Feasibility and acceptability of screening for eating disorders in primary care.
BACKGROUND
Earlier diagnosis of disordered eating is linked to improved prognosis, but detection in primary care is poor.


OBJECTIVE
To assess the feasibility of screening for disordered eating within primary care, in terms of the proportion of patients accepting screening, yield of cases, action taken by staff and staff views on screening.


METHODS
Data were collected in open GP surgeries, midwife (MW) antenatal clinics and health visitor (HV) child health surveillance clinics in two GP practices, using face-to-face surveys and semi-structured interviews. Female patients aged 16-35 were asked to complete the SCOFF questionnaire, which was scored by researchers and taken by the patient into their consultation. If the result indicated possible disturbed eating, the health professional (HP) running the surgery/clinic was asked to complete a questionnaire and interview. One hundred and eleven women were screened and 11 HPs (GPs, MWs, HVs) were interviewed.


RESULTS
Forty-six percent of patients agreed to be screened. Of these, 16% produced a positive result. The staff survey suggested that HPs found screening acceptable. However, concerns arose in the interviews, principally over what action to take in response to positive results. Positive results were rarely recorded in medical notes, and treatment was rarely offered.


CONCLUSIONS
In order for a screening programme for eating disorders to be implemented in primary care, HP concerns about options for dealing with positive results would need to be addressed. Feasibility of screening would be enhanced by production of a protocol to be followed in the case of positive results.
Johnston
Olwyn
O
Department of Psychology, Institute of Psychiatry, King's College London, PO78, Addiction Sciences Building, London, UK.
Fornai
Gemma
G
Cabrini
Sara
S
Kendrick
Tony
T
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005240:Feasibility Studies; D001068:Feeding and Eating Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008403:Mass Screening; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care / Q000379:methods*; D036301:Qualitative Research; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires