Evidence map›Paper›PMID 42163412›Full record

ArticleJournal of eating disorders2026

Implementing Canadian practice guidelines for children and adolescents with eating disorders: a qualitative study on barriers, facilitating factors and implementation strategies.

Jennifer Couturier, Maria Nicula, Ethan Nella, Tovah Yanover, Melissa Kimber, Jennifer Coelho, Gina Dimitropoulos, Ayisha Kurji, Jonathan Boman, Leanna Isserlin and 21 more

Abstract read
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Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jennifer CouturierMcMaster University, Hamilton, ON, Canada. coutur@mcmaster.ca.
Maria NiculaMcMaster University, Hamilton, ON, Canada.
Ethan NellaMcMaster University, Hamilton, ON, Canada.
Tovah YanoverMcMaster University, Hamilton, ON, Canada.
Melissa KimberMcMaster University, Hamilton, ON, Canada.
Jennifer CoelhoUniversity of British Columbia, Vancouver, BC, Canada.
Gina DimitropoulosUniversity of Calgary, Calgary, AB, Canada.
Ayisha KurjiUniversity of Saskatchewan, Saskatoon, SK, Canada.
Jonathan BomanUniversity of Manitoba, Winnipeg, MB, Canada.
Leanna IsserlinUniversity of Ottawa, Ottawa, ON, Canada.
Jason BondMcGill University, Montreal, QC, Canada.
Holly AgostinoMcGill University, Montreal, QC, Canada.
Chelcie SorokaDalhousie University, Halifax, NS, Canada.
Emilie LacroixUniversity of New Brunswick, Fredericton, NB, Canada.
Stephanie AnnemaHealth PEI, Charlottetown, PEI, Canada.
Ahmed BoachieUniversity of Toronto, Toronto, ON, Canada.
Gail McVeyUniversity of Toronto, Toronto, ON, Canada.
Mark NorrisUniversity of Ottawa, Ottawa, ON, Canada.
Nicole ObeidUniversity of Ottawa, Ottawa, ON, Canada.
David PilonDalhousie University, Halifax, NS, Canada.
Wendy SpettigueUniversity of Ottawa, Ottawa, ON, Canada.
Sheri FindlayMcMaster University, Hamilton, ON, Canada.
Josie GellerUniversity of British Columbia, Vancouver, BC, Canada.
Seena GrewalUniversity of Toronto, Toronto, ON, Canada.
Joanne GusellaDalhousie University, Halifax, NS, Canada.
Monique JerichoUniversity of Calgary, Calgary, AB, Canada.
Natasha JohnsonMcMaster University, Hamilton, ON, Canada.
Debra K KatzmanUniversity of Toronto, Toronto, ON, Canada.
Anick LeclercMcMaster Children's Hospital, Hamilton, ON, Canada.
Cheryl WebbMcMaster University, Hamilton, ON, Canada.
Melissa BrouwersUniversity of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Canada, access to timely, evidence-based care for eating disorders is limited, with long wait times and fragmented services. Clinical practice guidelines can improve consistency and quality of care, but successful implementation remains limited. Canadian practice guidelines and a virtual care addendum have been developed for the treatment of youth with eating disorders (EDs). This study aims to qualitatively seek perspectives on the barriers, facilitating factors and implementation strategies from various interested parties.

methodsOne semi-structured qualitative focus group was conducted in each of nine Canadian provinces. Focus groups consisted of a combination of clinicians, administrators, and individuals with lived experience who elaborated upon barriers and facilitating factors to guideline uptake as well as possible strategies to enhance implementation. Focus group transcripts were analyzed using conventional content analysis.

resultsFindings suggested that participants found it difficult to implement guideline recommendations due to a myriad of factors such as a lack of external resources and minimal training in guideline recommended therapies. Facilitating factors of uptake included support from leadership and explicit training on guideline therapies. Potential implementation strategies included the creation of adapted versions for families and healthcare professionals, as well as enhanced education materials.

conclusionsThe findings of this study indicate areas within healthcare provision that can be enhanced and expanded upon to further enhance the uptake of the Canadian practice guidelines for children and adolescents with eating disorders.

Indexed as

CanadaClinical practice guidelinesFocus groupsImplementation sciencePediatric eating disordersQualitative research

Identifiers

PMID42163412
PMCPMC13579838

What OpenQuestion holds

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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.