ArticleJournal of eating disorders2021
Facilitators and barriers in anorexia nervosa treatment initiation: a qualitative study on the perspectives of patients, carers and professionals.
Article in Journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03713541 (Identification of Beneficial and Inhibitory Factors for Treatment in Patients With Anorexia Nervosa), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Identification of Beneficial and Inhibitory Factors for Treatment in Patients With Anorexia Nervosa: A Pathway to Effective Secondary Prevention and Prognostic Improvement
Who cites it
21 citing papers in PubMed, 34 citations in OpenAlex.
- In-home medical nutrition support for patients with severe anorexia nervosa: a mixed methods evaluation of a specialized Mobile Nutrition Team.Journal of eating disorders · 2026Article
- "Invented medicine"? Alliance building in first encounters between clinicians and adolescents with anorexia nervosa: a qualitative study.Journal of eating disorders · 2026Article
- Anorexia nervosa: 150 years of critical theory.Journal of eating disorders · 2026Review
- Exploring the ruling relations of eating disorder treatment in Ontario.Journal of eating disorders · 2025Article
- Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.Journal of eating disorders · 2025Review
- Investigating the impact of causal attributions on anorexia nervosa stigma.Journal of eating disorders · 2025Article
- Exploring eye-movement changes as digital biomarkers and endophenotypes in subclinical eating disorders: an eye tracking study.BMC psychiatry · 2025Article
- Exploration of barriers to treatment for patients with eating disorders in Chile.Journal of eating disorders · 2024Article
- Navigating the ethical complexities of severe and enduring (longstanding) eating disorders: tools for critically reflective practice and collaborative decision-making.Journal of eating disorders · 2024Review
- Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality.Journal of eating disorders · 2024Article
- Improving motivation and treatment uptake behaviors of patients with eating disorders using patient narrative videos: study protocol of a pilot randomized controlled trial.Journal of eating disorders · 2024Article
- Observational
- A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope.Journal of eating disorders · 2023Article
- Adapting a mobile app to support patients with anorexia nervosa following post-acute care: perspectives from eating disorder treatment center stakeholders.Frontiers in digital health · 2023Article
- The Treatment Experience of Anorexia Nervosa in Adolescents from Healthcare Professionals' Perspective: A Qualitative Study.International journal of environmental research and public health · 2023Article
- Eye movements and eating disorders: protocol for an exploratory experimental study examining the relationship in young-adult women with subclinical symptomatology.Journal of eating disorders · 2022Article
- Help-seeking attitudes and behaviours among youth with eating disorders: a scoping review.Journal of eating disorders · 2022Article
- Remote consultation with people with eating disorders during the COVID-19 pandemic.Revista brasileira de enfermagem · 2022Article
- The development and psychometric evaluation of FABIANA-checklist: a scale to assess factors influencing treatment initiation in anorexia nervosa.Journal of eating disorders · 2021Article
- Exploring the experience of being viewed as "not sick enough": a qualitative study of women recovered from anorexia nervosa or atypical anorexia nervosa.Journal of eating disorders · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAn early psychotherapeutic treatment of anorexia nervosa (AN) is crucial for a good prognosis. In order to improve treatment initiation, knowledge about facilitators and barriers to treatment is needed.
objectiveAgainst this background, we aimed to identify facilitators and barriers from the perspectives of patients, carers and professionals using a qualitative approach.
methodTo this end, semi-structured interviews were conducted in triads of female patients with AN aged 14 years and older at the beginning of their first psychotherapeutic treatment, their carers, and referring health care professionals. A modified Grounded Theory approach was used for analysis.
resultsIn total, 22 interviews were conducted (n = 6 adults, n = 4 adolescents, 4 full triads). The duration of untreated AN ranged between 30 days and 25.85 years (M = 3.06 ± 8.01 years). A wide spectrum of facilitators and barriers within the patient, the social environment, the health care system and the society were identified. Most prominent factors were 'recognizing and addressing' by close others, 'waiting times and availability' and 'recommendations and referrals' by health care professionals. 'Positive role models for treatment' were perceived as a specific facilitative social influence. Facilitators were more frequently mentioned than barriers and most of the factors seem to hold potential for modifiability.
conclusionOverall, the findings suggest that early intervention approaches for AN should not only address patients and the health care system, but may also involve carers and successfully treated former patients.
trial registrationClinicalTrials.gov Identifier: NCT03713541 .
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Registered trials
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