Partial hospitalization eating disorder outcomes for children and teens

Child and Adolescent 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.

Children and adolescents receiving treatment for eating disorders are routinely asked to complete two instruments that assess the severity of their 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.
  • Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) – A 15-item self-report measure designed to measure the degree of enjoyment and satisfaction experienced by child and adolescent patients in various areas of daily functioning. Higher scores indicate greater enjoyment and satisfaction.

Results

Eating disorder partial hospitalization is offered at multiple locations. Across the System we see a consistent level of improvement at all of our sites. From September of 2015 until March of 2018, 192 children and adolescents who were admitted to our partial programs completed measures at both admission and discharge. Of these patients 85% were female and the mean age was 14 years (SD=1.95). The average number of treatment days in partial hospitalization is 18 days.

  • At time of admission to the partial programs, children and adolescents report frequent eating disorder behaviors, as measured by the EDE-Q (m= 2.60, SD=1.86); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 1.48, 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 PQ-LES-Q-SF. Patients admitted with a fair quality of life (m=46.29, SD=11.10), and discharged with a fair to good quality of life (m=49.13, SD=11.56). This is significant at the p<.001. 

Eating Disorder Examination Questionnaire
Pediatric Quality of Life Enjoyment and Satisfaction Scale

References:

  1. Fairburn and Beglin, 1994Fairburn, 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, Yang R, et al. Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): reliability and validity. J Am Acad Child Adolesc Psychiatry2006;45:401–7.

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