A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out

Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was t...

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Bibliographic Details
Published in:International journal of qualitative studies on health and well-being 2020-01, Vol.15 (1), p.1731994-1731994
Main Authors: Bakland, Maria, Rosenvinge, Jan H., Wynn, Rolf, Sørlie, Venke, Sundgot-Borgen, Jorunn, Fostervold Mathisen, Therese, Hanssen, Tove Aminda, Jensen, Franziska, Innjord, Kjersti, Pettersen, Gunn
Format: Article
Language:English
Subjects:
Adult
Basale medisinske, odontologiske og veterinærmedisinske fag: 710
Basic medical, dental and veterinary science disciplines: 710
Bulimia
Diet
Diet Therapy
dropout
Eating disorders
Empirical Studies
Evidence-based medicine
Exercise
Exercise Therapy
Feeding and Eating Disorders - therapy
Female
Humans
Interviews
Medical disciplines: 700
Medisinske Fag: 700
Motivation
Nutrition therapy
Patient Dropouts - psychology
patient experiences
Program Evaluation
qualitative analysis
Qualitative research
Suitability
treatment
Treatment needs
VDP
Young Adult
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Summary:Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was to explore experiences from patients who dropped out of a new treatment for bulimia nervosa and binge ED, combining physical exercise and dietary therapy (PED-t). Methods: We conducted open-ended face-to-face interviews. The interviews were transcribed verbatim and the data were analysed with a phenomenological hermeneutical approach. Results: Three themes emerged: "standing on the outside", "unmet expectations" and "participation not a waste of time". Feelings of standing on the outside were elicited by being different from other group members and having challenges with sharing thoughts. Unmet expectations were related to treatment content and intensity, as well as the development of unhealthy thoughts and behaviours. Finally, some positive experiences were voiced. Conclusion: A need to clarify pre-treatment expectations and refining criteria for treatment suitability is indicated. The findings have contributed to the chain of clinical evidence regarding the PED-t and may lead to treatment modifications improving the treatment and thereby reducing drop out.
ISSN:1748-2631
1748-2623
1748-2631
DOI:10.1080/17482631.2020.1731994