Self-reported expertise and confidence in diagnosing and treating avoidant restrictive food intake disorder among Swedish clinicians

Eur Eat Disord Rev. 2023 May;31(3):433-442. doi: 10.1002/erv.2970. Epub 2023 Feb 9.

Abstract

Objective: To assess self-reported knowledge and confidence regarding avoidant restrictive food intake disorder (ARFID) diagnosis and treatment in Swedish clinicians from various disciplines.

Method: The study included 489 clinicians who attended educational lectures about ARFID. Participants responded to 20 ARFID-related questions and statements using the online audience engagement platform Mentimeter. Items assessed ARFID-related knowledge, education, and experience, as well as treatment methods offered to ARFID patients at clinicians' healthcare units.

Results: We found predominantly correct responses to three basic knowledge-based items about ARFID. However, most participants (64.0%) reported never having received education about ARFID, and few participants reported feeling confident in their ability to diagnose (13.4%) and treat (10.7%) ARFID. Nearly half the sample reported either not knowing which ARFID treatments their unit offered (22.3%) or that no treatment was offered (21.3%).

Conclusion: Experience and confidence in diagnosing and treating ARFID are generally low in Swedish clinicians, and many individuals with ARFID do not receive treatment. We identify a pressing need for resources, clearer organisation, and structure, and for additional education and training opportunities for clinicians meeting individuals with ARFID.

Keywords: eating disorder; feeding disorder; guidelines; healthcare; treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Avoidant Restrictive Food Intake Disorder*
  • Eating
  • Feeding and Eating Disorders*
  • Humans
  • Retrospective Studies
  • Self Report
  • Sweden