The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond
Abstract Objective The COVID-19 pandemic has had detrimental effects on mental health. Literature on the impact on individuals with eating disorders is slowly emerging. While outpatient eating disorder services in Canada have attempted to transition to virtual care, guidelines related to optimal vir...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-021-00394-9 |
| _version_ | 1811174172873719808 |
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| author | Jennifer Couturier Danielle Pellegrini Catherine Miller Neera Bhatnagar Ahmed Boachie Kerry Bourret Melissa Brouwers Jennifer S. Coelho Gina Dimitropoulos Sheri Findlay Catherine Ford Josie Geller Seena Grewal Joanne Gusella Leanna Isserlin Monique Jericho Natasha Johnson Debra K. Katzman Melissa Kimber Adele Lafrance Anick Leclerc Rachel Loewen Techiya Loewen Gail McVey Mark Norris David Pilon Wendy Preskow Wendy Spettigue Cathleen Steinegger Elizabeth Waite Cheryl Webb |
| author_facet | Jennifer Couturier Danielle Pellegrini Catherine Miller Neera Bhatnagar Ahmed Boachie Kerry Bourret Melissa Brouwers Jennifer S. Coelho Gina Dimitropoulos Sheri Findlay Catherine Ford Josie Geller Seena Grewal Joanne Gusella Leanna Isserlin Monique Jericho Natasha Johnson Debra K. Katzman Melissa Kimber Adele Lafrance Anick Leclerc Rachel Loewen Techiya Loewen Gail McVey Mark Norris David Pilon Wendy Preskow Wendy Spettigue Cathleen Steinegger Elizabeth Waite Cheryl Webb |
| author_sort | Jennifer Couturier |
| collection | DOAJ |
| description | Abstract Objective The COVID-19 pandemic has had detrimental effects on mental health. Literature on the impact on individuals with eating disorders is slowly emerging. While outpatient eating disorder services in Canada have attempted to transition to virtual care, guidelines related to optimal virtual care in this field are lacking. As such, the objective of our Canadian Consensus Panel was to develop clinical practice guidelines related to the provision of virtual care for children, adolescents, and emerging adults living with an eating disorder, as well as their caregivers, during the COVID-19 pandemic and beyond. Methods Using scoping review methodology (with literature in databases from 2000 to 2020 and grey literature from 2010 to 2020), the Grading of Recommendations, Assessment, Development, and Evaluation system, the Appraisal of Guidelines, Research and Evaluation tool, and a panel of diverse stakeholders from across Canada, we developed high quality treatment guidelines that are focused on virtual interventions for children, adolescents, and emerging adults with eating disorders, and their caregivers. Results Strong recommendations were supported specifically in favour of in-person medical evaluation when necessary for children, adolescents, and emerging adults, and that equity-seeking groups and marginalized youth should be provided equal access to treatment. For children and adolescents, weak recommendations were supported for telehealth family-based treatment (FBT) and online guided parental self-help FBT. For emerging adults, internet cognitive-behavioural therapy (CBT)-based guided self-help was strongly recommended. Weak recommendations for emerging adults included CBT-based group internet interventions as treatment adjuncts, internet-based relapse prevention Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) guided self-help, telehealth relapse prevention using MANTRA, and guided CBT-based smartphone apps as treatment adjuncts. For caregivers of children and adolescents, weak recommendations were supported for virtual parent meal support training, and moderated online caregiver forums and support groups. For caregivers of emerging adults, guided parental self-help CBT was strongly recommended, and unguided caregiver psychoeducation self-help was weakly recommended. Conclusions Several gaps for future work were identified including the impact of sex, gender, race, and socioeconomic status on virtual care among children, adolescents, and emerging adults with eating disorders, as well as research on more intensive services, such as virtual day hospitals. |
| first_indexed | 2024-04-10T17:58:52Z |
| format | Article |
| id | doaj.art-e45f066b2e0e4afaac91411d98130b90 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T17:58:52Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-e45f066b2e0e4afaac91411d98130b902023-02-02T17:06:42ZengBMCJournal of Eating Disorders2050-29742021-04-019114010.1186/s40337-021-00394-9The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyondJennifer Couturier0Danielle Pellegrini1Catherine Miller2Neera Bhatnagar3Ahmed Boachie4Kerry Bourret5Melissa Brouwers6Jennifer S. Coelho7Gina Dimitropoulos8Sheri Findlay9Catherine Ford10Josie Geller11Seena Grewal12Joanne Gusella13Leanna Isserlin14Monique Jericho15Natasha Johnson16Debra K. Katzman17Melissa Kimber18Adele Lafrance19Anick Leclerc20Rachel Loewen21Techiya Loewen22Gail McVey23Mark