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Evaluation ViewAttendees 2

Eating Disorders
Symposia

Symposium 103 - Leveraging Dissemination and Implementation Science: Human-Centered Design, Cultural Adaptations, and Sustainability of Eating Disorders Treatment

Saturday, November 16, 2024
4:30 PM – 6:00 PM EST
Location: Grand Ballroom E, Level 5, Downtown Marriott
CE: 1.5

Keywords: Evidence-Based Practice, Underserved Populations, Community-Based
Level of Familiarity: Basic
Recommended Readings: Graham, A. K., Wildes, J. E., Reddy, M., Munson, S. A., Barr Taylor, C., & Mohr, D. C. (2019). User-centered design for technology-enabled services for eating disorders. The International Journal of Eating Disorders, 52(10), 1095–1107. https://doi.org/10.1002/eat.23130,  
Katzman, D., Peebles, R., Sawyer, S., Lock, J. & Le Grange, D. (2013). The role of the pediatrician in family-based treatment for adolescent eating disorders: opportunities and challenges. Journal of Adolescent Health 53(4):433-40.
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Goldschmidt, A. & Tortolani, C., Egbert, A., Brick, L, Elwy, A.R., Donaldson, D. & Le Grange, D. Implementation and outcomes of home‐based treatments for adolescents with anorexia nervosa: Study protocol for a pilot effectiveness‐implementation trial (2022). International Journal of Eating Disorders.
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Bearman SK, Bailin A, Terry R, Weisz JR. After the study ends: A qualitative study of factors influencing intervention sustainability. Professional Psychology: Research and Practice. 2020 Apr;51(2):134. doi:10.1037/pro0000258
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Fitzsimmons-Craft, E. E., Firebaugh, M. L., Graham, A. K., Eichen, D. M., Monterubio, G. E., Balantekin, K. N., ... & Wilfley, D. E. (2019). State-wide university implementation of an online platform for eating disorders screening and intervention. Psychological services, 16(2), 239.

Eating disorders (EDs) are serious mental illnesses with severe psychological and physical consequences and the second highest mortality rate of any mental illness, affecting up to 10% of individuals in their lifetimes. Despite these alarming trends, less than 20% of individuals with EDs receive treatment. Notably, this treatment gap is exacerbated among racial/ethnic minorities and individuals with low income. The present symposium reviews how dissemination and implementation science can be harnessed to reduce the treatment gap for EDs and ensure the sustainability of equitable ED interventions within real-world contexts.

Intervention design, cultural adaptations, and intervention scale-up are vital considerations to ensure the development and sustainability of efficacious and equitable ED interventions. Each presentation in this symposium will cover (a) a specific facet of dissemination and implementation science and (b) how it can be addressed to ensure development and sustainability of equitable eating disorder interventions.

The first speaker will present preliminary qualitative data on using human-centered design to develop a therapy session for discussing individualized expected body weights in ED treatment. Specifically, they will cover how human-centered design can facilitate dissemination, implementation, and sustainability of eating disorder interventions.

The second speaker will present on delivering evidenced-based treatment for EDs within primary care settings to improve access to early intervention and outcomes for adolescents with EDs. They will also discuss how this approach can promote health equity, an outcome of successful implementation.

The third speaker will present on the implementation of Family-Based Treatment for EDs in the home environment, targeting youth who face financial barriers to accessing treatment. They will discuss the FBT adaptations needed to better suit the needs of families from underrepresented socioeconomic and racial/ethnic backgrounds.

The fourth speaker will present on the implementation of a peer-led, dissonance-based ED intervention to address the ED treatment gap among college students, utilizing a dissemination and implementation lens to assess the impact of general and cultural modifications on outcomes.

Finally, the fifth speaker will present on how the Missouri Eating Disorders Council is addressing barriers to ED treatment by offering screenings and evidence-based digital interventions. Through this presentation, they will cover the role of technology and state-wide partnerships in promoting disseminability and scalability of ED interventions.

