Decreasing the duration of untreated illness for individuals with anorexia nervosa: study protocol of the evaluation of a systemic public health intervention at community levelReportar como inadecuado




Decreasing the duration of untreated illness for individuals with anorexia nervosa: study protocol of the evaluation of a systemic public health intervention at community level - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Psychiatry

, 14:300

Eating disorders

Abstract

BackgroundAnorexia nervosa AN is a mental disorder with grave burdens for affected individuals as well as for the healthcare system. One of the strongest predictors of a poor outcome is a long Duration of Untreated Illness DUI, which is defined as the time between the onset of the disease and treatment initiation. Reducing the DUI is an important step to optimize care of individuals with AN. In order to achieve this aim, systemic public health interventions are necessary. Objective of this study is to evaluate a systemic public health intervention at Community level aiming to reduce the DUI in individuals with AN.

Methods-designThe intervention includes the establishment of a network of health care professionals within the area of eating disorders EDs, the development of an internet-based treatment guide, the presentation of informative short-films about EDs in cinemas and a corresponding poster campaign as well as a special outpatient clinic. For the evaluating study a pre-post between-subject design is chosen. The DUI, and the duration until first contact DUC with a health care professional, ED pathology as well as comorbidity are assessed before and after the systemic intervention is carried out.

DiscussionThe study attempts to provide evidence of the effectiveness of an ED-related systematic public health intervention. Additionally, the study will lead to a better understanding of the DUI, which is essential in order to improve care of individuals with AN.

Trial registrationCurrent Controlled Trials ISRCTN44979231; Registered 11 November 2011.

KeywordsAnorexia nervosa Duration of Untreated Illness Treatment Initiation Systemic public health intervention AbbreviationsANAnorexia nervosa

BMIBody-mass-index

CIConfidence intervals

DUCDuration until first contact with healthcare system

DUIDuration of untreated illness

EDsEating disorders

BMBFFederal Ministry of Education and Research

Electronic supplementary materialThe online version of this article doi:10.1186-s12888-014-0300-1 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Antje Gumz - Natalie Uhlenbusch - Angelika Weigel - Karl Wegscheider - Georg Romer - Bernd Löwe

Fuente: https://link.springer.com/







Documentos relacionados