{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:11:29Z","timestamp":1773043889180,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014461","name":"NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust\/Institute of Cancer Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014461","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A significant number of people with bulimia nervosa (BN) or binge\u2010eating disorder (BED) do not seek professional help. Important reasons include limited knowledge of eating disorders (EDs), feelings of shame, treatment costs, and restricted access to specialized healthcare. In this study, we explored if a novel therapy delivered in a primary care setting could overcome these barriers. We investigated factors such as motivation and expectations and included the patients' and newly trained therapists' perspectives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We interviewed 10 women with BN (<jats:italic>n<\/jats:italic>\u2009=\u20092) or BED (<jats:italic>n<\/jats:italic>\u2009=\u20098), enrolled in the Physical Exercise and Dietary therapy (PED\u2010t) program, in a Healthy Life Center (HLC) located in a primary healthcare facility. Interview topics discussed were motivations for and expectations of therapy, and the treatment location. In addition, 10 therapists from HLC's were interviewed on their experiences with the PED\u2010t training program and expectations of running PED\u2010t within their service. The semi\u2010structured interviews were analyzed using reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most patients had limited knowledge about EDs and first realized the need for professional help after learning about PED\u2010t. Patients exhibited strong motivations for treatment and a positive perception of both the PED\u2010t, the new treatment setting, and the therapists' competencies. The therapists, following a brief training program, felt confident in their abilities to treat EDs and provide PED\u2010t. With minor operational adjustments, PED\u2010t can seamlessly be integrated into national HLC service locations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PED\u2010t is an accessible therapeutic service that can be delivered in a primary care environment in a stepped\u2010care therapy model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>This study investigates the views and experiences of patients and newly trained therapists of PED\u2010t (Physical Exercise and Dietary therapy), a new program\u2010led primary care therapy for binge\u2010eating spectrum eating disorders. The treatment and the locations for the intervention, that is, local health care centers, were found to be highly acceptable to both patients and therapists, thus PED\u2010t could easily be integrated as a first step into a step\u2010care delivery model.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24165","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T12:04:24Z","timestamp":1707998664000},"page":"695-702","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Expectations of a new eating disorder treatment and its delivery: Perspectives of patients and new therapists"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3687-583X","authenticated-orcid":false,"given":"Therese Fostervold","family":"Mathisen","sequence":"first","affiliation":[{"name":"Faculty of Health, Welfare and Organization \u00d8stfold University College  Fredrikstad Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2593-0100","authenticated-orcid":false,"given":"Gunn","family":"Pettersen","sequence":"additional","affiliation":[{"name":"Department of Health and Care Sciences, Faculty of Health Sciences UiT\u2014The Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-9641","authenticated-orcid":false,"given":"Jan H.","family":"Rosenvinge","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Health Sciences UiT\u2014The Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1335-1937","authenticated-orcid":false,"given":"Ulrike H.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Centre for Research in Eating and Weight Disorders, King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5291-5486","authenticated-orcid":false,"given":"Jorunn","family":"Sundgot\u2010Borgen","sequence":"additional","affiliation":[{"name":"Institute of Sport Medicine Norwegian School of Sport Sciences  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23266"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2018.1560847"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-2899349\/v1"},{"key":"e_1_2_11_8_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn 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societal value of preventing eating disorders","author":"Stokke O.","year":"2022","journal-title":"Economics"}],"container-title":["International Journal of Eating 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