TY - JOUR
T1 - Identifying Factors Which Influence Eating Disorder Risk during Behavioral Weight Management
T2 - A Consensus Study
AU - Jebeile, Hiba
AU - McMaster, Caitlin M.
AU - Johnson, Brittany J.
AU - Garnett, Sarah P.
AU - Paxton, Susan J.
AU - Seidler, Anna L.
AU - Jones, Rebecca A.
AU - Hill, Andrew J.
AU - Maguire, Sarah
AU - Braet, Caroline
AU - Dammery, Genevieve
AU - Wilfley, Denise E.
AU - Baur, Louise A.
AU - Lister, Natalie B.
AU - on behalf of the Eating Disorders In weight-related Therapy (EDIT) Collaboration
PY - 2023/3/1
Y1 - 2023/3/1
N2 - This study aimed to understand clinician, researcher and consumer views regarding factors which influence eating disorder (ED) risk during behavioral weight management, including individual risk factors, intervention strategies and delivery features. Eighty-seven participants were recruited internationally through professional and consumer organizations and social media and completed an online survey. Individual characteristics, intervention strategies (5-point scale) and delivery features (important/unimportant/unsure) were rated. Participants were mostly women (n = 81), aged 35–49 y, from Australia or United States, were clinicians and/or reported lived experience of overweight/obesity and/or ED. There was agreement (64% to 99%) that individual characteristics were relevant to ED risk, with history of ED, weight-based teasing/stigma and weight bias internalization having the highest agreement. Intervention strategies most frequently rated as likely to increase ED risk included those with a focus on weight, prescription (structured diets, exercise plans) and monitoring strategies, e.g., calorie counting. Strategies most frequently rated as likely to decrease ED risk included having a health focus, flexibility and inclusion of psychosocial support. Delivery features considered most important were who delivered the intervention (profession, qualifications) and support (frequency, duration). Findings will inform future research to quantitatively assess which of these factors predict eating disorder risk, to inform screening and monitoring protocols.
AB - This study aimed to understand clinician, researcher and consumer views regarding factors which influence eating disorder (ED) risk during behavioral weight management, including individual risk factors, intervention strategies and delivery features. Eighty-seven participants were recruited internationally through professional and consumer organizations and social media and completed an online survey. Individual characteristics, intervention strategies (5-point scale) and delivery features (important/unimportant/unsure) were rated. Participants were mostly women (n = 81), aged 35–49 y, from Australia or United States, were clinicians and/or reported lived experience of overweight/obesity and/or ED. There was agreement (64% to 99%) that individual characteristics were relevant to ED risk, with history of ED, weight-based teasing/stigma and weight bias internalization having the highest agreement. Intervention strategies most frequently rated as likely to increase ED risk included those with a focus on weight, prescription (structured diets, exercise plans) and monitoring strategies, e.g., calorie counting. Strategies most frequently rated as likely to decrease ED risk included having a health focus, flexibility and inclusion of psychosocial support. Delivery features considered most important were who delivered the intervention (profession, qualifications) and support (frequency, duration). Findings will inform future research to quantitatively assess which of these factors predict eating disorder risk, to inform screening and monitoring protocols.
KW - behavior change
KW - delivery features
KW - dieting
KW - disordered eating
KW - intervention strategies
KW - obesity
KW - overweight
UR - http://www.scopus.com/inward/record.url?scp=85149739122&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/2002310
U2 - 10.3390/nu15051085
DO - 10.3390/nu15051085
M3 - Article
C2 - 36904085
AN - SCOPUS:85149739122
SN - 2072-6643
VL - 15
JO - Nutrients
JF - Nutrients
IS - 5
M1 - 1085
ER -