Journal
INTERNATIONAL JOURNAL OF EATING DISORDERS
Volume 54, Issue 9, Pages 1689-1695Publisher
WILEY
DOI: 10.1002/eat.23574
Keywords
COVID-19; eating disorders; evidence-based; outcomes; telehealth
Funding
- North Metropolitan Health Service Allied Health Council (AHC), Department of Health in Western Australia
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The study found that providing evidence-based treatment for eating disorders via telehealth during the COVID-19 pandemic led to significant improvements in symptoms and mood for patients. Additionally, patients rated the quality of treatment and therapeutic alliance highly, suggesting that telehealth for eating disorders is acceptable and effective.
Background The coronavirus pandemic (COVID-19) has required telehealth to be integrated into the delivery of evidence-based treatments for eating disorders in many services, but the impact of this on patient outcomes is unknown. Objective The present study examined the impact of the first wave of COVID-19 and rapid transition to telehealth on eating disorder symptoms in a routine clinical setting. Method Participants were 25 patients with a confirmed eating disorder diagnosis who had commenced face-to-face treatment and rapidly switched to telehealth during the first wave of COVID-19 in Western Australia. Eating disorder symptoms, clinical impairment and mood were measured prospectively before and during lockdowns imposed due to COVID-19. Hypotheses We predicted that patients would experience poorer treatment outcomes during COVID-19 and would perceive poorer therapeutic alliance and poorer quality of treatment compared to face-to-face therapy. Results Our hypotheses were not supported. On average, patients achieved large improvements in eating disorder symptoms and mood, and the magnitude of improvement in eating disorder symptoms was comparable to historical benchmarks at the same clinic. Patients rated the quality of treatment and therapeutic alliance highly. Discussion Providing evidence-based treatment for eating disorders via telehealth during COVID-19 lockdown is acceptable to patients and associated with positive treatment outcomes.
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