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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

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Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics.

Emma Hanley Burden¹, Melissa Hart^1,2, Kirrilly Pursey¹

¹College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia.

|November 27, 2021

Summary

Most Australasian pediatric Type 1 Diabetes (T1D) clinics do not use screening tools for disordered eating. This may lead to undetected eating disorders, missing crucial early intervention opportunities in youth with T1D.

Keywords:

Pediatrics adolescents early intervention feeding and eating disorders screening type 1 diabetes mellitus

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Published on: May 8, 2018

Area of Science:

Endocrinology
Pediatric Health
Mental Health

Background:

Type 1 Diabetes (T1D) is linked to a higher risk of eating disorders in children and adolescents.
Effective screening for disordered eating is crucial for early intervention in this vulnerable population.

Purpose of the Study:

To evaluate how well Australasian pediatric T1D clinics follow international guidelines for screening disordered eating.
To identify challenges and facilitators influencing the use of screening tools for disordered eating in these clinics.

Main Methods:

A 24-item survey was distributed to Australasian clinics managing at least 150 pediatric patients with T1D.
The survey assessed clinic characteristics, disordered eating identification practices, screening tool usage, staff training, and referral pathways.

Main Results:

Ten out of 13 eligible clinics participated. Most reported low rates of disordered eating (<5%).
All clinics primarily used clinical interviews; only one utilized screening tools, which were not diabetes-specific or routinely employed.
Key barriers to tool use included time constraints and staff confidence issues (70%), while staff training was an identified enabler.

Conclusions:

Screening tools for disordered eating are underutilized in most Australasian pediatric T1D clinics.
The low reported prevalence of disordered eating may indicate underdetection, potentially hindering timely intervention.