00149619-200312000-00009. PMID: 14583163. Accessed 3 Nov 2021

13.

American Psychiatric Association. Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. American Journal of Psychiatry, 2004; 162(11):3–31.

14.

National Institute for Health and Care Excellence. Eating disorders—core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. NICE Clinical Guideline Number 9, 2004. Available at http://www.nice.org.uk. Accessed 12 Jan 2022.

15.

Beumont P, Hay P, Beumont R, et al. Summary Australian and New Zealand clinical practice guideline for the management of anorexia nervosa. Australasian Psychiatry, 2003; 11(2):129-133.CrossRef

16.

Eating disorders: Critical Points forEearly Recognition and Medical Risk Management in the Care of Individuals with Eating Disorders. Reston, VA: Academy for Eating Disorders. Available at https://www.aedweb.org/publications/medical-care-standards. Accessed 11 January, 2022.

17.

Paillé M, Muchelli A. L’Analyse Qualitative en Sciences Humaines et Sociales, 3rd ed. Paris, France: Armand Colin, 2012.

18.

Patton MQ. Qualitative Research and Evaluation Methods. Thousand Oaks, CA: Sage Publications, 2002.

19.

Mills J, Bonner A, Francis K. The development of constructivist grounded theory. International Journal of Qualitative Methods, 2006; 5(1):25-35.CrossRef

20.

Hague A, Kovacich J. A needs assessment for health care professionals in the detection, intervention and interdisciplinary treatment of bulimia nervosa using focus group methodology. International Electronic Journal of Health Education, 2007; 10:114–125.

21.

McVey GL, Davis R, Kaplan AS, et al. A community‐based training program for eating disorders and its contribution to a provincial network of specialized services. International Journal of Eating Disorders, 2005; 37(S1):S35-40.CrossRefPubMed

22.

Pettersen G, Rosenvinge JH, Thune-Larsen KB, et al. Clinical confidence following an interprofessional educational program on eating disorders for health care professionals: A qualitative analysis. Journal of Multidisciplinary Healthcare, 2012; 5:201.CrossRefPubMedPubMedCentral

23.

Ellen M, Léon G, Bouchard G, et al. Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: A qualitative study. Implementation Science, 2014; 9(1):1–12. Available at https://doi.org/10.1186/s13012-014-0179-8. Accessed 11 Jan 2022.

24.

Forrester D, O'Keefe T, Torres S. Professor in residence program: A nursing faculty practice. Journal of Professional Nursing, 2008; 24(5):275–280. Available at https://doi.org/10.1016/j.profnurs.2007.10.008. Accessed 12 Jan 2022.

25.

Lafrance Robinson A, Boachie A, Lafrance GA. “i want help!”: Psychologists’ and physicians’ competence, barriers, and needs in the management of eating disorders in children and adolescents in Canada. Canadian Psychology/Psychologie Canadienne, 2013; 54(3):160.CrossRef

26.

Bolduc D, Steiger H, Leung F, et al. Prévalence des attitudes et comportements inadaptés face à l’alimentation chez des adolescentes de la région de Montréal. Santé Mentale au Québec, 1993; 18(2):183-196.CrossRef

27.

Gauvin L, Steiger H, Brodeur J. Eating-disorder symptoms and syndromes in a sample of urban-dwelling Canadian women: Contributions toward a population health perspective. International Journal of Eating Disorders, 2009; 42(2):158–165. Available at https://doi.org/10.1002/eat.20590. Accessed 12 Jan 2022.

28.

Amodeo M, Lundgren L, Cohen A, et al. Barriers to implementing evidence-based practices in addiction treatment programs: Comparing staff reports on motivational interviewing, adolescent community reinforcement approach, assertive community treatment, and cognitive-behavioral therapy. Evaluation and Program Planning, 2011; 34(4):382–389. Available at https://doi.org/10.1016/j.evalprogplan.2011.02.005. Accessed 12 Jan 2022.

29.

Kazdin AE, Fitzsimmons‐Craft EE, Wilfley DE. Addressing critical gaps in the treatment of eating disorders. International Journal of Eating Disorders, 2017; 50(3):170-89.CrossRefPubMed

Title: Barriers and Facilitators to the Implementation of an Eating Disorders Knowledge Exchange Program for Non-specialist Professionals
Authors: Lea Thaler, PhD
Chloé Paquin-Hodge, PsyD
Anne-Gaëlle Leloup, MA
Aimée Wallace, BA
Stephanie Oliverio, BSc
Shiri Freiwald, MA
Mimi Israel, MD
Howard Steiger, PhD
Publication date: 30-09-2022
Publisher: Springer US
Keywords: Eating Disorder
Eating Disorder
Published in: The Journal of Behavioral Health Services & Research / Issue 3/2023
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-022-09822-3

2024 ASCO Annual Meeting

Springer Medicine

Barriers and Facilitators to the Implementation of an Eating Disorders Knowledge Exchange Program for Non-specialist Professionals

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2023

Social Factors Predict Treatment Engagement in Veterans with PTSD or SUD

Healing Broken Bones and Fixing Fractured Connections

Documenting a Decade of Exponential Growth in Employer Demand for Peer Support Providers

Partnering with Family Advocates to Understand the Impact on Families Caring for a Child with a Serious Mental Health Challenge

When Adverse Childhood Experiences Present to a Statewide Child Psychiatry Access Program

A Qualitative Evaluation of an Adapted Assertive Community Treatment Program: Perspectives During COVID-19