Norris24David Pilon25Wendy Preskow26Wendy Spettigue27Cathleen Steinegger28Elizabeth Waite29Cheryl Webb30McMaster UniversityMcMaster UniversityCanadian Mental Health Association – Waterloo WellingtonMcMaster UniversityUniversity of TorontoSt. Joseph’s Care Group – Thunder BayUniversity of OttawaThe University of British ColumbiaUniversity of CalgaryMcMaster UniversityOntario Ministry of Health and Long-Term CareThe University of British ColumbiaUniversity of TorontoDalhousie UniversityUniversity of OttawaUniversity of CalgaryMcMaster UniversityUniversity of TorontoMcMaster UniversityLaurentian UniversityMcMaster Children’s HospitalPatient advocateParent advocateUniversity of TorontoUniversity of OttawaDalhousie UniversityNational Initiative for Eating DisordersUniversity of OttawaUniversity of TorontoParent advocateMcMaster UniversityAbstract Objective The COVID-19 pandemic has had detrimental effects on mental health. Literature on the impact on individuals with eating disorders is slowly emerging. While outpatient eating disorder services in Canada have attempted to transition to virtual care, guidelines related to optimal virtual care in this field are lacking. As such, the objective of our Canadian Consensus Panel was to develop clinical practice guidelines related to the provision of virtual care for children, adolescents, and emerging adults living with an eating disorder, as well as their caregivers, during the COVID-19 pandemic and beyond. Methods Using scoping review methodology (with literature in databases from 2000 to 2020 and grey literature from 2010 to 2020), the Grading of Recommendations, Assessment, Development, and Evaluation system, the Appraisal of Guidelines, Research and Evaluation tool, and a panel of diverse stakeholders from across Canada, we developed high quality treatment guidelines that are focused on virtual interventions for children, adolescents, and emerging adults with eating disorders, and their caregivers. Results Strong recommendations were supported specifically in favour of in-person medical evaluation when necessary for children, adolescents, and emerging adults, and that equity-seeking groups and marginalized youth should be provided equal access to treatment. For children and adolescents, weak recommendations were supported for telehealth family-based treatment (FBT) and online guided parental self-help FBT. For emerging adults, internet cognitive-behavioural therapy (CBT)-based guided self-help was strongly recommended. Weak recommendations for emerging adults included CBT-based group internet interventions as treatment adjuncts, internet-based relapse prevention Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) guided self-help, telehealth relapse prevention using MANTRA, and guided CBT-based smartphone apps as treatment adjuncts. For caregivers of children and adolescents, weak recommendations were supported for virtual parent meal support training, and moderated online caregiver forums and support groups. For caregivers of emerging adults, guided parental self-help CBT was strongly recommended, and unguided caregiver psychoeducation self-help was weakly recommended. Conclusions Several gaps for future work were identified including the impact of sex, gender, race, and socioeconomic status on virtual care among children, adolescents, and emerging adults with eating disorders, as well as research on more intensive services, such as virtual day hospitals.https://doi.org/10.1186/s40337-021-00394-9GuidelinesEating disordersCOVID-19Virtual careSelf-helpAnorexia nervosa |
| spellingShingle | Jennifer Couturier Danielle Pellegrini Catherine Miller Neera Bhatnagar Ahmed Boachie Kerry Bourret Melissa Brouwers Jennifer S. Coelho Gina Dimitropoulos Sheri Findlay Catherine Ford Josie Geller Seena Grewal Joanne Gusella Leanna Isserlin Monique Jericho Natasha Johnson Debra K. Katzman Melissa Kimber Adele Lafrance Anick Leclerc Rachel Loewen Techiya Loewen Gail McVey Mark Norris David Pilon Wendy Preskow Wendy Spettigue Cathleen Steinegger Elizabeth Waite Cheryl Webb The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond Journal of Eating Disorders Guidelines Eating disorders COVID-19 Virtual care Self-help Anorexia nervosa |
| title | The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond |
| title_full | The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond |
| title_fullStr | The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond |
| title_full_unstemmed | The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond |
| title_short | The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond |
| title_sort | covid 19 pandemic and eating disorders in children adolescents and emerging adults virtual care recommendations from the canadian consensus panel during covid 19 and beyond |
| topic | Guidelines Eating disorders COVID-19 Virtual care Self-help Anorexia nervosa |
| url | https://doi.org/10.1186/s40337-021-00394-9 |
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