Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand

Abstract Background Dietitians are viewed as integral members of the multidisciplinary treatment team for people with eating disorders (EDs). However, low levels of perceived confidence, competence, and willingness to practice in this clinical area, have been reported by dietitians and student dieti...

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Main Authors: Elizabeth Kumiko Parker, Mellisa Anne Ashley, Deanne Maree Harris, Anita Stefoska-Needham
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-023-00788-x
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author Elizabeth Kumiko Parker
Mellisa Anne Ashley
Deanne Maree Harris
Anita Stefoska-Needham
author_facet Elizabeth Kumiko Parker
Mellisa Anne Ashley
Deanne Maree Harris
Anita Stefoska-Needham
author_sort Elizabeth Kumiko Parker
collection DOAJ
description Abstract Background Dietitians are viewed as integral members of the multidisciplinary treatment team for people with eating disorders (EDs). However, low levels of perceived confidence, competence, and willingness to practice in this clinical area, have been reported by dietitians and student dietitians. As the extent of ED-specific knowledge and skills-based training within tertiary accredited dietetic programs is currently unknown, this research aimed to: (1) obtain insights into the current ED-specific knowledge base and training content of dietetic curricula in both Australian and New Zealand universities; (2) understand the perspectives of course convenors regarding the role of dietitians in ED treatment and their employment opportunities; and (3) identify gaps and opportunities for improving university programs and the dietetic workforce. Methods Course convenors (or their nominated representative) of Australian and New Zealand accredited dietetic programs were invited to participate in a semi-structured virtual interview. A purpose-built question guide was developed to explore the inclusion and/or integration of ED-specific content into the curricula, and the perspectives of course convenors toward the role of dietitians in the treatment of EDs, and their employment opportunities. The interviews were audio recorded, transcribed verbatim, and analysed qualitatively using inductive thematic analysis. Results Thirteen participants who represented 14 universities and 19 individual accredited dietetic programs, were interviewed, with some participants representing more than one university. Three dominant themes emerged: (1) varying ED-specific content and training in dietetic programs; (2) unclear dietitian's role in the treatment of EDs, and (3) contrasting views regarding ED clinical practice and employment. Conclusions ED-specific content was embedded within all the dietetic programs investigated in this study. However, this content was generally limited to an introductory level, with notable variations found between the depth of content and the type of training provided. Risk-mitigation skill development, such as screening for EDs, and early identification of symptoms, also varied between programs. Therefore, it is recommended that ED-specific skill development and knowledge is enhanced within Australian and New Zealand university programs, to support effective, safe, and timely care for people with EDs. This research has implications for current and future university dietetic program development and the broader dietetic workforce.
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spelling doaj.art-2401509f7fd94c7ea40bb4ef0e257e222023-04-23T11:03:33ZengBMCJournal of Eating Disorders2050-29742023-04-0111111110.1186/s40337-023-00788-xExploring the eating disorder curricula of accredited university dietetic programs in Australia and New ZealandElizabeth Kumiko Parker0Mellisa Anne Ashley1Deanne Maree Harris2Anita Stefoska-Needham3Department of Dietetics and Nutrition, Westmead HospitalDepartment of Dietetics and Nutrition, Westmead HospitalDepartment of Nutrition and Dietetics, Tamworth Rural Referral HospitalNutrition and Dietetics, School of Medical, Indigenous and Health Sciences, Health Impacts Research Centre, Illawarra Health and Medical Research Institute, University of WollongongAbstract Background Dietitians are viewed as integral members of the multidisciplinary treatment team for people with eating disorders (EDs). However, low levels of perceived confidence, competence, and willingness to practice in this clinical area, have been reported by dietitians and student dietitians. As the extent of ED-specific knowledge and skills-based training within tertiary accredited dietetic programs is currently unknown, this research aimed to: (1) obtain insights into the current ED-specific knowledge base and training content of dietetic curricula in both Australian and New Zealand universities; (2) understand the perspectives of course convenors regarding the role of dietitians in ED treatment and their employment opportunities; and (3) identify gaps and opportunities for improving university programs and the dietetic workforce. Methods Course convenors (or their nominated representative) of Australian and New Zealand accredited dietetic programs were invited to participate in a semi-structured virtual interview. A purpose-built question guide was developed to explore the inclusion and/or integration of ED-specific content into the curricula, and the perspectives of course convenors toward the role of dietitians in the treatment of EDs, and their employment opportunities. The interviews were audio recorded, transcribed verbatim, and analysed qualitatively using inductive thematic analysis. Results Thirteen participants who represented 14 universities and 19 individual accredited dietetic programs, were interviewed, with some participants representing more than one university. Three dominant themes emerged: (1) varying ED-specific content and training in dietetic programs; (2) unclear dietitian's role in the treatment of EDs, and (3) contrasting views regarding ED clinical practice and employment. Conclusions ED-specific content was embedded within all the dietetic programs investigated in this study. However, this content was generally limited to an introductory level, with notable variations found between the depth of content and the type of training provided. Risk-mitigation skill development, such as screening for EDs, and early identification of symptoms, also varied between programs. Therefore, it is recommended that ED-specific skill development and knowledge is enhanced within Australian and New Zealand university programs, to support effective, safe, and timely care for people with EDs. This research has implications for current and future university dietetic program development and the broader dietetic workforce.https://doi.org/10.1186/s40337-023-00788-xEating disordersDietitianEducationTraining
spellingShingle Elizabeth Kumiko Parker
Mellisa Anne Ashley
Deanne Maree Harris
Anita Stefoska-Needham
Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
Journal of Eating Disorders
Eating disorders
Dietitian
Education
Training
title Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
title_full Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
title_fullStr Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
title_full_unstemmed Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
title_short Exploring the eating disorder curricula of accredited university dietetic programs in Australia and New Zealand
title_sort exploring the eating disorder curricula of accredited university dietetic programs in australia and new zealand
topic Eating disorders
Dietitian
Education
Training
url https://doi.org/10.1186/s40337-023-00788-x
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