Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

Emily Davey; Karina Allen; Sophie D. Bennett; Rachel Bryant‐waugh; Tim Clarke; Zafra Cooper; Katharina Dixon‐ward; Jake Dudley; Ivan Eisler; Jess Griffiths; Andrew j. Hill; Nadia Micali; Rebecca Murphy; Ivana Picek; Ros Rea; Ulrike Schmidt; Mima Simic; Kate Tchanturia; Gemma Traviss‐turner; Janet Treasure; Hannah Turner; Tracey Wade; Glenn Waller; Roz Shafran

doi:10.1002/erv.2981

Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

Emily Davey, Karina Allen, Sophie D. Bennett, Rachel Bryant‐waugh, Tim Clarke, Zafra Cooper, Katharina Dixon‐ward, Jake Dudley, Ivan Eisler, Jess Griffiths, Andrew j. Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Ulrike Schmidt, Mima Simic, Kate Tchanturia, Gemma Traviss‐turner, Janet TreasureHannah Turner, Tracey Wade, Glenn Waller, Roz Shafran

Research output: Contribution to journal › Review article › peer-review

7 Citations (Scopus)

Abstract

Objective
Eating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch.

Method
In October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap.

Results
Several key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.

Conclusions
Programme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.

Original language	English
Pages (from-to)	577-595
Number of pages	19
Journal	European Eating Disorders Review
Volume	31
Issue number	5
Early online date	22 May 2023
DOIs	https://doi.org/10.1002/erv.2981
Publication status	Published - 22 May 2023

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Davey, E., Allen, K., Bennett, S. D., Bryant‐waugh, R., Clarke, T., Cooper, Z., Dixon‐ward, K., Dudley, J., Eisler, I., Griffiths, J., Hill, A. J., Micali, N., Murphy, R., Picek, I., Rea, R., Schmidt, U., Simic, M., Tchanturia, K., Traviss‐turner, G., ... Shafran, R. (2023). Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective. European Eating Disorders Review, 31(5), 577-595. https://doi.org/10.1002/erv.2981

@article{fa2b1d7b1b694da6a4366b1546db16d7,

title = "Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective",

abstract = "ObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch.MethodIn October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.ConclusionsProgramme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.",

author = "Emily Davey and Karina Allen and Bennett, {Sophie D.} and Rachel Bryant‐waugh and Tim Clarke and Zafra Cooper and Katharina Dixon‐ward and Jake Dudley and Ivan Eisler and Jess Griffiths and Hill, {Andrew j.} and Nadia Micali and Rebecca Murphy and Ivana Picek and Ros Rea and Ulrike Schmidt and Mima Simic and Kate Tchanturia and Gemma Traviss‐turner and Janet Treasure and Hannah Turner and Tracey Wade and Glenn Waller and Roz Shafran",

note = "Funding Information: The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant-Waugh, Katharina Dixon-Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss-Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Information: The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant‐Waugh, Katharina Dixon‐Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss‐Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Publisher Copyright: {\textcopyright} 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.",

year = "2023",

month = may,

day = "22",

doi = "10.1002/erv.2981",

language = "English",

volume = "31",

pages = "577--595",

journal = "European Eating Disorders Review",

issn = "1072-4133",

number = "5",

}

Davey, E, Allen, K, Bennett, SD, Bryant‐waugh, R, Clarke, T, Cooper, Z, Dixon‐ward, K, Dudley, J, Eisler, I, Griffiths, J, Hill, AJ, Micali, N , Murphy, R, Picek, I, Rea, R, Schmidt, U , Simic, M , Tchanturia, K, Traviss‐turner, G, Treasure, J, Turner, H, Wade, T, Waller, G & Shafran, R 2023, 'Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective', European Eating Disorders Review, vol. 31, no. 5, pp. 577-595. https://doi.org/10.1002/erv.2981

TY - JOUR

T1 - Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

AU - Davey, Emily

AU - Allen, Karina

AU - Bennett, Sophie D.

AU - Bryant‐waugh, Rachel

AU - Clarke, Tim

AU - Cooper, Zafra

AU - Dixon‐ward, Katharina

AU - Dudley, Jake

AU - Eisler, Ivan

AU - Griffiths, Jess

AU - Hill, Andrew j.

AU - Micali, Nadia

AU - Murphy, Rebecca

AU - Picek, Ivana

AU - Rea, Ros

AU - Schmidt, Ulrike

AU - Simic, Mima

AU - Tchanturia, Kate

AU - Traviss‐turner, Gemma

AU - Treasure, Janet

AU - Turner, Hannah

AU - Wade, Tracey

AU - Waller, Glenn

AU - Shafran, Roz

N1 - Funding Information: The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant-Waugh, Katharina Dixon-Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss-Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Information: The following people attended the meeting on the day: Emily Davey, Roz Shafran, Karina Allen, Sophie Bennett, Rachel Bryant‐Waugh, Katharina Dixon‐Ward, Jake Dudley, Jess Griffiths, Andrew Hill, Nadia Micali, Rebecca Murphy, Ivana Picek, Ros Rea, Mima Simic, Ulrike Schmidt, Gemma Traviss‐Turner, Janet Treasure, Hannah Turner, Tracey Wade and Glenn Waller. ED is funded by a Child Health Research PhD Studentship at UCL Great Ormond Street Institute of Child Health. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute of Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. US, KT and JT receive salary support from the South London and Maudsley NHS Foundation Trust (SLaM) and King's College London (KCL) NIHR Biomedical Research Centre. This work is supported by the MRC/AHRC/ESRC Adolescence, Mental Health and the Developing Mind initiative as part of the EDIFY Programme (grant number MR/W002418/1). RM is supported by the NIHR Biomedical Research Centre, Oxford. The views expressed herein are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Publisher Copyright: © 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.

PY - 2023/5/22

Y1 - 2023/5/22

N2 - ObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch.MethodIn October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.ConclusionsProgramme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.

AB - ObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence-based care is limited. Greater use of programme-led and focused interventions that are less resource-intensive might be part of the solution to this demand-capacity mismatch.MethodIn October 2022, a group of predominantly UK-based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme-led and focused interventions for eating disorders in an attempt to bridge the demand-capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme-led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully considered, so as not to imply that the treatment is suboptimal.ConclusionsProgramme-led and focused interventions are a viable option to close the demand-capacity gap for eating disorder treatment and are particularly needed for children and young people. Work is urgently needed across sectors to evaluate and implement such interventions as a clinical and research priority.

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U2 - 10.1002/erv.2981

DO - 10.1002/erv.2981

M3 - Review article

SN - 1072-4133

VL - 31

SP - 577

EP - 595

JO - European Eating Disorders Review

JF - European Eating Disorders Review

IS - 5

ER -

Improving programme‐led and focused interventions for eating disorders: An experts' consensus statement—A UK perspective

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