Evidence map›Paper›PMID 33863388›Full record

ArticleJournal of eating disorders2021

The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond.

Jennifer Couturier, Danielle Pellegrini, Catherine Miller, Neera Bhatnagar, Ahmed Boachie, Kerry Bourret, Melissa Brouwers, Jennifer S Coelho, Gina Dimitropoulos, Sheri Findlay and 21 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

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. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

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  15. Overcoming barriers in eating disorder care: advances, gaps, and recommendations for equitable assessment and treatment.Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors at 11 institutions in 1 country.

Jennifer CouturierMcMaster University, Hamilton, ON, Canada. coutur@mcmaster.ca.ORCID http://orcid.org/0000-0003-3218-0168
Danielle PellegriniMcMaster University, Hamilton, ON, Canada.
Catherine MillerCanadian Mental Health Association - Waterloo Wellington, Waterloo, ON, Canada.
Neera BhatnagarMcMaster University, Hamilton, ON, Canada.
Ahmed BoachieUniversity of Toronto, Toronto, ON, Canada.
Kerry BourretSt. Joseph's Care Group - Thunder Bay, Thunder Bay, ON, Canada.
Melissa BrouwersUniversity of Ottawa, Ottawa, ON, Canada.
Jennifer S CoelhoThe University of British Columbia, Vancouver, BC, Canada.
Gina DimitropoulosUniversity of Calgary, Calgary, AB, Canada.
Sheri FindlayMcMaster University, Hamilton, ON, Canada.
Catherine FordOntario Ministry of Health and Long-Term Care, Toronto, ON, Canada.
Josie GellerThe University of British Columbia, Vancouver, BC, Canada.
Seena GrewalUniversity of Toronto, Toronto, ON, Canada.
Joanne GusellaDalhousie University, Halifax, NS, Canada.
Leanna IsserlinUniversity of Ottawa, Ottawa, ON, Canada.
Monique JerichoUniversity of Calgary, Calgary, AB, Canada.
Natasha JohnsonMcMaster University, Hamilton, ON, Canada.
Debra K KatzmanUniversity of Toronto, Toronto, ON, Canada.
Melissa KimberMcMaster University, Hamilton, ON, Canada.
Adele LafranceLaurentian University, Sudbury, ON, Canada.
Anick LeclercMcMaster Children's Hospital, 1200 Main St W, Hamilton, Ontario, L8N 3Z5, Canada.
Rachel LoewenPatient advocate, Woodstock, ON, Canada.
Techiya LoewenParent advocate, Woodstock, ON, Canada.
Gail McVeyUniversity of Toronto, Toronto, ON, Canada.
Mark NorrisUniversity of Ottawa, Ottawa, ON, Canada.
David PilonDalhousie University, Halifax, NS, Canada.
Wendy PreskowNational Initiative for Eating Disorders, Toronto, ON, Canada.
Wendy SpettigueUniversity of Ottawa, Ottawa, ON, Canada.
Cathleen SteineggerUniversity of Toronto, Toronto, ON, Canada.
Elizabeth WaiteParent advocate, Ottawa, ON, Canada.
Cheryl WebbMcMaster University, Hamilton, ON, Canada.
McMaster Children's Hospital · CAUniversity of Toronto · CAUniversity of Ottawa · CAMcMaster University · CADalhousie University · CAUniversity of British Columbia · CAUniversity of Calgary · CACanadian Mental Health Association · CALaurentian University · CAMinistry of Health and Long Term Care · CASt. Joseph's Care Group · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic has had detrimental effects on mental health. Literature on the impact on individuals with eating disorders is slowly emerging. While outpatient eating disorder services in Canada have attempted to transition to virtual care, guidelines related to optimal virtual care in this field are lacking. As such, the objective of our Canadian Consensus Panel was to develop clinical practice guidelines related to the provision of virtual care for children, adolescents, and emerging adults living with an eating disorder, as well as their caregivers, during the COVID-19 pandemic and beyond.

methodsUsing scoping review methodology (with literature in databases from 2000 to 2020 and grey literature from 2010 to 2020), the Grading of Recommendations, Assessment, Development, and Evaluation system, the Appraisal of Guidelines, Research and Evaluation tool, and a panel of diverse stakeholders from across Canada, we developed high quality treatment guidelines that are focused on virtual interventions for children, adolescents, and emerging adults with eating disorders, and their caregivers.

resultsStrong recommendations were supported specifically in favour of in-person medical evaluation when necessary for children, adolescents, and emerging adults, and that equity-seeking groups and marginalized youth should be provided equal access to treatment. For children and adolescents, weak recommendations were supported for telehealth family-based treatment (FBT) and online guided parental self-help FBT. For emerging adults, internet cognitive-behavioural therapy (CBT)-based guided self-help was strongly recommended. Weak recommendations for emerging adults included CBT-based group internet interventions as treatment adjuncts, internet-based relapse prevention Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) guided self-help, telehealth relapse prevention using MANTRA, and guided CBT-based smartphone apps as treatment adjuncts. For caregivers of children and adolescents, weak recommendations were supported for virtual parent meal support training, and moderated online caregiver forums and support groups. For caregivers of emerging adults, guided parental self-help CBT was strongly recommended, and unguided caregiver psychoeducation self-help was weakly recommended.

conclusionsSeveral gaps for future work were identified including the impact of sex, gender, race, and socioeconomic status on virtual care among children, adolescents, and emerging adults with eating disorders, as well as research on more intensive services, such as virtual day hospitals.

Indexed as

AdolescentsAnorexia nervosaBinge eating disorderBulimia nervosaChildrenCOVID-19Eating disordersEmerging adultsGuidelinesSelf-helpVirtual care

Identifiers

PMID33863388
PMCPMC8050997
OpenAlexW3154279023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.