Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

McMaster, Caitlin M.; Wade, Tracey D.; Franklin, Janet; Hart, Susan

doi:10.1002/eat.23330

Cited by 28 publications

(51 citation statements)

References 47 publications

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“…In reviews of practice in ED settings, dietitians perform analysis and risk management of nutritional deficiencies and behaviors. However, notably OHP is often not identified as part of this role [32][33][34]. In fact, a recent review of clinical treatment manuals for adults with an eating disorder worldwide found less than 10 % contained information about dental health [33].…”

Section: Discussionmentioning

confidence: 99%

“…The present lack of OHP guidance for dietitians in these reviews of practice could lead to the postulation that OHP may not currently be seen as a priority or may be considered a novel area of practice. With this in mind, and the scant availability of research showcasing dietetic involvement in oral health, may provide possible insight into why current recommendations for dietetic management of ED fails to include the dietitian's role in OHP [32][33][34].…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has supported the role of non-dental health professionals in raising awareness of dental problems and performing screening assessments in vulnerable or at-risk populations [30,31]. Dietitians form an integral part of the multidisciplinary primary care team often working towards the stabilization of acutely unwell patients and helping to safely assist the client towards re-nourishment, relapse prevention and recovery [32][33][34]; this places them in a unique position to promote oral health in an ED clinical setting. However, to date, the potential role of the dietitian in promoting oral health among people with ED has received little attention and has not been clearly defined.…”

Section: Introductionmentioning

confidence: 99%

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Eating disorders and oral health: a scoping review on the role of dietitians

et al. 2020

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Background Compromised nutritional intake due to eating disorder related behaviors, such as binge eating and purging, can lead to multi-system medical complications, including an irreversible impact on oral health. However, dental anxiety, fear or embarrassment may hinder individuals with an eating disorder from seeking assistance for their oral health concerns. As key health professionals in eating disorder treatment, dietitians are well positioned to provide basic dental screening, however, their capacity to perform this role in practice has not been established. The aim of this review was to identify current evidence on the role of dietitians in promoting oral health among individuals with eating disorders. Methods A comprehensive search of eight electronic databases and the grey literature was conducted to address the following three focus areas: 1) guidelines and recommendations on the role of dietitians in oral health 2) knowledge, attitudes and practices of dietitians regarding oral health promotion and; 3) current models of oral health care and resources for dietitians. Results Twelve articles were included. The review indicated that current national and international position statements encourage dietitians to conduct basic oral health screening and promote oral health in high risk populations, such as those with an eating disorder. However, no evidence was found to indicate dietitians performed oral health screening or education in populations with an eating disorder. In other population settings, dietitians were found to play a role in oral health promotion, however, were noted to have mixed knowledge on oral health risk factors, prevention and treatment and generally were not providing referrals. Some oral health promotion resources existed for dietitians working in pediatric, HIV and geriatric clinical areas however no resources were identified for dietitians working in eating disorder settings. Conclusion Despite current evidence showing that dietitians can play a role in oral health care, no models of care exist where dietitians promote oral health among individuals with an eating disorder. There are also no training resources and screening tools for dietitians in this area. Further research is required to develop this model of care and assess its feasibility and acceptability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Eating disorders and oral health: a scoping review on the role of dietitians

et al. 2020

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“…En algunos países se ha avanzado en este aspecto y se han elaborado documentos de consenso sobre el tratamiento dietético de los TCA, incluyendo aspectos como: cuáles son las habilidades necesarias en estos profesionales, los componentes esenciales del tratamiento dietético ambulatorio y las estrategias para promover la colaboración entre los diferentes profesionales sanitarios implicados en el tratamiento de los pacientes con TCA (9). Por su parte, la Australia & New Zealand Academy for Eating Disorders (ANZAED) desarrolló en 2020 los principios generales del tratamiento de los TCA (10) y una serie de estándares de práctica y capacitación para los dietistas que brindan pautas de tratamiento en los trastornos alimentarios (10).…”

Section: Introductionunclassified

Nutritional education protocol in the treatment of eating disorders in the clinical and care settings

Loria-Kohen¹,

Portillo²,

Hernando-Pérez³

et al. 2021

Nutr Hosp

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Conflicto de intereses: los autores declaran no tener conflictos de interés. RESUMENLa educación nutricional (EN), dentro del tratamiento de los trastornos de la conducta alimentaria (TCA), juega un papel fundamental ya que contribuye a que el paciente modifique sus actitudes y rutinas en relación con la comida, pierda miedos y restablezca un patrón de alimentación saludable, favoreciendo de este modo su recuperación nutricional. Sin embargo, existe falta de consenso y estandarización acerca de los procedimientos para llevarla a cabo. El objetivo de este trabajo es elaborar un protocolo consensuado de EN en el contexto del tratamiento de los TCA que permita ayudar a la toma de decisiones sobre: los pacientes candidatos a recibirla, los agentes (familia, comunidad escolar) y profesionales implicados, los ámbitos de implementación de la intervención, la información sobre los pacientes que es necesario conocer, los temas, objetivos y contenidos a trabajar, y la necesidad de evaluación de la progresión del paciente y los programas desarrollados.

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“…Although current clinical practice guidelines recommend dietetic assessment, education and intervention as part of the multidisciplinary treatment of eating disorders [1][2][3], there is a lack of detailed guidance for dietitians regarding what outpatient dietetic treatment for eating disorders should encompass [8]. Moreover, there is an absence of internationally accepted dietetic models of care within the eating disorders field, which may increase the likelihood of inconsistent interventions [9] and limit clarity regarding the role of the dietitian, both within the dietetic profession [10] and more broadly for other health professionals [11].…”

Section: Introductionmentioning

confidence: 99%

ANZAED practice and training standards for dietitians providing eating disorder treatment

et al. 2020

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Introduction Dietitians involved in eating disorder treatment are viewed as important members of the multidisciplinary team. However, the skills and knowledge that they require are not well characterised. Therefore, as part of a broader project to identify the key principles and clinical practice and training standards for mental health professionals and dietitians providing eating disorder treatment, the Australia & New Zealand Academy for Eating Disorders (ANZAED) sought to identify the key practice and training standards specific to dietitians. An expert working group of dietitians was convened to draft the initial dietetic standards. After expert review, feedback on the revised standards was then provided by 100 health professionals working within the eating disorder sector. This was collated into a revised version made available online for public consultation, with input received from treatment professionals, professional bodies and consumer/carer organisations. Recommendations Dietitians providing treatment to individuals with an eating disorder should follow ANZAED’s general principles and clinical practice standards for mental health professionals and dietitians. In addition, they should also be competent in the present eating disorder-specific standards based around the core dietetic skills of screening, professional responsibility, assessment, nutrition diagnosis, intervention, monitoring and evaluation. Conclusions These standards provide guidance on the expectations of dietetic management to ensure the safe and effective treatment of individuals with an eating disorder. Implications for professional development content and training providers are discussed, as well as the importance of clinical supervision to support professional self-care and evidence-informed and safe practice for individuals with an eating disorder.

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Development of consensus‐based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study

Cited by 28 publications

References 47 publications

Eating disorders and oral health: a scoping review on the role of dietitians

Eating disorders and oral health: a scoping review on the role of dietitians

Nutritional education protocol in the treatment of eating disorders in the clinical and care settings

ANZAED practice and training standards for dietitians providing eating disorder treatment

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