Mandating weekly weight gain in a day treatment program for eating disorders

Abstract

This study demonstrated the benefits of an alteration in protocol that required no additional financial or human resources. Further studies are needed to validate the effectiveness of various day treatment protocol parameters.

Improving motivation to change amongst individuals with eating disorders: A systematic review

“…When looking at the 17 studies deemed to have the lowest risk of bias, the pattern of findings is similar to that of the rest of the literature, with 13 of the 17 studies finding evidence to support the effectiveness of treatment to improve motivation to change (Allen et al, ; Cassin et al, ; Geller et al, ; George et al, ; Gowers & Smyth, ; Hillen et al, ; Hötzel et al, ; Kuge et al, ; Leung, Ma, & Russell, , ; McHugh, ; Tchanturia, Larsson, & Brown, ; Touyz et al, ; Wade et al, ). Of the remaining four Wade et al () and Shingleton et al (), as noted previously, presented mixed findings while Thaler et al () and Dingemans et al () found no significant improvements in motivation to change.…”

“…Four of the total 42 studies (Ackard et al, ; Dingemans et al, ; Thaler et al, ; Thaler et al, ) found no improvements on any measure of motivation to change. The studies examined diverse treatment programs with no focus on a particular intervention, making it difficult to assess whether it was individual or combined elements of the treatment program that failed to improve motivation to change.…”

“…The studies examined diverse treatment programs with no focus on a particular intervention, making it difficult to assess whether it was individual or combined elements of the treatment program that failed to improve motivation to change. Of these studies only Thaler et al () and Dingemans et al () were judged to have a low risk of bias across all domains.…”

“…Four of the total 42 studies (Ackard et al, 2015;Dingemans et al, 2013;Thaler et al, 2014;Thaler et al, 2016) The remaining seven of the 42 studies reported either mixed findings or trends towards significance, of which only two had a low risk of bias across all domains (Shingleton et al, 2016;Wade et al, 2009). Of these seven studies, three found non-significant improvements with small effect sizes (Lloyd et al, 2014;Pretorius et al, 2012;Tchanturia et al, 2014).…”

Eating Disorder Day Programs: Is There a Best Format?

“…Since this initial description, many DPs have been established around the world and while adopting a similar approach to that originally described, also report variations in the program such as number of days, number of meals, and addition of individual sessions [4] or use of mandated weight gain required to remain in a program versus recommended weight gain [5]. Published evaluations of changes over admission to discharge show significant increases in weight (for those who are underweight) and significant improvements in psychological functioning.…”