{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:19Z","timestamp":1790571439594,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Eating disorders (EDs) are associated with significant physical, psychological, and social impairments. Dietitians play a vital role in ED treatment, yet their impact is underreported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the pilot implementation of a novel dietetic outcome measure tool within a community ED service, with a focus on feasibility and acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed\u2010methods evaluation was conducted over six months in 2024. Quantitative data were collected using a novel dietetic outcome measure tool being piloted within the service and analysed descriptively. Qualitative data were collected through semi\u2010structured interviews with dietitians piloting the tool and analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Quantitative outcome data from 102 patients were analysed to describe service level referral patterns, intervention focus, proposed outcomes, and perceived outcome achievement. Restrictive dietary patterns and malnutrition were identified as common dietetic concerns. Improving nutritional status and eating patterns were the most frequently identified dietetic outcomes. Outcome status was recorded for 54% of patients. Of those, twenty\u2010six (47%) had a recorded outcome as \u2018met,\u2019 21 (38%) as \u2018partially met,\u2019 and 8 (15%) as \u201cnot met.\u201d Qualitative findings are presented across 3 themes: (1) demonstrating professional value through outcome monitoring, (2) practical and organisational barriers to embedding outcome monitoring, and (3) balancing meaningful data collection with clinician burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants were supportive of routine outcome monitoring in principle. However, the absence of clearly defined outcome indicators and associated data limited the tool's ability to meaningfully evaluate the intervention's effectiveness. Improved integration within existing electronic systems, combined with clearer outcome indicators and complementary qualitative approaches, may reduce clinician burden while enhancing the feasibility, acceptability, and value of routine outcome monitoring within ED dietetic services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70346","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:54:37Z","timestamp":1790571277000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Mixed\u2010Methods Evaluation of a Dietetic Outcome Measure Tool Pilot in a Community Eating Disorder Service"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3133-564X","authenticated-orcid":false,"given":"Steph","family":"Sloan","sequence":"first","affiliation":[{"name":"Teesside University Middlesbrough UK"},{"name":"Lancashire and South Cumbria NHS Foundation Trust, Bamber Bridge  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Sadler","sequence":"additional","affiliation":[{"name":"Teesside University Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0792-6113","authenticated-orcid":false,"given":"Sharleen","family":"Woods","sequence":"additional","affiliation":[{"name":"Lancashire and South Cumbria NHS Foundation Trust, Bamber Bridge  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"\u201cInternational Classification of Diseases 11th Revision (ICD\u201011) [online] \u201d World Health Organization (2019) https:\/\/icd.who.int\/browse11."},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102294"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2024.05.038"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.06.031"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.14r01732"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112961"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2014.06.001"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00362-9"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.688"},{"key":"e_1_2_15_11_1","unstructured":"NHS England. Access and Waiting Time Standard for Children and Young People With an Eating Disorder: Commissioning Guide [online]. NHS England: Leeds; (2015) https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2015\/07\/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf."},{"key":"e_1_2_15_12_1","unstructured":"NHS England. Adult eating disorders: Community inpatient and intensive day patient care \u2013 guidance for commissioners and providers [online]. NHS England: Leeds; (2019) https:\/\/www.england.nhs.uk\/publication\/adult-eating-disorders-community-inpatient-and-intensive-day-patient-care-guidance-for-commissioners-and-providers\/."},{"key":"e_1_2_15_13_1","volume-title":"Medical Emergencies in Eating Disorders (MEED): Guidance on Recognition and Management (CR233) [online]","author":"Royal College of Psychiatrists","year":"2022"},{"key":"e_1_2_15_14_1","unstructured":"Healthcare Improvement ScotlandEating disorders: SIGN 164 [online]. SIGN: Edinburgh; (2022) https:\/\/www.sign.ac.uk\/media\/1987\/sign-164-eating-disorders-v2.pdf."},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12927"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych-2024-101604"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23330"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13124490"},{"key":"e_1_2_15_19_1","unstructured":"British Dietetic Association BDA Outcomes Guidance Document. [online]. BDA: Birmingham; (2019) https:\/\/www.bda.uk.com\/static\/562e2b60-c742-438b-93979ad5eec871a6\/bdaoutcomesguidancedocument.pdf."},{"key":"e_1_2_15_20_1","unstructured":"British Dietetic Association. Updated Standardised Language terms for use with BDA Model and Process. [online]. British Dietetic Association: Birmingham; (2024) https:\/\/www.bda.uk.com\/practice-and-education\/digital-transformation\/bda-toolkit-for-digital-dietetic-records.html?_fr=a1e82eec&_ws=cGl4bDhjcm1Mb2dpbg%3D%3D."},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-96"},{"key":"e_1_2_15_22_1","volume-title":"A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12950"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000605"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.040"},{"key":"e_1_2_15_26_1","unstructured":"National Institute for Health and Care Excellence. Eating Disorders: Recognition and Treatment [online]. NICE: London; (2017) https:\/\/www.nice.org.uk\/guidance\/ng69."},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00334-z"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2015.148"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3117"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-022-00725-4"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70346","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.70346","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:54:39Z","timestamp":1790571279000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,27]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jhn.70346"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70346","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,27]]},"assertion":[{"value":"2025-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70346"}}