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Inicio Revista Colombiana de Psiquiatría (English Edition) Feasibility and acceptability of comprehensive virtual treatment in eating disor...
Journal Information
Vol. 52. Issue 4.
Pages 337-344 (October - December 2023)
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Vol. 52. Issue 4.
Pages 337-344 (October - December 2023)
Original article
Feasibility and acceptability of comprehensive virtual treatment in eating disorders: perspectives from patients, parents and therapists during the COVID-19 pandemic
Viabilidad y aceptabilidad del tratamiento integral virtual en trastornos alimentarios: perspectiva de pacientes, padres y terapeutas durante la pandemia por COVID-19
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Maritza Rodríguez Guarin
Corresponding author
, Juanita Gempeler Rueda, Sergio Mario Castro, María Mercedes Ospina, Carolina Villanueva Betancourth, Juan Pablo Amórtegui, Laura Vázquez
Programa Equilibrio Para Trastornos Alimentarios, Afectivos y de Ansiedad, Bogotá, Colombia
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Table 1. SWOT matrix.
Abstract
Background

Lockdowns and social distancing as a result of the COVID-19 pandemic have brought about the need to continue treatment virtually in patients with Eating Disorders (ED).

Objective

To evaluate feasibility, acceptability and adherence to virtual treatment in patients, families and therapists.

Methods

Fourteen patients, 10 family members and eight therapists from an intensive outpatient program for ED answered online surveys and a SWOT analysis was performed with the responses.

Results

Virtual treatment during lockdown was considered feasible and useful by all respondents. Fear of contagion and the presence of parents in the home were identified as strengths. Parents reported problems with nutritional plan compliance, especially in anorexia patients. Therapists highlighted the importance of methodological adaptations in sessions to improve participation. Adherence to sessions was 100% for family members and 90% for patients.

Conclusions

Adaptation to a virtual program is a valid and useful option during lockdowns. It improves family participation, but does not replace face-to-face treatment.

Keywords:
Eating disorders
Telemedicine
COVID-19
Therapeutics
Resumen
Antecedentes

La cuarentena y el distanciamiento social como resultado de la pandemia de COVID-19 planteó la necesidad de continuar virtualmente el tratamiento de los pacientes con trastornos alimentarios (TA).

Objetivo

Evaluar la viabilidad, aceptabilidad y adherencia al tratamiento virtual de los pacientes, las familias y los terapeutas.

Métodos

Se aplicaron encuestas en línea a 14 pacientes, 10 familiares y 8 terapeutas de un Programa Ambulatorio Intensivo para TA, y se realizó un análisis DOFA con las respuestas.

Resultados

El tratamiento virtual durante el confinamiento fue considerado factible y útil por todos los encuestados. El miedo al contagio y la presencia de los padres en el hogar se identificaron como fortalezas. Los padres informaron problemas con el cumplimiento del plan nutricional, especialmente en anorexia. Los terapeutas señalaron la necesidad de adaptaciones metodológicas en las sesiones para mejorar la participación. La adherencia de las familias fue total y la de los pacientes, del 90%.

Conclusiones

La adaptación virtual del programa es una opción válida y útil durante el confinamiento obligatorio, mejora la participación familiar, pero no reemplaza el tratamiento presencial.

Palabras clave:
Trastornos alimentarios
Telemedicina
COVID-19
Tratamiento

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