Increased prevalence of bulimia nervosa among Asian schoolgirls.

David Bardwell Mumford · Andrew M. Whitehouse

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Eating Disorders and Behaviors Stroke Rehabilitation and Recovery Dysphagia Assessment and Management

Abstract

Objective To explore how physiotherapists (PTs) and occupational therapists (OTs) perceive upper limb (UL) prediction algorithms in a stroke rehabilitation setting and identify potential barriers to and facilitators of their implementation. Design This was a qualitative study. Setting The study took place at a neurorehabilitation centre. Participants Three to six PTs and OTs. Methods We conducted four focus group interviews in order to explore therapists’ perceptions of UL prediction algorithms, in particular the Predict Recovery Potential algorithm (PREP2). The Consolidated Framework for advancing Implementation Research was used to develop the interview guide. Data were analysed using a thematic content analysis. Meaning units were identified and subthemes formed. Information gained from all interviews was synthesised, and four main themes emerged. Results The four main themes were current practice, perceived benefits, barriers and preconditions for implementation. The participants knew of UL prediction algorithms. However, only a few had a profound knowledge and few were using the Shoulder Abduction Finger Extension test, a core component of the PREP2 algorithm, in their current practice. PREP2 was considered a potentially helpful tool when planning treatment and setting goals. A main barrier was concern about the accuracy of the algorithm. Furthermore, participants dreaded potential dilemmas arising from having to confront the patients with their prognosis. Preconditions for implementation included tailoring the implementation to a specific unit, sufficient time for acquiring new skills and an organisation supporting implementation. Conclusion In the present study, experienced neurological therapists were sceptical towards prediction algorithms due to the lack of precision of the algorithms and concerns about ethical dilemmas. However, the PREP2 algorithm was regarded as potentially useful.

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References

1982The Eating Attitudes Test: psychometric features and clinical correlates 1987The development and validation of the body shape questionnaire 1987The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders

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1990Eating Behaviour and Attitudes to Weight and Shape in British Women from Three Ethnic Groups 1994Screening for abnormal eating attitudes in a population of Egyptian secondary school girls 1991Anorexia nervosa in Hong Kong: a Chinese perspective 1996Epidemiology of anorexia nervosa 1999Acculturation and Eating Disorder Symptoms in Adolescent Girls 1992A pilot study of eating disorders in Mirpur (Pakistan) using an Urdu version of the eating attitudes test 2001Body image and weight consciousness among South Asian, Italian and general population women in Britain 2001Weight-related body image concerns among 18–24-year-old women in Canada and India: an empirical comparative study

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