Evidence map›Paper›PMID 35768172›Full record

ArticleBMJ open quality2022

Improving mealtimes for patients and staff within an eating disorder unit: the next chapter.

Lucy Gardner, Kirstie Tillier, Kayda Marshall-Tyson, Hayley Trueman, David Francis Hunt

Abstract read
In one paragraph

Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Social Eating Among Child and Adult Hospital Patients: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  2. Article
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

5 authors.

Lucy GardnerCotswold House Oxford, Warneford Hospital, Oxford Health NHS Foundation Trust, Oxford, UK Lucy.Gardner@oxfordhealth.nhs.uk.
Kirstie TillierCotswold House Oxford, Warneford Hospital, Oxford Health NHS Foundation Trust, Oxford, UK.
Kayda Marshall-TysonCotswold House Oxford, Warneford Hospital, Oxford Health NHS Foundation Trust, Oxford, UK.
Hayley TruemanMental Health Improvement, Oxford Academic Health Science Network, Oxford, UK.
David Francis HuntOxford Healthcare Improvement, Oxford Health NHS Foundation Trust, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMealtimes are an integral part of treatment for patients in an eating disorder inpatient unit. However, they are often distressing and anxiety provoking for both patients and staff. A consequence of patients' distress is an increase in eating disorder behaviours specific to mealtimes. This is the second paper detailing a quality improvement project following on from an initial paper outlining the first test of change. The aim of this quality improvement project was to decrease the number of eating disorder behaviours at mealtimes in the dining room through the implementation of interventions identified through diagnostic work. METHODS/

designThe Model for Improvement was used as the systematic approach for this project. Baseline assessment included observations in the dining room, gathering of qualitative feedback from staff and patients and the development of a form which identifies eating disorder behaviours completed by staff. Interventions in the form of three change ideas have so far been introduced including (1) a host role in the dining room, (2) a guide to the dining room for new staff along with competencies and (3) a dining goals group. The impact of the three interventions is assessed.

resultsThe introduction of the interventions has overall reduced the average number of eating disorder behaviours per patient in the dining room by 33%.

conclusionsThis paper reports the challenges and successes of continuing a QI project through the COVID-19 pandemic and the need for multiple tests of change to improve a complex problem. The results demonstrate a consistent reduction in eating disorder behaviours over a period of nearly 2 years.

Indexed as

COVID-19Feeding and Eating DisordersHumansMealsPandemicsanorexia nervosamental healthquality improvement

Identifiers

PMID35768172
PMCPMC9244718

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Registered trials

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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.