TY - JOUR
T1 - Engaging primary care providers in managing pediatric eating disorders
T2 - a mixed methods study
AU - Lebow, Jocelyn
AU - Narr, Cassandra
AU - Mattke, Angela
AU - Gewirtz O’Brien, Janna R.
AU - Billings, Marcie
AU - Hathaway, Julie
AU - Vickers, Kristin
AU - Jacobson, Robert
AU - Sim, Leslie
N1 - Funding Information:
The authors would like to thank the primary care providers in the Community Pediatric and Adolescent Medicine and Family Medicine divisions at Mayo Clinic for contributing their invaluable perspectives to this study.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers’ perspective of challenges to identifying and managing eating disorders in the primary care setting. Methods: This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. Results: Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. Conclusions: Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.
AB - Background: The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers’ perspective of challenges to identifying and managing eating disorders in the primary care setting. Methods: This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. Results: Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. Conclusions: Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.
KW - Adolescent
KW - Anorexia nervosa
KW - Bulimia nervosa
KW - Eating disorder
KW - Primary care
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U2 - 10.1186/s40337-020-00363-8
DO - 10.1186/s40337-020-00363-8
M3 - Article
C2 - 33446274
AN - SCOPUS:85099350345
SN - 2050-2974
VL - 9
JO - Journal of Eating Disorders
JF - Journal of Eating Disorders
IS - 1
M1 - 11
ER -