Following all presentations, the discussant—an expert in dissemination and implementation of evidence-based treatments—will share their perspective on the implications of the symposium. Their comments will aim to draw parallels across presentations in the hope that listeners will leave inspired to incorporate dissemination and implementation strategies into their own research. The discussant will also ask each of the speakers about their training related to dissemination and implementation science, and what opportunities they recommend to students interested in this area.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify the benefits of human-centered design for enhancing the dissemination and implementation of interventions.
  2. Describe the role of primary care providers in increasing access to evidence-based treatment for youth with restrictive eating disorders.
  3. Identify opportunities and challenges associated with delivering Family-Based Treatment in the home environment.
  4. Identify three examples of adapting effective eating disorder interventions for contextual fit.
  5. Consider how technology, governmental, and school-based partnerships can increase access to evidence-based eating disorders treatment.

Presentations:

  • 4:30 PM – 6:00 PM EST
    (SYM 103) Human-centered Design of a Therapeutic Session for Discussing Expected Body Weights in Eating Disorder Treatment

    Speaker: Agatha Laboe, B.A. (she/her/hers) – University of Wisconsin - Madison

    Co-author: Mahathi Gavuji, B.S. – University of Wisconsin-Madison

    Co-author: Katherine Schaumberg, Ph.D. (she/her/hers) – University of Wisconsin-Madison

  • 4:30 PM – 6:00 PM EST
    (SYM 103) Family-based Treatment for Primary Care: Improving Access to Care for Adolescents and Children with Restrictive Eating Disorders

    Speaker: Jocelyn Lebow, Ph.D. (she/her/hers) – Mayo Clinic

  • 4:30 PM – 6:00 PM EST
    (SYM 103) Adapting Family-based Treatment for Pediatric Eating Disorders in the Home Environment

    Speaker: Christina Tortolani, Ph.D. (she/her/hers) – Rhode Island College

    Co-author: Amy Egbert, Ph.D. – University of Connecticut

    Co-author: Eva Petitto-Dunbar, PhD (she/her/hers) – UCSD

    Co-author: Sandra Estrada, LISW (she/her/hers) – Gateway Healthcare

    Co-author: Deidre Donaldson, PhD (she/her/hers) – Gateway Healthcare

    Co-author: Andrea Goldschmidt, PhD (she/her/hers) – U of Pittsburgh

  • 4:30 PM – 6:00 PM EST
    (SYM 103) The Impact of Modifications and Adaptations on Intervention Outcomes: An Examination of the Implementation of the Peer Body Project on College Campuses

    Speaker: Chinwendu Duru, Ph.D. (she/her/hers) – Dell Children's Medical Center/University of Texas at Austin

    Co-author: Sarah Kate Bearman, Ph.D. (she/her/hers) – University of Texas at Austin

    Co-author: Sydney N. Pauling, M.A., Ed.S. – The University of Texas at Austin

    Co-author: Paul Rohde, Ph.D. – Oregon Research Institute

    Co-author: Jeff Gau, MS (he/him/his) – Oregon Research Institute

    Co-author: Heather Shaw, PhD (she/her/hers) – Oregon Research Institute

    Co-author: Maya Lum, BA (she/her/hers) – The University of Texas at Austin

    Co-author: Eric Stice, Ph.D. – Stanford University

  • 4:30 PM – 6:00 PM EST
    (SYM 103) Harnessing State-wide Partnerships and Technology to Expand Access to Care for Eating Disorders

    Speaker: Ellen Fitzsimmons-Craft, Ph.D. (she/her/hers) – Washington University School of Medicine

    Co-author: Marie-Laure Firebaugh, LMSW – Washington University in St. Louis

    Co-author: Laura D'Adamo, MA – Drexel University

    Co-author: Carli Howe, BA – Washington University in St. Louis

    Co-author: Madi Stanley, MPH – Washington University School of Medicine

    Co-author: Annie Seal, BA – Missouri Eating Disorders Council

    Co-author: Denise Wilfley, Ph.D. – Washington University School Of Medicine in St. Louis