Pilot: Two integrated pilot evaluations of a CD-ROM based Multi-Media intervention for carers of young people with anorexia nervosa

2012 ◽  
Author(s):  
Miriam Grover
2020 ◽  
Vol 8 (1) ◽  
Author(s):  
A. Hambleton ◽  
D. Le Grange ◽  
J. Miskovic-Wheatley ◽  
S. Touyz ◽  
M. Cunich ◽  
...  

Abstract Background Family-based treatment (FBT) is an efficacious outpatient intervention for young people diagnosed with Anorexia Nervosa (AN). To date, treatment to protocol has relied on standard face-to-face delivery. Face-to-face therapy is subject to geographic, temporal and human factors, rendering it particularly susceptible to inequities and disruption. This has resulted in poorer service provision for rural and regional families, and recently a significant challenge to providing face-to-face services during the COVID-19 global pandemic. The present study examines whether FBT for AN can be successfully translated to a digital delivery platform to address these access issues. Method Forty young people aged 12 to 18 years who meet DSM-5 diagnostic criteria for AN, and live in a rural or regional setting, will along with their family be recruited to the study. Trained therapists will provide 18 sessions of FBT over 9 months via telemedicine to the home of the young person and their family. The analysis will examine treatment effectiveness, feasibility, acceptability, and cost-effectiveness. Discussion The study addresses the treatment needs of families not able to attend face-to-face clinical services for evidence-based treatment for eating disorders. This might be due to several barriers, including a lack of local services or long travel distances to services. There has been a recent and unprecedented demand for telemedicine to facilitate the continuity of care during COVID-19 despite geographical circumstances. If delivering treatment in this modality is clinically and economically effective and feasible, it will facilitate access to potentially lifesaving, evidence-based treatments for families formerly unable to access such care and provide evidence for the continuity of services when and where face-to-face treatment is not feasible.


Author(s):  
William B. Johnson

Human Factors and ergonomics professionals are often asked to “show” how their research has affected on-the-job human performance. They are asked to show measurable changes in human effectiveness and efficiency at work. There is always the demand for HF&E researchers to create procedures and tools that can guide non-human factors personnel to make the “right” human-centered decisions. This symposium will show and distribute such tools that have been designed and tested in an aviation maintenance environment. For over six years now, the Federal Aviation Administration Office of Aviation Medicine has conducted an extensive research program centered on human factors in aviation maintenance and inspection. The research program has earned a reputation of demonstrating a “hands-on” understanding of aviation maintenance and maintaining a close working relationship with all segments of the industry. The symposium will begin with an overview of FAA-sponsored research results applied to aviation maintenance and safety over the past six years. In the second paper the Human Factors Guide for Aviation Maintenance, completed in 1995, will be described. The third presentation will demonstrate a CD-ROM version of the Guide. The presentation shall also discuss human-computer interface issues pertinent to developing interactive multi-media information systems. The final presentation will show a multi-media software package to conduct ergonomics audits in a variety of industrial environments. The system has evolved from three years of ergonomics audit research in aviation maintenance workplaces. Each of the session presentations will demonstrate and distribute HF&E tools to session attendees.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027339 ◽  
Author(s):  
Hristina Petkova ◽  
Mima Simic ◽  
Dasha Nicholls ◽  
Tamsin Ford ◽  
A Matthew Prina ◽  
...  

ObjectivesThis study aimed to estimate the incidence of DSM5 anorexia nervosa in young people in contact with child and adolescent mental health services in the UK and Ireland.DesignObservational, surveillance study, using the Child and Adolescent Psychiatry Surveillance System, involving monthly reporting by child and adolescent psychiatrists between 1st February 2015 and 30th September 2015.SettingThe study was based in the UK and Ireland.ParticipantsClinician-reported data on young people aged 8–17 in contact with child and adolescent mental health services for a first episode of anorexia nervosa.Main outcome measuresAnnual incidence rates (IRs) estimated as confirmed new cases per 100 000 population at risk.Results305 incident cases of anorexia nervosa were reported over the 8-month surveillance period and assessed as eligible for inclusion. The majority were young women (91%), from England (70%) and of white ethnicity (92%). Mean age was 14.6 years (±1.66) and mean percentage of median expected body mass index for age and sex was 83.23% (±10.99%). The overall IR, adjusted for missing data, was estimated to be 13.68 per 100 000 population (95% CI 12.88 to 14.52), with rates of 25.66 (95% CI 24.09 to 27.30) for young women and 2.28 (95% CI 1.84 to 2.79) for young men. Incidence increased steadily with age, peaking at 15 (57.77, 95% CI 50.41 to 65.90) for young women and 16 (5.14, 95% CI 3.20 to 7.83) for young men. Comparison with earlier estimates suggests IRs for children aged 12 and under have increased over the last 10 years.ConclusionThese results provide new estimates of the incidence of anorexia nervosa in young people. Service providers and commissioners should consider evidence to suggest an increase in incidence in younger children.Trial registration numberISRCTN12676087.


2008 ◽  
Vol 16 (5) ◽  
pp. 334-340 ◽  
Author(s):  
Sarah Davies ◽  
Komal Parekh ◽  
Kaisa Etelapaa ◽  
David Wood ◽  
Tony Jaffa

2019 ◽  
Vol 5 ◽  
pp. 205520761987807 ◽  
Author(s):  
Maxine A Sharps ◽  
Marion M Hetherington ◽  
Pam Blundell-Birtill ◽  
Barbara J Rolls ◽  
Charlotte EL Evans

Objective Adolescents and young adults select larger portions of energy-dense food than recommended. The majority of young people have a social media profile, and peer influence on social media may moderate the size of portions selected. Methods Two pilot interventions examined whether exposure to images of peers’ portions of high-energy-dense (HED) snacks and sugar-sweetened beverages (SSBs) on social media (Instagram) would influence reported desired portions selected on a survey. Confederate peers posted ‘their’ portions of HED snacks and SSBs on Instagram. At baseline and intervention end participants completed surveys that assessed desired portion sizes. Results In intervention 1, undergraduate students ( n = 20, mean age=19.0 years, SD=0.65) participated in a two-week intervention in a within-subjects design. Participants reported smaller desired portions of HED snacks and SSBs following the intervention, and smaller desired portions of HED snacks for their peers. In intervention 2, adolescents ( n = 44, mean age = 14.4 years, SD = 1.06) participated in a four-week intervention ( n = 23) or control condition ( n = 21) in a between-subjects design. Intervention 2 did not influence adolescents to reduce their reported desired portion sizes of HED snacks or SSBs relative to control. Conclusions These preliminary studies demonstrated that social media is a feasible way to communicate with young people. However, while the intervention influenced young adults’ reported desired portions and social norms regarding their peers’ portions, no significant impact on desired reported portion sizes was found for HED snacks and SSBs in adolescents. Desired portion sizes of some foods and beverages may be resistant to change via a social media intervention in this age group.


2016 ◽  
Vol 85 (3) ◽  
pp. 147-157 ◽  
Author(s):  
Madhusmita Misra ◽  
Anne Klibanski

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