Meal support using mobile technology in Anorexia Nervosa. Contextual differences between inpatient and outpatient settings

Meal support using mobile technology in Anorexia Nervosa. Contextual differences between inpatient and outpatient settings
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DOI:
10.1016/j.appet.2012.10.004
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发表时间:
2013-01-01
期刊:
影响因子:
5.4
通讯作者:
Treasure, Janet
Treasure, Janet
中科院分区:
医学2区
文献类型:
--
作者:
Cardi, Valentina;Lounes, Naima;Treasure, Janet

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本研究的目的是检查使用移动的技术对神经性厌食症(AN)患者进行“支持性进食”干预的影响。20名住院患者和18名门诊患者在两个场合进行了测试餐,同时听一个简短的视频剪辑(“播放”),或在MP4播放器上播放的音乐。在每次测试餐前后收集自我报告和行为测量。住院和门诊设置之间的差异。在这两种情况下,住院患者喝了更多的测试餐,并且在测试餐后对食物的警惕性有所提高。当支持条件(Vodcast vs.音乐)进行比较时,住院患者似乎从听音乐中获益更多(减少痛苦和更多的奶昔醉),而门诊患者从使用Vodcast中获益更多(减少痛苦,更多的奶昔醉,减少对食物的警惕)。干预的背景下,提供了自我报告和测试餐期间收集的行为措施的影响。这表明AN中的膳食支持形式需要与上下文相匹配。(c)2012爱思唯尔有限公司保留所有权利。
The aim of this study was to examine the impact of a "supported eating" intervention using mobile technology in patients with Anorexia Nervosa (AN). Twenty Inpatients and 18 Outpatients with AN underwent a test meal on two occasions, whilst listening to either a short video-clip ('vodcast'), or music delivered on an MP4 player. Self-report and behavioural measures were collected before and after each test meal. Differences were found between the inpatient and outpatient settings. Inpatients drank more of the test meal and had increased levels of vigilance to food after the test meal, in both conditions. When the support conditions (Vodcast vs. Music) were compared, inpatients seemed to benefit more from listening to music (reduced distress and more smoothie drunk), whereas outpatients benefitted more from using the vodcast (reduced distress, more smoothie drunk, and reduced vigilance to food). The context in which the intervention was delivered had an impact on self-report and behavioural measures collected during the test meal. This suggests that the form of meal support in AN needs to match the context. (c) 2012 Elsevier Ltd. All rights reserved.