Cited by 60Eating Disorders and BehaviorsTelemedicine and Telehealth ImplementationDental Research and COVID-19

Moving online: young people and parents’ experiences of adolescent eating disorder day programme treatment during the COVID-19 pandemic

Open access
Brothwood, Phillipa Louise, Baudinet, Julian, Stewart, Catherine S., Simic, Mima·2021·Journal of Eating Disorders

Abstract

Background: This study examined the experiences of young people and their parents who attended an intensive day treatment programme for eating disorders online during the global COVID-19 pandemic. Methods: Online questionnaires were completed by 14 adolescents (12–18 years) and their parents (n = 19). The questionnaires included a mixture of rating questions (Likert scale) and free text responses. Free text responses were analysed using reflexive thematic analysis. Results: Three main themes were identified: 1) New discoveries, 2) Lost in translation and 3) The best of a bad situation. This study provides insight into the benefits and pitfalls of online treatment delivery in the adolescent day programme context, which has rapidly had to become part of the everyday therapeutic practice. Results indicate that there are advantages and disadvantages to this, and that parents and young people’s views differed. Conclusions: This study suggests that the increased accessibility provided by online working does not necessarily translate to increased connection. Given the importance of therapeutic alliance in treatment outcomes, this will be an important consideration for future developments of online intensive treatments.

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  • The core CBT-E protocol, for people who are not underweight, is 20 sessions in length.

    “The core CBT-E protocol, for people who are not underweight, is 20 sessions in length”

    From Can CBT-E be delivered in an online group format? A pilot study of the Body Image module in a child and adolescent eating disorder service (2023) · cites this paper as [5]

    The Methods section (Treatment context and adaptations for online working; page unavailable) describes an adolescent day programme based primarily on family therapy and lists cognitive behavioural therapy among its groups. Searches for CBT-E, non-underweight patients, and a 20-session protocol found no passage addressing the claimed protocol length. (LLM, conf=0.75)

    Experimental — accuracy not yet measured
  • CBT-E is an evidence-based therapy for eating disorders.

    “Enhanced cognitive behavioural therapy (CBT-E; [5]) is an evidence-based therapy for eating disorders.”

    From Can CBT-E be delivered in an online group format? A pilot study of the Body Image module in a child and adolescent eating disorder service (2023) · cites this paper as [5]

    The Methods section (page unavailable) describes a day programme primarily based on family therapy for anorexia nervosa, not CBT-E. Searches for “CBT-E,” “enhanced cognitive behavioural therapy,” and evidence-based cognitive behavioural treatment found no passage in our copy assessing whether CBT-E is evidence-based for eating disorders. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

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Authors
Brothwood, P. L., Baudinet, J., Stewart, C. S., & Simic, M.
Affiliations
  • Maudsley Hospital (GB)
  • King's College London (GB)
Corresponding author
Baudinet, Julian
Venue
Journal of Eating Disorders
Published
2021-05-24
Volume
9
Issue
1
Pages
62-62
ISSN
2050-2974 (ISSN-L)
OpenAlex
W3165673007
Cited by
60
References
31
Citations by year
2026: 3 · 2025: 11 · 2024: 14 · 2023: 9 · 2022: 17 · 2021: 6
FWCI
7.84
Type
journal article
Language
en
Open access
Locations
  • Journal of Eating Disorders (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Portal (King's College London) (submittedVersion, other-oa)
Funders
Goddard Space Flight Center
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
Keywords
adolescent eating disorders, online therapy, day treatment, COVID-19 pandemic, parental experiences, youth experiences, therapeutic relationship, intensive treatment, telemedicine, parent-adolescent relationships

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