Engaging primary care providers in managing pediatric eating disorders: a mixed methods study.
Jocelyn Lebow, Cassandra Narr, Angela Mattke, Janna R Gewirtz O'Brien, Marcie Billings, Julie Hathaway, Kristin Vickers, Robert Jacobson, Leslie Sim
Author Information
Jocelyn Lebow: Department of Psychiatry and Psychology, Mayo Clinic, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN, 55905, USA. lebow.jocelyn@mayo.edu. ORCID
Cassandra Narr: Department of Pediatric and Adolescent Medicine, Mayo Clinic School of Medicine, Rochester, MN, USA.
Angela Mattke: Department of Pediatric and Adolescent Medicine, Mayo Clinic School of Medicine, Rochester, MN, USA.
Janna R Gewirtz O'Brien: Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Marcie Billings: Department of Pediatric and Adolescent Medicine, Mayo Clinic School of Medicine, Rochester, MN, USA.
Julie Hathaway: Department of Psychiatry and Psychology, Mayo Clinic, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN, 55905, USA.
Kristin Vickers: Department of Psychiatry and Psychology, Mayo Clinic, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN, 55905, USA.
Robert Jacobson: Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, MN, USA.
Leslie Sim: Department of Psychiatry and Psychology, Mayo Clinic, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN, 55905, USA.
BACKGROUND: The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers' perspective of challenges to identifying and managing eating disorders in the primary care setting. METHODS: This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. RESULTS: Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. CONCLUSIONS: Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.
