Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics

Background: Type 1 Diabetes (T1D) is associated with increased risk of eating disorders. This study aimed to (1) assess adherence of Australasian paediatric T1D clinics to international guidelines on screening for disordered eating and (2) identify barriers and enablers to the use of screening tools...

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Autores principales:	Emma Hanley Burden, Melissa Hart, Kirrilly Pursey, Peter P. Howley, Tenele A. Smith, Carmel E. Smart
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	type 1 diabetes mellitus feeding and eating disorders early intervention adolescents Pediatrics screening Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/ee5641b227da4472a99e20a9932a7ac0
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spelling	oai:doaj.org-article:ee5641b227da4472a99e20a9932a7ac02021-11-25T18:37:26ZScreening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics10.3390/nu131141872072-6643https://doaj.org/article/ee5641b227da4472a99e20a9932a7ac02021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4187https://doaj.org/toc/2072-6643Background: Type 1 Diabetes (T1D) is associated with increased risk of eating disorders. This study aimed to (1) assess adherence of Australasian paediatric T1D clinics to international guidelines on screening for disordered eating and (2) identify barriers and enablers to the use of screening tools for the identification of disordered eating. Methods: A 24-item survey covering five content domains: clinic characteristics, identification of disordered eating, screening tool use, training and competence, and pathways for referral, was sent to Australasian clinics caring for ≥150 children and adolescents with T1D. Results: Of 13 eligible clinics, 10 participated. Two reported rates of disordered eating of >20%, while eight reported rates < 5%. All clinics used the routine clinical interview as the primary method of screening for disordered eating. Only one used screening tools; these were not diabetes-specific or routinely used. Barriers to use of screening tools included shortage of time and lack of staff confidence around use (<i>n</i> = 7, 70%). Enablers included staff training in disordered eating. Conclusions: Screening tools for disordered eating are not utilised by most Australasian paediatric T1D clinics. Overall, low reported rates of disordered eating suggest that it may be undetected, potentially missing an opportunity for early intervention.Emma Hanley BurdenMelissa HartKirrilly PurseyPeter P. HowleyTenele A. SmithCarmel E. SmartMDPI AGarticletype 1 diabetes mellitusfeeding and eating disordersearly interventionadolescentsPediatricsscreeningNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4187, p 4187 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 1 diabetes mellitus feeding and eating disorders early intervention adolescents Pediatrics screening Nutrition. Foods and food supply TX341-641
spellingShingle	type 1 diabetes mellitus feeding and eating disorders early intervention adolescents Pediatrics screening Nutrition. Foods and food supply TX341-641 Emma Hanley Burden Melissa Hart Kirrilly Pursey Peter P. Howley Tenele A. Smith Carmel E. Smart Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
description	Background: Type 1 Diabetes (T1D) is associated with increased risk of eating disorders. This study aimed to (1) assess adherence of Australasian paediatric T1D clinics to international guidelines on screening for disordered eating and (2) identify barriers and enablers to the use of screening tools for the identification of disordered eating. Methods: A 24-item survey covering five content domains: clinic characteristics, identification of disordered eating, screening tool use, training and competence, and pathways for referral, was sent to Australasian clinics caring for ≥150 children and adolescents with T1D. Results: Of 13 eligible clinics, 10 participated. Two reported rates of disordered eating of >20%, while eight reported rates < 5%. All clinics used the routine clinical interview as the primary method of screening for disordered eating. Only one used screening tools; these were not diabetes-specific or routinely used. Barriers to use of screening tools included shortage of time and lack of staff confidence around use (<i>n</i> = 7, 70%). Enablers included staff training in disordered eating. Conclusions: Screening tools for disordered eating are not utilised by most Australasian paediatric T1D clinics. Overall, low reported rates of disordered eating suggest that it may be undetected, potentially missing an opportunity for early intervention.
format	article
author	Emma Hanley Burden Melissa Hart Kirrilly Pursey Peter P. Howley Tenele A. Smith Carmel E. Smart
author_facet	Emma Hanley Burden Melissa Hart Kirrilly Pursey Peter P. Howley Tenele A. Smith Carmel E. Smart
author_sort	Emma Hanley Burden
title	Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
title_short	Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
title_full	Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
title_fullStr	Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
title_full_unstemmed	Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics
title_sort	screening practices for disordered eating in paediatric type 1 diabetes clinics
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ee5641b227da4472a99e20a9932a7ac0
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Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics

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