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  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Paediatrics
  9. Adolescent Health
  11. A Family Navigator Improves Post-discharge Treatment Adherence Among Adolescents With Anorexia Nervosa: A Pilot Study

A family navigator improves post-discharge treatment adherence among adolescents with anorexia nervosa: a pilot study

Elizabeth V Franklin1, Margaret Mathias2, Duc T Nguyen3

  • 1Division of Adolescent Medicine & Sports Medicine, Department of Pediatrics, Baylor College of Medicine & Texas Children's Hospital, 17198 St. Luke's Way, Suite 630, Houston, TX, 77384, USA. evfrankl@texaschildrens.org.

Journal of Eating Disorders
|June 12, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

A family navigator intervention improved outpatient appointment attendance for adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN) after inpatient care. This support for parents enhanced treatment engagement but did not impact readmission rates or mental health symptoms.

Area of Science:

  • Adolescent Medicine
  • Eating Disorders
  • Clinical Psychology

Background:

  • Adolescent patients with Anorexia Nervosa (AN) and Atypical Anorexia Nervosa (AAN) face high relapse risks post-inpatient care due to poor treatment adherence.
  • Insufficient parental support is a key factor contributing to low treatment adherence following discharge.
  • A novel family navigator (FN) intervention was piloted to support parents and improve adolescent patient treatment engagement.

Purpose of the Study:

  • To explore the preliminary impact of a family navigator (FN) intervention on adolescent patient treatment adherence after inpatient care.
  • To assess the effectiveness of parental support in improving follow-up treatment engagement for eating disorders.
  • To evaluate the FN intervention's influence on appointment attendance, readmission rates, and parental satisfaction.
Keywords:
AdolescentsContinuity of careEating disordersFamily navigator

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Main Methods:

  • A pilot prospective study with a retrospective control group.
  • Twenty-three adolescent patients with AN or AAN received FN support for their parents, compared to 23 historical controls.
  • Primary outcome: medical, nutrition, and mental health appointment attendance; Secondary outcomes: mental health changes, readmission rates, and parental satisfaction.

Main Results:

  • Patients in the FN group showed higher overall outpatient appointment attendance (medical, nutrition, mental health).
  • The FN intervention did not significantly affect hospital readmission rates or self-reported mental health symptom changes.
  • Parental satisfaction with the FN intervention was high across all assessed categories.

Conclusions:

  • The family navigator intervention shows preliminary promise in improving treatment engagement for adolescents with AN/AAN transitioning from inpatient to outpatient care.
  • Further randomized trials with larger cohorts are necessary to confirm the FN's benefits and explore its role in overcoming access barriers.
  • The FN intervention may be particularly beneficial for families facing challenges such as non-English primary language, public/no insurance, or other care barriers.