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Feasibility and acceptability of screening for eating disorders in primary care

Feasibility and acceptability of screening for eating disorders in primary care
Feasibility and acceptability of screening for eating disorders in primary care
Background. Earlier diagnosis of disordered eating is linked to improved prognosis, but detection in primary care is poor. Objectives. To assess the feasibility of screening for disordered eating within primary care, in terms of the proportion of patients accepting screening, yield of cases, action taken by staff and staff views on screening.
Methods. Data were collected in open GP surgeries, midwife (MW) antenatal clinics and health visitor (HV) child health surveillance clinics in two GP practices, using face-to-face surveys and semi-structured interviews. Female patients aged 16-35 were asked to complete the SCOFF questionnaire, which was scored by researchers and taken by the patient into their consultation. If the result indicated possible disturbed eating, the health professional (HP) running the surgery/clinic was asked to complete a questionnaire and interview. One hundred and eleven women were screened and 11 HPs (GPs, MWs, HVs) were interviewed.
Results. Forty-six percent of patients agreed to be screened. Of these, 16% produced a positive result. The staff survey suggested that HPs found screening acceptable. However, concerns arose in the interviews, principally over what action to take in response to positive results. Positive results were rarely recorded in medical notes, and treatment was rarely offered.
Conclusion. In order for a screening programme for eating disorders to be implemented in primary care, HP concerns about options for dealing with positive results would need to be addressed. Feasibility of screening would be enhanced by production of a protocol to be followed in the case of positive results.
eating disorders, eating, treatment, antenatal, running, disorders, health, child, England, diagnosis, gps, care, health visitor, female, questionnaire, interviews, aged, screening, community, methods, patients, primary care, disorder, primary-care, surgery, women, prognosis
0263-2136
511-517
Johnston, Olwyn
cf28d016-bc32-4db0-9502-38b811ca29c6
Fornai, Gemma
3c30b062-3a2f-4f88-b0bb-b4676cc9a1c1
Cabrini, Sara
ce6b199e-5d9f-4ab9-bbcd-4f93865a156c
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
Johnston, Olwyn
cf28d016-bc32-4db0-9502-38b811ca29c6
Fornai, Gemma
3c30b062-3a2f-4f88-b0bb-b4676cc9a1c1
Cabrini, Sara
ce6b199e-5d9f-4ab9-bbcd-4f93865a156c
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5

Johnston, Olwyn, Fornai, Gemma, Cabrini, Sara and Kendrick, Tony (2007) Feasibility and acceptability of screening for eating disorders in primary care. Family Practice, 24 (5), 511-517. (doi:10.1093/fampra/cmm029).

Record type: Article

Abstract

Background. Earlier diagnosis of disordered eating is linked to improved prognosis, but detection in primary care is poor. Objectives. To assess the feasibility of screening for disordered eating within primary care, in terms of the proportion of patients accepting screening, yield of cases, action taken by staff and staff views on screening.
Methods. Data were collected in open GP surgeries, midwife (MW) antenatal clinics and health visitor (HV) child health surveillance clinics in two GP practices, using face-to-face surveys and semi-structured interviews. Female patients aged 16-35 were asked to complete the SCOFF questionnaire, which was scored by researchers and taken by the patient into their consultation. If the result indicated possible disturbed eating, the health professional (HP) running the surgery/clinic was asked to complete a questionnaire and interview. One hundred and eleven women were screened and 11 HPs (GPs, MWs, HVs) were interviewed.
Results. Forty-six percent of patients agreed to be screened. Of these, 16% produced a positive result. The staff survey suggested that HPs found screening acceptable. However, concerns arose in the interviews, principally over what action to take in response to positive results. Positive results were rarely recorded in medical notes, and treatment was rarely offered.
Conclusion. In order for a screening programme for eating disorders to be implemented in primary care, HP concerns about options for dealing with positive results would need to be addressed. Feasibility of screening would be enhanced by production of a protocol to be followed in the case of positive results.

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More information

Published date: 2007
Keywords: eating disorders, eating, treatment, antenatal, running, disorders, health, child, England, diagnosis, gps, care, health visitor, female, questionnaire, interviews, aged, screening, community, methods, patients, primary care, disorder, primary-care, surgery, women, prognosis

Identifiers

Local EPrints ID: 61832
URI: http://eprints.soton.ac.uk/id/eprint/61832
ISSN: 0263-2136
PURE UUID: f6791143-b7e7-4a6d-a3a4-fcb72ad11707
ORCID for Tony Kendrick: ORCID iD orcid.org/0000-0003-1618-9381

Catalogue record

Date deposited: 08 Sep 2008
Last modified: 16 Mar 2024 03:00

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Contributors

Author: Olwyn Johnston
Author: Gemma Fornai
Author: Sara Cabrini
Author: Tony Kendrick ORCID iD

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