Partial hospitalization eating disorder outcomes

Adult Eating Disorder Partial Hospitalization Outcomes

Rogers Behavioral Health has more than 20 years of commitment and investment in outcomes studies, with nearly 10,000 of our patients participating. Patients who agree to participate are asked at admission and discharge to complete a series of questionnaires; follow-up calls on progress are made periodically after discharge.

Study findings are used by our treatment teams to examine the effectiveness of our clinical program and to make improvements. The findings are also presented at national and international conferences and published in peer-reviewed medical literature.

Overall, our outcome data consistently have shown that our residential and partial hospitalization treatment centers offer effective treatment, and newer studies under way are demonstrating similar consistency in outcomes for our partial hospital level of outpatient care. In selected programs where we have reached out one year after they leave the program, past patients report that they’ve been able to maintain the gains they made during treatment. With the implementation of our Cerner electronic health record, we are gaining additional understanding of our clinical effectiveness across service lines, levels of care and throughout our system, including our regional network of outpatient centers. With this knowledge, we are gaining insights that contribute to real-time adjustments in care and help us confirm the impact of evidence-based care upon outcomes.

Individuals receiving treatment for eating disorders are routinely assessed to monitor treatment progress and program outcomes. Three tools are used to monitor the severity of eating disorder symptoms as well as co-occurring problems. These measures help us create individualized treatment plans addressing each person’s unique concerns, assess each person’s progress in treatment and evaluate the overall effectiveness of our programs.

  • Eating Disorder Examination-Questionnaire (EDE-Q) – Assesses the overall severity of eating disorder symptoms across four unique eating disorder features: restraint, eating concern, shape concern, and weight concern. The scores from each category are combined for an overall score which indicates the severity of the eating disorder.
  • Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) – Eating disorders often decrease a person’s overall quality of life. This scale measures the overall enjoyment and satisfaction individuals experience across a number of life domains such as family relationships, work, hobbies, etc. Our goal is to improve the quality of life for those we treat.

Results

Across the System, we see a consistent level of improvement at all of our sites. From September of 2015 until March of 2018, 308 adults who were admitted to our partial hospitalization services completed measures at both admission and discharge. Of these patients 90% were female and the mean age was 28 years (SD=11.10). The average number of treatment days in partial hospitalization is 15 days.

  • At time of admission to the partial programs individuals report frequency eating disorder behaviors, as measured by the EDE-Q (m= 3.39, SD=1.59), at time of discharge individuals report significantly fewer eating disorder behaviors (m= 2.11, SD=1.50). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001. 

  • Additionally, patients have statistical improvements in quality of life, measured by the Q-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=49.80, SD=15.37), and discharged with a fair to good quality of life (m=61.72, SD=16.25). This is significant at the p<.001. 

Eating Disorder Examination Questionnaire
Quality of Life Enjoyment and Satisfaction Scale

References:

  1. Fairburn and Beglin, 1994 Fairburn, CG and Beglin, SJ. Assessment of eating disorder psychopathology: Interview or self-report questionnaire?. International Journal of Eating Disorders. 1994; 16: 363–370

  2. Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology bulletin.

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