'Consider Male Eating Disorders': A creative approach to improving access to treatment in primary health care for men and boys with eating disorders

该项目将制作一部5分钟的动画培训电影，向全科医生和实习护士的主要观众传达患有饮食失调症（ED）的男性和男孩的生活经历。在西方世界，受ED影响的男性和男孩的数量一直在稳步增加，但ED在很大程度上仍然被认为是一个“女性”问题。医生接受的男性ED培训最少，因此可能没有准备好考虑男性和男孩的艾德诊断，或者由于我们性别社会的限制和期望，对男性和男孩在寻求医疗帮助时面临的特殊挑战缺乏认识。在开发动画时，我们将借鉴在AHRC资助的研究网络"饥饿的话：一个跨学科的方法来阐明，沟通和理解男性的"，其中调查了三种类型的个人叙述（文学，在线自我文件，客户主导的口头帐户）。作为最初网络的一部分，为中学生、教师、大学生和工作人员举办了关于男性急诊科医生的讲习班，但我们也将全科医生和实习护士确定为我们工作的新的潜在受益者，因为与初级保健医生的负面初步接触是我们语料库中反复出现的主题。我们对叙述的分析指出了在诊断或治疗男性艾德时应常规考虑的关键主题，包括异性恋男性中ED与同性恋的关联，运动和过度运动的作用，以及极端饮食行为的看法，如暴饮暴食和清洗为"非男子气概"。我们还探索了创造性的方式（例如通过诗歌和电影）向广大公众传达患有ED的男性和男孩的生活经历。动画将传达患者的观点和最新的NICE指南，将与全科医生，护士，我们的合作伙伴慈善机构（First Steps艾德和MaleVoic艾德）和动画工作室Woven Ink合作设计和开发。我们会在计划网站免费提供有关资料，并会透过一个广受宣传的启动活动进行推广，亦会在我们的慈善机构合作伙伴提供的专业培训中使用有关资料，以及透过我们的合作伙伴及顾问委员会的医生网络发放有关资料。这一动画是一项及时的干预措施，将改善对初级保健从业人员的培训，并有助于确保男子和男孩在最早的时候得到诊断和治疗。

This project will create a 5-minute animated training film that communicates the lived experiences of men and boys with eating disorders (EDs) to a primary audience of GPs and practice nurses. The number of men and boys affected by EDs has been steadily increasing in the Western world, yet EDs are still largely perceived to be a 'female' problem. Medical practitioners receive minimal training on male EDs, and may therefore be ill-prepared to consider an ED diagnosis in men and boys, or lack awareness of the particular challenges men and boys face in seeking medical help because of the constraints and expectations of our gendered society.In developing the animation, we will draw on research conducted and partnerships formed during the AHRC-funded Research Network 'Hungry for Words: an interdisciplinary approach to articulating, communicating and understanding male anorexia', which investigated three types of personal narratives (literature, online ego-documents, client-led oral accounts). As part of the original Network, workshops on male EDs were held for secondary school students, teachers, and university students and staff, but we also identified GPs and practice nurses as new potential beneficiaries of our work, since negative initial contact with primary care practitioners was a recurring theme in our corpus. Our analysis of the narratives pinpointed key themes that should be routinely considered when diagnosing or treating males who present an ED, including the association of EDs with homosexuality in heterosexual men, the role of sport and over-exercising, and the perception of extreme eating behaviour such as bingeing and purging as 'unmanly'. We also explored creative ways (e.g. through poetry and film) of conveying lived experiences of men and boys with EDs to a broad public.The animation, which will communicate both patients' perspectives and the latest NICE guidelines, will be designed and developed in collaboration with GPs, nurses, our partner charities (First Steps ED and MaleVoicED) and animation studio Woven Ink. It will be made freely available on our project website, promoted through a well-publicised launch event, used in the professional training delivered by our partner charities, and distributed via the networks of our partners and the medical practitioners on our Advisory Board.With male EDs on the rise, this animation represents a timely intervention that will improve training for primary health practitioners and contribute to ensuring men and boys with EDs are diagnosed and treated at the earliest opportunity.