title: Evaluation of an online training program in eating disorders for health professionals in Australia.
abstract: BACKGROUND
  Early detection and treatment of eating disorders is instrumental in positive health outcomes for this serious public health concern. As such, workforce development in screening, diagnosis and early treatment of eating disorders is needed. Research has demonstrated both high rates of failure to accurately diagnose and treat cases early and low levels of perceived access to training in eating disorders by health professionals-representing an urgent need for clinician training in this area. However, significant barriers to the access of evidence-based training programs exist, including availability, cost and time, particularly when large geographic distances are involved. Online learning presents a solution to workforce challenges, as it can be delivered anywhere, at a fraction of the cost of traditional training, timing is user controlled, and a growing body of research is demonstrating it as effective as face-to-face training. The Centre for Eating and Dieting Disorders in Australia has developed an Online Training Program In Eating Disorders, to educate health professionals in the nature, identification, assessment and management of eating disorders. The aim of the current study was to evaluate the ability of this online learning course to improve clinician levels of knowledge, skill and confidence to treat eating disorders. As well as its effect on stigmatised beliefs about eating disorders known to effect treatment delivery.
  
  
  METHODS
  One-hundred-eighty-seven health professionals participated in the program. A pre training questionnaire and a post training evaluation examined participants' levels of knowledge, skill and confidence to treat eating disorders, as well attitudes and beliefs about people with eating disorders.
  
  
  RESULTS
  Significant improvements in knowledge, skill, and confidence to treat eating disorders was found between pre and post program assessment in health professionals who completed the course, along with a significant decrease in stigmatised beliefs about eating disorders.
  
  
  CONCLUSIONS
  The results of this study demonstrated that the online training program was an effective tool in increasing health professionals' level of knowledge, skill and confidence to treat people with eating disorders. The results also demonstrated that online training reduced health professionals' personal bias towards people with eating disorders. Limitations of this study include the use of self-report measures rather than observation of the health professional in clinical practice. As a result, it is not possible to make determinations regarding the translation of these results to clinical settings.
  
  
  CONCLUSIONS
  The findings of this study suggest that online training programs may present an innovative solution to the considerable workforce development challenges faced by clinicians needing training in eating disorders.
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Rachel S
authors.initials: RS
authors.lastname: Brownlow
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Maguire
authors.affiliation: The Centre for Eating and Dieting Disorders, Sydney, NSW Australia.
authors.forename: Adrienne
authors.initials: A
authors.lastname: O'Dell
authors.affiliation: The Centre for Eating and Dieting Disorders, Sydney, NSW Australia.
authors.forename: Catia
authors.initials: C
authors.lastname: Dias-da-Costa
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Touyz
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Janice
authors.initials: J
authors.lastname: Russell
keywords: Eating disorders; Health professionals; Identification; Online training (e-learning); Treatment