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Hope can be hard to see with an eating disorder, but it’s there and we want to help you find it. That’s why we offer a wide continuum of treatment with inpatient, residential, partial hospitalization, and intensive outpatient care for ages 8 and up. Learn more.
From September of 2015 until February of 2020, 161 adults who were admitted to our residential care completed measures at both admission and discharge. Of these 75% were female and the mean age was 25 years (SD=7.32).
The Eating Disorder Examination Questionnaire assesses the overall severity of eating disorder symptoms across four unique eating disorder features: restraint, eating concern, shape concern, and weight concern.
At time of admission to residential care individuals report frequent eating disorder behaviors, as measured by the EDE-Q (m= 3.45, SD=1.65); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.07, SD=1.48). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001.
Each score is on a scale of 0 to 6, with higher scores indicating greater eating disorder severity.
Eating disorders often decrease a person’s overall quality of life. The Quality of Life Enjoyment and Satisfaction Questionnaire 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.
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=42.4, SD=16.2), and discharged with a fair to good quality of life (m=63.2, SD=17.3) this is significant at the p<.001.
Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:
Across the System, we see a consistent level of improvement at all of our sites. From September of 2015 until February of 2020, 286 adults who were admitted to our partial hospitalization care completed measures at both admission and discharge. Of these patients 89% were female and the mean age was 29 years (SD=11.5). The average number of treatment days in partial hospitalization is 25 days.
At time of admission to the partial programs individuals report frequency eating disorder behaviors, as measured by the EDE-Q (m= 3.59, SD=1.47), at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.20, SD=1.39). 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=46, SD=16.9), and discharged with a fair to good quality of life (m=60.1, SD=19.4). This is significant at the p<.001.
Patients in our eating disorder inpatient care are routinely assessed to monitor treatment progress and care outcomes through the Eating Disorder Examination-Questionnaire. This measure helps us to create individualized treatment plans addressing each person’s unique concerns, assess each patient’s progress in treatment, and evaluate the overall effectiveness of our care. Rogers obtained these self-reported outcomes from 84 adult patients in our inpatient care in 2018.
From March of 2015 until October of 2018, 573 adults admitted to our inpatient services completed measures at both admission and discharge. 85% were female and the mean age was 32 years (SD=13).
At time of admission to our inpatient care individuals report frequent eating disorder behaviors, as measured by the EDE-Q (m= 3.83, SD=1.63); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.82, SD=1.60). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001.
From November of 2015 until February of 2020, 31 children and adolescents admitted to our residential care completed measures at both admission and discharge. Of these patients 81% were female and the mean age was 16 years (SD=1.15).
At time of admission to the residential programs individuals report frequent eating disorder behaviors, as measured by the EDE-Q (m= 3.52, SD=1.53); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.31, SD=1.69). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001.
Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire is 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.
Additionally, patients have statistical improvements in quality of life, measured by the PQ-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=49, SD=15.9), and discharged with a fair to good quality of life (m=58.9, SD=17.9) this is significant at the p<.01.
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 February of 2020, 237 children and adolescents who were admitted to our partial hospitalization care completed measures at both admission and discharge. Of these patients 81% were female and the mean age was 15 years (SD=2.18). The average number of treatment days in partial hospitalization care is 30 days.
At time of admission to the partial hospitalization care, children and adolescents report frequent eating disorder behaviors, as measured by the EDE-Q (m= 2.52, SD=1.85); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 1.39, SD=1.45). 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=56.9, SD=17.7), and discharged with a fair to good quality of life (m=65.5, SD=18.3). This is significant at the p<.001.
Patients in our eating disorder inpatient units are routinely assessed to monitor treatment progress and care outcomes through the Eating Disorder Examination-Questionnaire. This measure helps us to create individualized treatment plans addressing each person’s unique concerns, assess each patient’s progress in treatment, and evaluate the overall effectiveness of our care. Rogers obtained these self-reported outcomes from 71 child and adolescent patients in our inpatient unit in 2018.
From December of 2015 until October of 2018, 516 children or adolescents admitted to our inpatient services completed measures at both admission and discharge. 89% were female and the mean age was 15 years (SD=1.85).
At time of admission to our inpatient care individuals report frequent eating disorder behaviors, as measured by the EDE-Q (m= 3.2, SD=1.8); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.32, SD=1.7). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001.
EDE-Q population norms3
References
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Hope can be hard to see with an eating disorder, but it's there and we want to help you find it.
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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.
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