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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/220643
Treatment targets and strategies for eating disorders recovery: a delphi consensus with lived experience, carers, researchers, and clinicians
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Objective: Long-term recovery rates following eating disorders (EDs) treatment remain low. This might be partly due to a lack of agreement between key stakeholder groups, including people with lived experience, carers, clinicians, and researchers, regarding optimal therapeutic targets and strategies. We aimed to reach a consensus across these diverse groups on the most valued treatment targets and strategies for fostering ED recovery. Method: We used the Delphi method with two phases: (i) Survey development and (ii) Expert rating. The survey development phase included the design of an initial set of items through scoping review and feedback from a committee of 14 experts. During the survey rating, we engaged a larger panel of 185 experts who comprised the stakeholder groups: Individuals with lived ED experience (n = 49), carers (n = 44), researchers (n = 46), and clinicians (n = 46). Results: Thirty-one targets and 29 strategies reached consensus (> 70% agreement over three rounds). Psychological-emotional-social targets including quality of life, sense of purpose, and emotion regulation, along with ED behaviors, reached the highest agreement (> 90%). Strategies reflecting an individualized approach to treatment (i.e., considering diversity, assessing comorbidities, and enhancing rapport) achieved the highest agreement (> 90%). Responses across groups were similar, except researchers leaning more towards consideration of weight- and eating-related targets. Discussion: Holistic targets and individualized therapeutic strategies have consistent support from the different stakeholder groups involved in ED treatment. The agreed set of targets/strategies may be used, in triangulation with other sources of evidence, to design and evaluate coproduced and personalized interventions.
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HANEGRAAF, Lauren, ANDERSON, Alexandra, NEILL, Erica, GIDDENS, Emily, BOON, Evelyn, BRYANT, Emma, CALVERT, Shannon, CARROLL, Bronwyn, FERNÁNDEZ ARANDA, Fernando, IKIN, Sam, LUNA, Maya, MITCHELL, Fiona, MURPHY, Rebecca, PHILLIPOU, Andrea, ROBINSON, Julian, WIERENGA, Christina, WILKSCH, Simon, MAGUIRE, Sarah, VERDEJO GARCÍA, Antonio. Treatment targets and strategies for eating disorders recovery: a delphi consensus with lived experience, carers, researchers, and clinicians. _International Journal of Eating Disorders_. 2024. Vol. 57, núm. 12, pàgs. 2494-2507. [consulta: 10 de gener de 2026]. ISSN: 0276-3478. [Disponible a: https://hdl.handle.net/2445/220643]