Evidence map›Paper›PMID 42265568›Full record

ArticleJournal of eating disorders2026

Lost in the system: lived experiences of eating disorder service models in Australia.

Rachel Knight, Karen Stagnitti, Danielle Hitch, Genevieve Pepin

Abstract read
In one paragraph

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
–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

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

4 authors.

Rachel KnightDeakin University, Geelong, Australia. Rachel.knight@deakin.edu.au.ORCID http://orcid.org/0009-0000-7675-451X
Karen StagnittiDeakin University, Geelong, Australia.ORCID http://orcid.org/0000-0002-6215-3390
Danielle HitchDeakin University, Geelong, Australia.ORCID http://orcid.org/0000-0003-2798-2246
Genevieve PepinDeakin University, Geelong, Australia.ORCID http://orcid.org/0000-0002-8382-160X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn eating disorders, service models provide a structure for the delivery of assessment and treatment to people across a range of settings. High-quality service models can improve a person's satisfaction with the care provided, sustain them in treatment and promote better outcomes.

objectiveTo capture and explore the perspectives of former service users, carers and eating disorder clinicians on their experiences of eating disorder service models.

methodsThis phenomenological study used semi-structured interviews to explore perspectives of former Australian service users (n = 5), carers (n = 15) and eating disorder clinicians (n = 29) on eating disorder service models.

resultsThematic analysis identified four themes: (1) Navigating the service system, (2) Weight as a measure of progress, (3) Competent clinicians: a needle in a haystack and (4) Who is steering the ship? The first three themes were shared across all participant groups, while the fourth was specific to clinicians. Service models were described by participants as overstretched, contributing to shorter treatment duration, with skilled clinician shortages further constraining care. Participants reported over-reliance on weight to determine service model access (and thus, access to treatment) and as a trigger for discharge, despite consensus that recovery cannot be measured by weight alone. To enhance eating disorder service models, participants proposed strengthening the workforce, facilitating timely access, using more holistic outcome measures, and tailoring care to individual needs within coordinated, stepped service pathways.

conclusionThese findings highlight opportunities for system-level reform and the need for clearer leadership to guide consistent standards and accountability.

Indexed as

Anorexia nervosaBulimia nervosaEating disordersService models

Identifiers

PMID42265568
PMCPMC13474823

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.