背景:大量患有神经性暴食症(BN)或暴饮暴食症(BED)的人没有寻求专业帮助。重要原因包括对饮食失调(ED)的知识有限,羞耻感,治疗费用,和限制获得专业医疗保健。在这项研究中,我们探讨了在初级保健环境中提供的新疗法是否可以克服这些障碍.我们调查了动机和期望等因素,并包括了患者和新培训的治疗师的观点。
方法:我们采访了10名患有BN(n=2)或BED(n=8)的女性,参加体育锻炼和饮食治疗(PED-t)计划,位于初级医疗机构的健康生活中心(HLC)。面试讨论的主题是治疗的动机和期望,和治疗地点。此外,来自HLC的10名治疗师接受了关于他们在PED-t培训计划中的经验以及在他们的服务中运行PED-t的期望的采访。半结构化访谈采用反身性主题分析法进行分析。
结果:大多数患者对ED的了解有限,在了解PED-t后首先意识到需要专业帮助。患者表现出强烈的治疗动机和对PED-t的积极感知,新的治疗环境,和治疗师的能力。治疗师,经过简短的培训计划,对他们治疗ED和提供PED-t的能力充满信心。通过较小的操作调整,PED-t可以无缝集成到国家HLC服务位置。
结论:PED-t是一种可获得的治疗服务,可以在初级保健环境中以分级治疗模式提供。
■这项研究调查了PED-t(体育锻炼和饮食疗法)的患者和新培训的治疗师的观点和经验,一个新的计划主导的初级保健疗法暴饮暴食频谱饮食失调。治疗和干预地点,也就是说,当地卫生保健中心,被发现患者和治疗师都高度接受,因此,PED-t可以很容易地作为第一步整合到分步护理交付模型中.
BACKGROUND: A significant number of people with bulimia nervosa (BN) or binge-eating disorder (BED) do not seek professional help. Important reasons include limited knowledge of eating disorders (EDs), feelings of shame, treatment costs, and restricted access to specialized healthcare. In this study, we explored if a novel therapy delivered in a primary care setting could overcome these barriers. We investigated factors such as motivation and expectations and included the patients\' and newly trained therapists\' perspectives.
METHODS: We interviewed 10 women with BN (n = 2) or BED (n = 8), enrolled in the Physical Exercise and Dietary therapy (PED-t) program, in a Healthy Life Center (HLC) located in a primary healthcare facility. Interview topics discussed were motivations for and expectations of therapy, and the treatment location. In addition, 10 therapists from HLC\'s were interviewed on their experiences with the PED-t training program and expectations of running PED-t within their service. The semi-structured interviews were analyzed using reflexive thematic analysis.
RESULTS: Most patients had limited knowledge about EDs and first realized the need for professional help after learning about PED-t. Patients exhibited strong motivations for treatment and a positive perception of both the PED-t, the new treatment setting, and the therapists\' competencies. The therapists, following a brief training program, felt confident in their abilities to treat EDs and provide PED-t. With minor operational adjustments, PED-t can seamlessly be integrated into national HLC service locations.
CONCLUSIONS: PED-t is an accessible therapeutic service that can be delivered in a primary care environment in a stepped-care therapy model.
UNASSIGNED: This study investigates the views and experiences of patients and newly trained therapists of PED-t (Physical Exercise and Dietary therapy), a new program-led primary care therapy for binge-eating spectrum eating disorders. The treatment and the locations for the intervention, that is, local health care centers, were found to be highly acceptable to both patients and therapists, thus PED-t could easily be integrated as a first step into a step-care delivery model.