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首页> 外文期刊>Journal of Eating Disorders >A day treatment program for adults with eating disorders: staff and patient experiences in implementation
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A day treatment program for adults with eating disorders: staff and patient experiences in implementation

机译：饮食障碍成人的一天治疗计划：实施中的员工和患者体验

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Eating disorders are serious conditions which are increasing in prevalence internationally. The causes of these conditions are complex and incompletely understood, and clinical presentations can vary over time. The complexity of these conditions can also complicate treatment. Therefore, stepped care treatment comprising a hierarchy of interventions, including access to day treatment programs (DTPs), is recommended. While studies have examined patient outcomes and provided narrative accounts of these programs, no published studies describe DTP development. This study aims to address this gap by examining development and implementation of a DTP from service providers and patients' perspectives. This study utilised a mixed-methods design to examine the design and implementation of a publicly funded, closed group DTP in Australia. Data from service records and documents were analysed, alongside interviews with patients and interview and focus groups with service providers conducted between June 2016 and July 2017. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed using the Framework Approach. Seventeen service providers (n?=?4 in managerial and n?=?13 clinical positions, with clinical experience of 3?months to 20?years) and 11 patients (100% F, 17-33?years) were interviewed. The service providers reported that implementation was a stressful undertaking due to tight timeframes to achieve multiple tasks. Patients had diverse opinions regarding the DTP content and the group treatment experience. Despite this, all patients reported benefits from attending the DTP, varying from improvements in mood, weight gain, development of personal skills and strengths, to living independently. For further benefit, patients suggested that programs could be shaped and targets towards differing patient groups, with fewer breaks throughout treatment. Designing and implementing a DTP is a challenge and can be a time-intensive undertaking, however the result can be beneficial for both service providers and patients. The closed group format was beneficial in creating a supportive environment, though may have led to increases in additional eating disordered behaviours. While the current structure of this DTP may require reconsideration, organisations considering implementing a new DTP may find usefulness in the overall design described in this study, alongside learning from the issues experienced.
机译：饮食障碍是在国际普遍存在的严重条件下。这些条件的原因是复杂的和不完全理解的，并且临床演示可以随时间变化。这些条件的复杂性也可以使治疗复杂化。因此，建议使用阶下护理处理，包括干预阶层，包括访问日治疗程序（DTP）。虽然研究已经检查了患者结果并提供了这些方案的叙述性账户，但没有公布的研究描述了DTP开发。本研究旨在通过检查服务提供商和患者的观点来检查DTP的开发和实施来解决这一差距。本研究利用混合方法设计来检查澳大利亚公共资助的封闭式DTP的设计和实施。分析了来自服务记录和文件的数据，与2016年6月至2017年6月至2017年7月期间进行的服务提供商的访谈和焦点小组一起进行分析。使用描述性统计分析定量数据。使用框架方法分析定性数据。十七个服务提供商（N？=？4在管理和N？=？13临床位置，临床经验3？几年，11名患者（100％F，17-33？年）接受了采访。服务提供商报告说，由于达到多项任务的严格措施，实施是一种紧张的承诺。患者对DTP含量和组治疗经验进行了多样化的意见。尽管如此，所有患者都报告了参加DTP的益处，从情绪的改善，重量增加，个人技能和优势的改善，独立生活。对于进一步的益处，患者建议可以将计划成形和针对不同的患者群体，整个治疗中的少于突破。设计和实施DTP是一个挑战，可以是一个时间密集的事业，但结果对于服务提供商和患者来说可能是有益的。封闭的群体格式有利于创建支持性环境，但可能导致额外的饮食失调行为增加。虽然该DTP的当前结构可能需要重新考虑，但考虑实施新DTP的组织可能在本研究中描述的整体设计中找到有用性，以及从经历的问题中学习。

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