Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services

Dimitri Chubinidze; Kate Tchanturia; Fiona Duffy; Emy Nimbley; Jo Li; Joanna Holliday

Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services

Dimitri Chubinidze^*, Kate Tchanturia^*, Fiona Duffy, Emy Nimbley, Jo Li, Joanna Holliday

^*Corresponding author for this work

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

Abstract

Background/Objectives: Autistic individuals with eating disorders (ED) face socio-emotional, sensory, and communication difficulties that influence engagement and treatment outcomes. We examined how the PEACE Pathway—an autism-informed approach to ED treatment—addresses these challenges through tailored adaptations in clinical care. Methods: A qualitative multiple case studies design was employed, drawing data from clinical documentation, stakeholder feedback, and service evaluations. Results: We identified eight core domains essential for implementation: pathway knowledge, assessment and planning, psychological interventions, sensory management, nutritional care, lived-experience feedback, family/community engagement, and staff training. These domains informed the development of the PEACE Self-Assessment Checklist to support the wider adoption of the pathway. Conclusions: The PEACE Pathway offers a structured approach to adapting ED treatment for autistic individuals. The checklist provides practical guidance for implementing autism-friendly adaptions.

Original language	English
Journal	Nutrients
Publication status	Published - 30 Apr 2025

Keywords

eating disorders
autism
implementation
peace pathway
reasonable adjustments

Cite this

@article{d11202b0f6094e4da7e6fa72d6b114ff,

title = "Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services",

abstract = "Background/Objectives: Autistic individuals with eating disorders (ED) face socio-emotional, sensory, and communication difficulties that influence engagement and treatment outcomes. We examined how the PEACE Pathway—an autism-informed approach to ED treatment—addresses these challenges through tailored adaptations in clinical care. Methods: A qualitative multiple case studies design was employed, drawing data from clinical documentation, stakeholder feedback, and service evaluations. Results: We identified eight core domains essential for implementation: pathway knowledge, assessment and planning, psychological interventions, sensory management, nutritional care, lived-experience feedback, family/community engagement, and staff training. These domains informed the development of the PEACE Self-Assessment Checklist to support the wider adoption of the pathway. Conclusions: The PEACE Pathway offers a structured approach to adapting ED treatment for autistic individuals. The checklist provides practical guidance for implementing autism-friendly adaptions.",

keywords = "eating disorders, autism, implementation, peace pathway, reasonable adjustments",

author = "Dimitri Chubinidze and Kate Tchanturia and Fiona Duffy and Emy Nimbley and Jo Li and Joanna Holliday",

year = "2025",

month = apr,

day = "30",

language = "English",

journal = "Nutrients",

issn = "2072-6643",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

}

TY - JOUR

T1 - Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services

AU - Chubinidze, Dimitri

AU - Tchanturia, Kate

AU - Duffy, Fiona

AU - Nimbley, Emy

AU - Li, Jo

AU - Holliday, Joanna

PY - 2025/4/30

Y1 - 2025/4/30

N2 - Background/Objectives: Autistic individuals with eating disorders (ED) face socio-emotional, sensory, and communication difficulties that influence engagement and treatment outcomes. We examined how the PEACE Pathway—an autism-informed approach to ED treatment—addresses these challenges through tailored adaptations in clinical care. Methods: A qualitative multiple case studies design was employed, drawing data from clinical documentation, stakeholder feedback, and service evaluations. Results: We identified eight core domains essential for implementation: pathway knowledge, assessment and planning, psychological interventions, sensory management, nutritional care, lived-experience feedback, family/community engagement, and staff training. These domains informed the development of the PEACE Self-Assessment Checklist to support the wider adoption of the pathway. Conclusions: The PEACE Pathway offers a structured approach to adapting ED treatment for autistic individuals. The checklist provides practical guidance for implementing autism-friendly adaptions.

AB - Background/Objectives: Autistic individuals with eating disorders (ED) face socio-emotional, sensory, and communication difficulties that influence engagement and treatment outcomes. We examined how the PEACE Pathway—an autism-informed approach to ED treatment—addresses these challenges through tailored adaptations in clinical care. Methods: A qualitative multiple case studies design was employed, drawing data from clinical documentation, stakeholder feedback, and service evaluations. Results: We identified eight core domains essential for implementation: pathway knowledge, assessment and planning, psychological interventions, sensory management, nutritional care, lived-experience feedback, family/community engagement, and staff training. These domains informed the development of the PEACE Self-Assessment Checklist to support the wider adoption of the pathway. Conclusions: The PEACE Pathway offers a structured approach to adapting ED treatment for autistic individuals. The checklist provides practical guidance for implementing autism-friendly adaptions.

KW - eating disorders

KW - autism

KW - implementation

KW - peace pathway

KW - reasonable adjustments

M3 - Article

SN - 2072-6643

JO - Nutrients

JF - Nutrients

ER -

Implementation Insights from the PEACE Pathway Across UK Eating Disorder Services

Abstract

Keywords

Fingerprint

Cite this