Family Practice Advance Access originally published online on June 24, 2007
Family Practice 2007 24(5):511-517; doi:10.1093/fampra/cmm029
Feasibility and acceptability of screening for eating disorders in primary care
a OJ is now at the Department of Psychology, Institute of Psychiatry, King's College London, PO78, Addiction Sciences Building, 4 Windsor Walk, London SE5 8AF, UK
b Community Clinical Sciences Division, School of Medicine, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, Hampshire SO16 5ST, UK
Correspondence to: Tony Kendrick, Community Clinical Sciences Division, School of Medicine, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, Hampshire SO16 5ST, UK; Email: a.r.kendrick{at}soton.ac.uk
Received 29 September 2006; Revised 9 April 2007; Accepted 30 April 2007.
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Abstract |
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Background. Earlier diagnosis of disordered eating is linked to improved prognosis, but detection in primary care is poor.
Objectives. To assess the feasibility of screening for disordered eating within primary care, in terms of the proportion of patients accepting screening, yield of cases, action taken by staff and staff views on screening.
Methods. Data were collected in open GP surgeries, midwife (MW) antenatal clinics and health visitor (HV) child health surveillance clinics in two GP practices, using face-to-face surveys and semi-structured interviews. Female patients aged 16–35 were asked to complete the SCOFF questionnaire, which was scored by researchers and taken by the patient into their consultation. If the result indicated possible disturbed eating, the health professional (HP) running the surgery/clinic was asked to complete a questionnaire and interview. One hundred and eleven women were screened and 11 HPs (GPs, MWs, HVs) were interviewed.
Results. Forty-six percent of patients agreed to be screened. Of these, 16% produced a positive result. The staff survey suggested that HPs found screening acceptable. However, concerns arose in the interviews, principally over what action to take in response to positive results. Positive results were rarely recorded in medical notes, and treatment was rarely offered.
Conclusion. In order for a screening programme for eating disorders to be implemented in primary care, HP concerns about options for dealing with positive results would need to be addressed. Feasibility of screening would be enhanced by production of a protocol to be followed in the case of positive results.
Keywords. Acceptability, attitudes, eating disorders, feasibility, screening.
Johnston O, Fornai G, Cabrini S and Kendrick T. Feasibility and acceptability of screening for eating disorders in primary care. Family Practice 2007; 24: 511–517.