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. 2023 Feb 15;13(2):e064243.
doi: 10.1136/bmjopen-2022-064243.

Intensive community and home-based treatments for eating disorders: a scoping review study protocol

Başak İnce  1 , Matthew Phillips  2 , Ulrike Schmidt  2   3
Affiliations

Intensive community and home-based treatments for eating disorders: a scoping review study protocol

Başak İnce et al. BMJ Open. .

Abstract

Introduction: Institutionally based intensive treatment modalities (inpatient, day patient and residential treatments) for eating disorders (EDs) are associated with high treatment costs and significant challenges for patients and carers, including access difficulties and disruption to daily routines. Intensive community and home-based treatments have been suggested as alternatives to institutionally based intensive treatments for other severe mental illnesses, with promising clinical, social and health economic outcomes. The possible advantages of these treatments have been proposed for EDs, but this emerging area of research has not yet been systematically investigated. This scoping review aims to map the available literature on intensive community and home treatments for EDs, focusing on their conceptualisation, implementation and clinical outcomes.

Methods: This proposed scoping review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol extension for Scoping Reviews checklist and the Joanna Briggs Institute Reviewer's Manual. This review will include any peer-reviewed study concerning intensive community and home-based treatments for any EDs, with no restrictions on geographical context or study design. Grey literature will also be considered. The literature search will be conducted in four databases: PubMed, PsycInfo, MEDLINE and Web of Science. Two researchers will independently screen the titles, abstracts and text of the returned articles for eligibility. Data charting and analysis will consist of a narrative description of the included studies, quantitative and qualitative findings relative to the aims of this scoping review. Gaps in the literature will be highlighted to inform future research, clinical practice, and policy.

Ethics and dissemination: Ethical approval is not required as all data are available from public sources. The results of this scoping review will be disseminated through peer-reviewed publication, conference presentation, and social media.

Keywords: adult psychiatry; child & adolescent psychiatry; eating disorders; public health.

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Conflict of interest statement

Competing interests: None declared.

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  • Stepping into day treatment approach versus inpatient treatment for adults with anorexia nervosa: the DAISIES RCT.
    İnce B, Phillips MD, Dalton B, Irish M, Webb H, Mercado D, McCombie C, Zenasni Z, Shearer J, Potts L, Peachey G, Au K, Kern N, Clark-Stone S, Connan F, Johnston AL, Lazarova S, Zadeh E, Tomlin S, Battisti F, Ioannidis K, Newell C, Pathan T, Wales J, Cashmore R, Marshall S, Arcelus J, Robinson P, Byford S, Landau S, Lawrence V, Himmerich H, Treasure J, Schmidt U. İnce B, et al. Health Technol Assess. 2025 Feb;29(3):1-37. doi: 10.3310/FTJP6744. Health Technol Assess. 2025. PMID: 39943786 Free PMC article. Clinical Trial.

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