{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:22:49Z","timestamp":1790954569850,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T00:00:00Z","timestamp":1543449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>When it comes to working with eating disorders (EDs), few studies have explored: the clinical practice; service provision barriers; and self\u2010perceptions of knowledge\/skill and the ability to detect EDs in practice against measured ability to do so, of common health providers including psychologists, naturopaths and fitness instructors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of the 115 participants, 90.4% were female with a mean age of 40.77\u2009years (SD\u2009=\u200910.80\u2009years) and comprised: 35 psychologists, 50 naturopathic and 30 fitness practitioners. Participants completed a 23\u2010item survey measuring clinical practice behaviours including assessment and early intervention services, practitioner service barriers, perceived ED knowledge and skill.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Only 1 in 20 indicated using standardized surveys to screen for EDs, with 72% indicating reluctance to universally screen clients, with a key barrier being that ED symptoms were typically not the presenting issue. For practitioners who missed detecting EDs in practice, 53.6% indicated this was because weight fell within the normal range or because the client did not present with an ED so they did not think to screen for one (39.29%). In terms of interventions, most (79%) were providing services to clients with EDs, with over one\u2010third providing weight\u2010loss advice, potentially contributing to a harmful weight\u2010centric\/dieting treatment approach. Despite most practitioners delivering services, 85.7% felt unable to treat some clients appropriately, primarily due to a lack of skill (52.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Further training is imperative to improve universal screening and evidence\u2010based early intervention practices, which may be particularly helpful for naturopaths and fitness instructors who more commonly perceived their knowledge to be low.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.12764","type":"journal-article","created":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T04:35:12Z","timestamp":1543466112000},"page":"1263-1270","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The perceived knowledge, skill and clinical practice of psychologists, naturopaths and fitness instructors when working with eating disorders"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5541-5831","authenticated-orcid":false,"given":"Kate A.","family":"Worsfold","sequence":"first","affiliation":[{"name":"School of Psychology The University of Queensland Brisbane Queensland Australia"},{"name":"Compass Health Group Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9628-5033","authenticated-orcid":false,"given":"Jeanie K.","family":"Sheffield","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-016-0112-4"},{"issue":"1","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: A practical and powerful approach to multiple testing","volume":"57","author":"Benjami Y.","year":"1995","journal-title":"Journal of the Royal Statistical Society"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20636"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20886"},{"key":"e_1_2_7_7_1","unstructured":"Deloitte Access Economics (2012).Paying the Price: The economic and social impact of eating disorders in Australia. 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