In-home medical nutrition support for patients with severe anorexia nervosa: a mixed methods evaluation of a...

Severe anorexia nervosa is associated with complex medical complications, frequent hospitalizations, and fragmented care pathways. To address these challenges, Odense University Hospital established a highly specialized, medically led Mobile Nutrition Team delivering individualized medical monitoring and nutritional support in patients' homes. This initiative represents the first known model of its kind targeting individuals with severe anorexia nervosa.

This first-year mixed-methods implementation evaluation examined feasibility, acceptability, and experiences of patients, family members, and healthcare professionals with the Mobile Nutrition Team program. Structured questionnaires and focus group interviews were conducted with patients (n = 15), family members (n = 5), and healthcare professionals (n = 11). Quantitative data were analyzed descriptively, and qualitative data were analyzed using reflexive thematic analysis following Braun and Clarke.

Participants reported high satisfaction with the flexible, home-based care model and improved continuity across treatment settings. Patients described increased involvement in care, a greater sense of safety, and smoother transitions following discharge. Healthcare professionals highlighted strengthened interdisciplinary collaboration and earlier identification of medical concerns. While some participants experienced reduced need for hospitalization, the service was primarily viewed as a complement rather than a replacement for inpatient care. Thematic analyses generated higher-order themes relating to relational safety, flexibility, and coordinated care.

The MNT offers a novel approach that helps bridge gaps between inpatient and community services for individuals with severe anorexia nervosa by providing ongoing medical monitoring and nutritional support at home. The model appears acceptable and feasible and supports continuity of care, though it does not replace inpatient treatment for acute medical instability. Further research should evaluate long-term clinical and organizational outcomes.