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Rationale and development of a manualised dietetic intervention for adults undergoing psychological treatment for an eating disorder

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

Due to the current dearth of literature regarding dietetic treatment for patients with an eating disorder (ED), no manualised dietetic interventions exist to enable the testing of dietetic treatments in this population. This paper aims to: (1) describe the rationale and development of a manualised dietetic intervention for adults undergoing concurrent psychological treatment for an ED; and (2) provide an overview of the feasibility testing of this intervention.

Methods

Current best evidence to date for dietetic treatment in EDs was utilised to develop a manualised dietetic intervention for feasibility testing alongside outpatient psychological ‘treatment as usual’.

Results

The developed intervention consists of five, dietitian-delivered outpatient sessions: (1) getting started; (2) mechanical eating and dietary rules; (3) estimating portion sizes and social eating; (4) maximising your meal plan and meal preparation; and (5) review and treatment planning as well as pre- and post-intervention assessments.

Conclusion

This paper is intended as a resource for clinicians and researchers in the conduct of future studies examining dietetic treatment for patients with an ED.

Level of evidence

Level V, description of a new manualised, reproducible dietetic intervention.

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Acknowledgements

Caitlin M. McMaster is a recipient of a Research Training Program scholarship from the Australian Government, Department of Education and Training

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Authors and Affiliations

  1. Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, NSW, Australia

    Caitlin M. McMaster & Susan Hart

  2. Blackbird Initiative, Órama Institute, Flinders University, Adelaide, SA, Australia

    Tracey Wade

  3. Basten and Associates, Sydney, NSW, Australia

    Christopher Basten

  4. Metabolism and Obesity Services, Royal Prince Alfred Hospital, Sydney, NSW, Australia

    Janet Franklin

  5. Peter Beumont Eating Disorder Ambulatory Service, Royal Prince Alfred Hospital, Sydney, NSW, Australia

    Jessica Ross

  6. Nutrition and Dietetics Department, St Vincent’s Hospital, Sydney, NSW, Australia

    Susan Hart

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  1. Caitlin M. McMaster
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  2. Tracey Wade
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Correspondence to Caitlin M. McMaster.

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McMaster, C.M., Wade, T., Basten, C. et al. Rationale and development of a manualised dietetic intervention for adults undergoing psychological treatment for an eating disorder. Eat Weight Disord 26, 1467–1481 (2021). https://doi.org/10.1007/s40519-020-00955-y

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