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"Early intervention isn't an option, it's a necessity": learning from implementation facilitators and challenges from the rapid scaling of an early intervention eating disorders programme in England.
Hyam, Lucy; Torkelson, Claire; Richards, Katie; Semple, Amy; Allen, Karina L; Owens, Jill; Jackson, Aileen; Semple, Laura; Glennon, Danielle; Di Clemente, Giulia; Schmidt, Ulrike.
Afiliación
  • Hyam L; Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
  • Torkelson C; Department of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
  • Richards K; Centre for Implementation Science, King's College London, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
  • Semple A; Health Innovation Network, Academic Health Science Network South London, London, United Kingdom.
  • Allen KL; Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
  • Owens J; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
  • Jackson A; Health Innovation Network, Academic Health Science Network South London, London, United Kingdom.
  • Semple L; Health Innovation Network, Academic Health Science Network South London, London, United Kingdom.
  • Glennon D; Eating Disorders Outpatients Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, United Kingdom.
  • Di Clemente G; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
  • Schmidt U; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
Front Health Serv ; 3: 1253966, 2023.
Article en En | MEDLINE | ID: mdl-38304576
ABSTRACT

Introduction:

The First Episode Rapid Early Intervention for Eating Disorders (FREED) service has shown promising outcomes for young people with an eating disorder, leading to national scaling and implementation across England. Between 2020 and 2023, the national implementation of FREED was supported by the Academic Health Science Networks (AHSNs), which are publicly funded organisations with the mission to spread innovations at scale and pace. This study aimed to investigate the views and experiences of AHSN programme leads on the national roll-out of FREED and the perceived sustainability of the model. Methods and

results:

Semi-structured interviews were conducted with 13 programme leads across the AHSNs with direct experience supporting the national implementation of FREED. Thematic analysis was adopted using a critical realist approach. Initial sub-themes were inductively generated and then organised under seven larger themes representing the domains of the Non-adoption, Abandonment, and Challenges to Scale-Up, Spread and Sustainability (NASSS) framework. Each sub-theme was classified as a facilitator and/or barrier and then each larger theme/domain was assessed for its complexity (simple, complicated, complex). Data analysis revealed 28 sub-themes, 10 identified as facilitators, 13 as barriers, and five as both. Two domains were classed as simple, three as complicated, and two as complex. Sub-themes ranged from illness-related complexities to organisational pressures. Key facilitators included a high-value proposition for FREED and a supportive network. Key barriers included staffing issues and illness-related factors that challenge early intervention.

Discussion:

Participants described broad support for FREED but desired sustained investment for continued provision and improving implementation fidelity. Future development areas raised by participants included enlarging the evidence base for early intervention, increasing associated training opportunities, and widening the reach of FREED. Results offer learning for early intervention in eating disorders and the scaling of new health initiatives.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research Idioma: En Revista: Front Health Serv Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research Idioma: En Revista: Front Health Serv Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza