Details

Autor(en) / Beteiligte

• Forman, Sara F., M.D
• Grodin, Leah F
• Graham, Dionne A., Ph.D
• Sylvester, Cara J
• Rosen, David S., M.D., M.P.H
• Kapphahn, Cynthia J., M.D., M.P.H
• Callahan, S. Todd, M.D., M.P.H
• Sigel, Eric J., M.D
• Bravender, Terrill, M.D., M.P.H
• Peebles, Rebecka, M.D
• Romano, Mary, M.D., M.P.H
• Rome, Ellen S., M.D., M.P.H
• Fisher, Martin, M.D
• Malizio, Joan B., M.N., R.N
• Mammel, Kathleen A., M.D
• Hergenroeder, Albert C., M.D
• Buckelew, Sara M., M.D., M.P.H
• Golden, Neville H., M.D
• Woods, Elizabeth R., M.D. M.P.H

Titel

An Eleven Site National Quality Improvement Evaluation of Adolescent Medicine-Based Eating Disorder Programs: Predictors of Weight Outcomes at One Year and Risk Adjustment Analyses

Ist Teil von

• Journal of adolescent health, 2011-12, Vol.49 (6), p.594-600

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2011

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Abstract Purpose This quality improvement project collected and analyzed short-term weight gain data for patients with restrictive eating disorders (EDs) treated in outpatient adolescent medicine-based ED programs nationally. Methods Data on presentation and treatment of low-weight ED patients aged 9–21 years presenting in 2006 were retrospectively collected from 11 independent ED programs at intake and at 1-year follow-up. Low-weight was defined as < 90% median body weight (MBW) which is specific to age. Treatment components at each program were analyzed. Risk adjustment was performed for weight gain at 1 year for each site, accounting for clinical variables identified as significant in bivariate analyses. Results The sites contained 6–51 patients per site (total N = 267); the mean age was 14.1–17.1 years; duration of illness before intake was 5.7–18.6 months; % MBW at intake was 77.5–83.0; and % MBW at follow-up was 88.8–93.8. In general, 40%–63% of low weight ED subjects reached ≥90% MBW at 1-year follow-up. At intake, patients with higher % MBW ( p = .0002) and shorter duration of illness ( p = .01) were more likely to be ≥90% MBW at follow-up. Risk-adjusted odds ratios controlled for % MBW and duration of illness were .8 (.5, 1.4)–1.3 (.3, 3.8), with no significant differences among sites. Conclusion A total of 11 ED programs successfully compared quality improvement data. Shorter duration of illness before intake and higher % MBW predicted improved weight outcomes at 1 year. After adjusting for risk factors, program outcomes did not differ significantly. All adolescent medicine-based ED programs were effective in assisting patients to gain weight.