Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form

An evaluation of COVID-19 virtual treatment delivery for eating disorders: Assessing eating disorder symptoms among patients across levels of care

Lyons, Cara A. (2021) An evaluation of COVID-19 virtual treatment delivery for eating disorders: Assessing eating disorder symptoms among patients across levels of care. Master Essay, University of Pittsburgh.

This is the latest version of this item.

[img] PDF
Restricted to University of Pittsburgh users only until 14 May 2023.

Download (1MB) | Request a Copy

Abstract

In response to the call-to-action we are facing as an eating disorder (ED) field to provide data on program outcomes and to comply with regulatory standards regarding incorporation of patient-reported data into clinical care processes, the University of Pittsburgh Medical Center’s Center for Eating Disorders has administered questionnaires to patients enrolled in treatment to monitor treatment progress. Given the negative effects of the COVID-19 pandemic on patients with EDs and the shift to virtual treatment delivery, data are needed on ED symptoms and changes during treatment among patients receiving ED services during the COVID-19 pandemic and virtual delivery of care. Thus, this study aimed to evaluate changes in symptoms among patients with EDs enrolled in a partial hospitalization program (PHP), intensive outpatient program (IOP), and weekly outpatient group. Following the transition from in-person to virtual delivery due to the COVID-19 pandemic, we administered a web-based version of the Eating Disorders Examination Questionnaire (EDE-Q) to all enrolled patients to track ED symptomology, behaviors, and attitudes over the course of 28 days. We hypothesized that higher baseline EDE-Q scores would be associated with enrollment in a higher level of care, longer length of stay, and greater EDE-Q score reductions during virtual treatment delivery. Patients across levels of care who completed the EDE-Q at least twice were included in analyses (N=46, n=17 in PHP; n=22 in IOP; n=7 in weekly outpatient group). Baseline EDE-Q scores were not related to initial level of care, length of stay, or discharge disposition (82.6% of patients stepped down to outpatient care; ps>.05). Notably, patients reported a significant improvement in global EDE-Q scores (t(45)=1.98, p=0.05, d=0.59) and shape concern subscale scores (t(45)=2.01, p=0.05, d=0.60). Results indicate that patients experience significant improvements in ED symptoms during virtual treatment delivery. Additional work is needed to further understand the impact of ED treatment delivery on patients’ functioning and long-term symptom trajectories, including evaluation of treatment response in the context of virtual treatment delivery and the COVID-19 pandemic.


Share

Citation/Export:
Social Networking:
Share |

Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Lyons, Cara A.CAL150@pitt.eduCAL150
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairGlynn, Nancyepidnwg@pitt.eduepidnwgUNSPECIFIED
Committee MemberDeGenna, Natachadegennanm@upmc.eduUNSPECIFIEDUNSPECIFIED
Committee MemberConlon, Rachelkolkorp2@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 14 May 2021
Date Type: Completion
Submission Date: 28 April 2021
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 46
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: "eating disorders" "COVID-19" "epidemiology"
Date Deposited: 14 May 2021 19:22
Last Modified: 14 May 2021 19:22
URI: http://d-scholarship.pitt.edu/id/eprint/40913

Available Versions of this Item

  • An evaluation of COVID-19 virtual treatment delivery for eating disorders: Assessing eating disorder symptoms among patients across levels of care. (deposited 14 May 2021 19:22) [Currently Displayed]

Metrics

Monthly Views for the past 3 years

Plum Analytics


Actions (login required)

View Item View Item