ABSTRACT

In eating disorders inpatient care, mandatory treatment components are central to effective service delivery. Thus, fostering a collaborative care environment that supports autonomy, competence, and connection can be challenging. This study examined whether collaborative care is associated with better outcomes in adult inpatient treatment and explored a possible determinant of collaborative care, the manner in which mandatory treatment components were delivered (e.g. consistent implementation of weight gain guidelines, provision of choices regarding intensity of treatment). Inpatients (N = 146) completed measures of eating disorder symptoms, psychological functioning and readiness and motivation for change, pre and post-treatment. At post, they also completed measures of collaborative care, treatment satisfaction, and a new measure designed to evaluate patients’ experiences of mandatory treatment components. After controlling for baseline symptom levels, multiple regression analyses determined that collaborative care was associated with improvements in nearly all symptom domains. Collaborative care was also associated with patient satisfaction and the manner in which mandatory treatment components were delivered (e.g. consistency, provision of choices). In sum, a collaborative environment was associated with improvements in motivation, eating disorder symptoms, and psychiatric functioning and one way in which this may be achieved is in the manner in which mandatory treatment components are delivered.

摘要

在饮食失调住院护理中，强制性治疗是有效服务提供的核心。因此，培养支持自主、能力和联系的协作护理环境可能具有挑战性。这项研究检查了协作护理是否与成人住院治疗的更好结果相关，并探讨了协作护理的可能决定因素，提供强制性治疗成分的方式（例如，一致实施体重增加指南，提供有关治疗强度的选择） . 住院患者（N = 146）完成了对饮食失调症状、心理功能以及治疗前后变化的准备和动机的测量。在岗位上，他们还完成了协作护理、治疗满意度、以及一项旨在评估患者对强制性治疗成分体验的新措施。在控制基线症状水平后，多元回归分析确定协作护理与几乎所有症状领域的改善相关。协作护理还与患者满意度和提供强制性治疗成分的方式（例如一致性、提供选择）有关。总之，协作环境与动机、饮食失调症状和精神功能的改善有关，实现这一目标的一种方式是提供强制性治疗成分的方式。多元回归分析确定协作护理与几乎所有症状领域的改善相关。协作护理还与患者满意度和提供强制性治疗成分的方式（例如一致性、提供选择）有关。总之，协作环境与动机、饮食失调症状和精神功能的改善有关，实现这一目标的一种方式是提供强制性治疗成分的方式。多元回归分析确定协作护理与几乎所有症状领域的改善相关。协作护理还与患者满意度和提供强制性治疗成分的方式（例如一致性、提供选择）有关。总之，协作环境与动机、饮食失调症状和精神功能的改善有关，实现这一目标的一种方式是提供强制性治疗成分的方式。