The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond

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dc.contributor.authorCouturier, Jennifer
dc.contributor.authorPellegrini, Danielle
dc.contributor.authorMiller, Catherine
dc.contributor.authorBhatnagar, Neera
dc.contributor.authorBoachie, Ahmed
dc.contributor.authorBourret, Kerry
dc.contributor.authorBrouwers, Melissa
dc.contributor.authorCoelho, Jennifer S
dc.contributor.authorDimitropoulos, Gina
dc.contributor.authorFindlay, Sheri
dc.contributor.authorFord, Catherine
dc.contributor.authorGeller, Josie
dc.contributor.authorGrewal, Seena
dc.contributor.authorGusella, Joanne
dc.contributor.authorIsserlin, Leanna
dc.contributor.authorJericho, Monique
dc.contributor.authorJohnson, Natasha
dc.contributor.authorKatzman, Debra K
dc.contributor.authorKimber, Melissa
dc.contributor.authorLafrance, Adele
dc.contributor.authorLeclerc, Anick
dc.contributor.authorLoewen, Rachel
dc.contributor.authorLoewen, Techiya
dc.contributor.authorMcVey, Gail
dc.contributor.authorNorris, Mark
dc.contributor.authorPilon, David
dc.contributor.authorPreskow, Wendy
dc.contributor.authorSpettigue, Wendy
dc.contributor.authorSteinegger, Cathleen
dc.contributor.authorWaite, Elizabeth
dc.contributor.authorWebb, Cheryl
dc.date.accessioned2021-04-18T00:02:49Z
dc.date.available2021-04-18T00:02:49Z
dc.date.issued2021-04-16
dc.date.updated2021-04-18T00:02:49Z
dc.description.abstractAbstract Objective The COVID-19 pandemic has had detrimental effects on mental health. Literature on the impact on individuals with eating disorders is slowly emerging. While outpatient eating disorder services in Canada have attempted to transition to virtual care, guidelines related to optimal virtual care in this field are lacking. As such, the objective of our Canadian Consensus Panel was to develop clinical practice guidelines related to the provision of virtual care for children, adolescents, and emerging adults living with an eating disorder, as well as their caregivers, during the COVID-19 pandemic and beyond. Methods Using scoping review methodology (with literature in databases from 2000 to 2020 and grey literature from 2010 to 2020), the Grading of Recommendations, Assessment, Development, and Evaluation system, the Appraisal of Guidelines, Research and Evaluation tool, and a panel of diverse stakeholders from across Canada, we developed high quality treatment guidelines that are focused on virtual interventions for children, adolescents, and emerging adults with eating disorders, and their caregivers. Results Strong recommendations were supported specifically in favour of in-person medical evaluation when necessary for children, adolescents, and emerging adults, and that equity-seeking groups and marginalized youth should be provided equal access to treatment. For children and adolescents, weak recommendations were supported for telehealth family-based treatment (FBT) and online guided parental self-help FBT. For emerging adults, internet cognitive-behavioural therapy (CBT)-based guided self-help was strongly recommended. Weak recommendations for emerging adults included CBT-based group internet interventions as treatment adjuncts, internet-based relapse prevention Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) guided self-help, telehealth relapse prevention using MANTRA, and guided CBT-based smartphone apps as treatment adjuncts. For caregivers of children and adolescents, weak recommendations were supported for virtual parent meal support training, and moderated online caregiver forums and support groups. For caregivers of emerging adults, guided parental self-help CBT was strongly recommended, and unguided caregiver psychoeducation self-help was weakly recommended. Conclusions Several gaps for future work were identified including the impact of sex, gender, race, and socioeconomic status on virtual care among children, adolescents, and emerging adults with eating disorders, as well as research on more intensive services, such as virtual day hospitals.
dc.identifier.citationJournal of Eating Disorders. 2021 Apr 16;9(1):46
dc.identifier.doihttps://doi.org/10.1186/s40337-021-00394-9
dc.identifier.urihttp://hdl.handle.net/1880/113266
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleThe COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond
dc.typeJournal Article
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