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The Role of the Dietitian within Family Therapy for Anorexia Nervosa (FT-AN): A Reflexive Thematic Analysis of Child and Adolescent Eating Disorder Clinician Perspectives.
Brennan, Cliona; Baudinet, Julian; Simic, Mima; Eisler, Ivan.
Afiliación
  • Brennan C; Maudsley Centre for Child and Adolescent Eating Disorders, South London, and Maudsley NHS Foundation Trust, De Crespigny Park, Denmark Hill, London SE5 8AZ, UK.
  • Baudinet J; Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AZ, UK.
  • Simic M; Department of Human Nutrition and Dietetics, School of Health Sciences, London Metropolitan University, 166-220 Holloway Road, London N7 8DB, UK.
  • Eisler I; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AZ, UK.
Nutrients ; 16(5)2024 Feb 27.
Article en En | MEDLINE | ID: mdl-38474798
ABSTRACT

BACKGROUND:

Despite dietitians being important members of the multidisciplinary team delivering family therapy for anorexia nervosa (FT-AN), their specific responsibilities and roles are unclear and their involvement in the treatment can be a contentious issue.

METHODOLOGY:

Clinicians (n = 20) experienced in the delivery of FT-AN who were working at a specialist child and adolescent eating disorder service responded to an online survey about their experience of including a dietitian in FT-AN and how they understand the role. Both categorical and open-ended questions were used. Reflexive thematic analysis was used to analyse the qualitative free-text responses of clinician perspectives on the role of the dietitian in FT-AN.

RESULTS:

All clinicians agreed that dietetics had a role within FT-AN and most frequently sought dietetic involvement in the early phases of FT-AN. Reflexive thematic analysis of responses identified three main themes. These were (1) collaboration is key, (2) confidence as a core consideration and (3) case-by-case approach. These themes evidenced the role of the dietitian within FT-AN and highlighted both the benefits and concerns of this involvement.

CONCLUSIONS:

This study demonstrated that dietitians can take a core role as collaborators within therapy-led teams that facilitate joint working and sharing of expertise. However, dietetic input should be considered on a case-by-case basis, given its potential for creating an over-focus on nutrition and potentially diminishing parental confidence in feeding. When indicated for selected cases, nutritional counselling should be offered in joint sessions with the therapist rather than separately. The findings of the study were limited by the small sample size of participants recruited from a single centre and heterogeneity in the professional background of respondents. Although the integration of dietetics within the multidisciplinary team and the ability of dietitians to individualise patient care can enhance FT-AN treatment, potential benefits and disbenefits should be considered for each case.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Trastornos de Alimentación y de la Ingestión de Alimentos / Dietética / Nutricionistas Límite: Adolescent / Child / Humans Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article 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 Asunto principal: Anorexia Nerviosa / Trastornos de Alimentación y de la Ingestión de Alimentos / Dietética / Nutricionistas Límite: Adolescent / Child / Humans Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article Pais de publicación: Suiza