Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study

Michaela Flynn; Amelia Austin; Katie Lang; Karina Allen; Ranjeet Bassi; Gabrielle Brady; Amy Brown; Frances Connan; Mary Franklin-Smith; Danielle Glennon; Nina Grant; William Rhys Jones; Kuda Kali; Antonia Koskina; Kate Mahony; Victoria Mountford; Nicole Nunes; Monique Schelhase; Lucy Serpell; Ulrike Schmidt

doi:10.1002/erv.2797

Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study

Michaela Flynn, Amelia Austin, Katie Lang, Karina Allen, Ranjeet Bassi, Gabrielle Brady, Amy Brown, Frances Connan, Mary Franklin-Smith, Danielle Glennon, Nina Grant, William Rhys Jones, Kuda Kali, Antonia Koskina, Kate Mahony, Victoria Mountford, Nicole Nunes, Monique Schelhase, Lucy Serpell, Ulrike Schmidt^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

25 Citations (Scopus)

Abstract

Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi-centre study using a quasi-experimental design. Methods: Two hundred and seventy-eight patients aged 16–25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake. Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.

Original language	English
Journal	European Eating Disorders Review
Early online date	28 Oct 2020
DOIs	https://doi.org/10.1002/erv.2797
Publication status	E-pub ahead of print - 28 Oct 2020

Keywords

anorexia nervosa
binge eating disorder
bulimia nervosa
duration of untreated illness
early intervention
eating disorders
FREED

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/erv.2797

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Flynn, M., Austin, A., Lang, K., Allen, K., Bassi, R., Brady, G., Brown, A., Connan, F., Franklin-Smith, M., Glennon, D., Grant, N., Jones, W. R., Kali, K., Koskina, A., Mahony, K., Mountford, V., Nunes, N., Schelhase, M., Serpell, L., & Schmidt, U. (2020). Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study. European Eating Disorders Review. https://doi.org/10.1002/erv.2797

@article{2ce5d06adc7c43e6ad64edb4d19d5941,

title = "Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study",

abstract = "Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi-centre study using a quasi-experimental design. Methods: Two hundred and seventy-eight patients aged 16–25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake. Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.",

keywords = "anorexia nervosa, binge eating disorder, bulimia nervosa, duration of untreated illness, early intervention, eating disorders, FREED",

author = "Michaela Flynn and Amelia Austin and Katie Lang and Karina Allen and Ranjeet Bassi and Gabrielle Brady and Amy Brown and Frances Connan and Mary Franklin-Smith and Danielle Glennon and Nina Grant and Jones, {William Rhys} and Kuda Kali and Antonia Koskina and Kate Mahony and Victoria Mountford and Nicole Nunes and Monique Schelhase and Lucy Serpell and Ulrike Schmidt",

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month = oct,

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doi = "10.1002/erv.2797",

language = "English",

journal = "European Eating Disorders Review",

issn = "1072-4133",

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Flynn, M , Austin, A , Lang, K , Allen, K, Bassi, R, Brady, G, Brown, A, Connan, F, Franklin-Smith, M, Glennon, D, Grant, N, Jones, WR, Kali, K, Koskina, A, Mahony, K, Mountford, V, Nunes, N, Schelhase, M, Serpell, L & Schmidt, U 2020, 'Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study', European Eating Disorders Review. https://doi.org/10.1002/erv.2797

TY - JOUR

T1 - Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder

T2 - A multi-centre quasi-experimental study

AU - Flynn, Michaela

AU - Austin, Amelia

AU - Lang, Katie

AU - Allen, Karina

AU - Bassi, Ranjeet

AU - Brady, Gabrielle

AU - Brown, Amy

AU - Connan, Frances

AU - Franklin-Smith, Mary

AU - Glennon, Danielle

AU - Grant, Nina

AU - Jones, William Rhys

AU - Kali, Kuda

AU - Koskina, Antonia

AU - Mahony, Kate

AU - Mountford, Victoria

AU - Nunes, Nicole

AU - Schelhase, Monique

AU - Serpell, Lucy

AU - Schmidt, Ulrike

PY - 2020/10/28

Y1 - 2020/10/28

N2 - Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi-centre study using a quasi-experimental design. Methods: Two hundred and seventy-eight patients aged 16–25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake. Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.

AB - Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi-centre study using a quasi-experimental design. Methods: Two hundred and seventy-eight patients aged 16–25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake. Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.

KW - anorexia nervosa

KW - binge eating disorder

KW - bulimia nervosa

KW - duration of untreated illness

KW - early intervention

KW - eating disorders

KW - FREED

UR - http://www.scopus.com/inward/record.url?scp=85094171058&partnerID=8YFLogxK

U2 - 10.1002/erv.2797

DO - 10.1002/erv.2797

M3 - Article

AN - SCOPUS:85094171058

SN - 1072-4133

JO - European Eating Disorders Review

JF - European Eating Disorders Review

ER -

Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study

Abstract

Keywords

UN SDGs

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