COST and cost-effectiveness of models of care for children with Eating Disorders (CostED)

Conditions

Child and adolescent anorexia nervosa Mental and Behavioural Disorders Anorexia nervosa

Byford S, Petkova H, Barrett B, Ford T, Nicholls D, Simic M, Gowers S, Macdonald G, Stuart R, Livingstone N, Kelly G, Kelly J, Joshi K, Smith H, Eisler I.

2021-06-263 citations

10.1186/s40337-021-00433-5

Incidence of anorexia nervosa in young people in the UK and Ireland: a national surveillance study

Hristina Petkova, Mima Simic, Dasha Nicholls, Tamsin Ford, Matthew Prina et al. (13 authors)

BMJ Open2019-10-0175 citations

10.1136/bmjopen-2018-027339

Alternative community-based models of care for young people with anorexia nervosa: the CostED national surveillance study

Sarah Byford, Hristina Petkova, Ruth Stuart, Dasha Nicholls, Mima Simic et al. (16 authors)

Health Services and Delivery Research2019-10-0114 citations

10.3310/hsdr07370

Interventions

This is a naturalistic study that will involve mapping alternative models of care provided to young people with anorexia nervosa across the British Isles and the Republic of Ireland. The research will

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Male and female aged 8 to 18 years 2. In contact with community-based mental health services 3. Meeting diagnostic criteria for anorexia nervosa or eating disorders not otherwise specified that closely resemble anorexia nervosa (EDNOS-AN)

Exclusion criteria

Exclusion criteria: We will only exclude those cases of young people whose clinician-reported data is insufficient to assess eligibility

Design outcomes

Primary

Measure	Time frame
Health service use including frequency and length of inpatient admissions and number of hospital or community-based outpatient contacts, and the cost of these services. Measured at baseline, 9 and 18 months after baseline.	—

Secondary

Measure	Time frame
1. Age-adjusted percentage median body mass index (BMI) 2. Health of the Nation Outcome Score for Children and Adolescents (HoNOSCA), a routine outcome measurement tool that assesses behaviours, impairments, symptoms, and social functioning of children and adolescents with mental health problems. 3. Outcome category according to the Morgan and Russell criteria, a widely used measure of outcome for anorexia nervosa. Outcomes will be measured at baseline, 9 and 18 months after baseline.	—

Measure

Time frame

1. Age-adjusted percentage median body mass index (BMI) 2. Health of the Nation Outcome Score for Children and Adolescents (HoNOSCA), a routine outcome measurement tool that assesses behaviours, impairments, symptoms, and social functioning of children and adolescents with mental health problems. 3. Outcome category according to the Morgan and Russell criteria, a widely used measure of outcome for anorexia nervosa. Outcomes will be measured at baseline, 9 and 18 months after baseline.

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Countries

Ireland, United Kingdom

Outcome results

None listed