{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:17:17Z","timestamp":1784672237468,"version":"3.55.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Eat Disord"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This study examined the experiences of young people and their parents who attended an intensive day treatment programme for eating disorders online during the global COVID-19 pandemic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Online questionnaires were completed by 14 adolescents (12\u201318\u2009years) and their parents (<jats:italic>n<\/jats:italic>\u2009=\u200919). The questionnaires included a mixture of rating questions (Likert scale) and free text responses. Free text responses were analysed using reflexive thematic analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Three main themes were identified: 1) New discoveries, 2) Lost in translation and 3) The best of a bad situation. This study provides insight into the benefits and pitfalls of online treatment delivery in the adolescent day programme context, which has rapidly had to become part of the everyday therapeutic practice. Results indicate that there are advantages and disadvantages to this, and that parents and young people\u2019s views differed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study suggests that the increased accessibility provided by online working does not necessarily translate to increased connection. Given the importance of therapeutic alliance in treatment outcomes, this will be an important consideration for future developments of online intensive treatments.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40337-021-00418-4","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T09:02:46Z","timestamp":1621846966000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Moving online: young people and parents\u2019 experiences of adolescent eating disorder day programme treatment during the COVID-19 pandemic"],"prefix":"10.1186","volume":"9","author":[{"given":"Phillipa Louise","family":"Brothwood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-4158","authenticated-orcid":false,"given":"Julian","family":"Baudinet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5764-0779","authenticated-orcid":false,"given":"Catherine S.","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4900-1429","authenticated-orcid":false,"given":"Mima","family":"Simic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"issue":"3","key":"418_CR1","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1111\/famp.12242","volume":"55","author":"T Jewell","year":"2016","unstructured":"Jewell T, Blessitt E, Stewart C, Simic M, Eisler I. Family therapy for child and adolescent eating disorders: a critical review. Fam Proc. 2016;55(3):577\u201394. https:\/\/doi.org\/10.1111\/famp.12242.","journal-title":"Fam Proc"},{"issue":"4","key":"418_CR2","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1002\/eat.22980","volume":"52","author":"J Lock","year":"2019","unstructured":"Lock J, Le Grange D. Family-based treatment: where are we and where should we be going to improve recovery in child and adolescent eating disorders. Int J Eat Disord. 2019;52(4):481\u20137. https:\/\/doi.org\/10.1002\/eat.22980.","journal-title":"Int J Eat Disord"},{"key":"418_CR3","doi-asserted-by":"publisher","first-page":"539","DOI":"10.3389\/fpsyt.2021.652604","volume":"12","author":"J Baudinet","year":"2021","unstructured":"Baudinet J, Simic M. Adolescent eating disorder day Programme treatment models and outcomes: a systematic scoping review. Frontiers in Psychiatry. 2021;12:539.","journal-title":"Frontiers in Psychiatry"},{"issue":"9924","key":"418_CR4","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1016\/S0140-6736(13)62411-3","volume":"383","author":"B Herpertz-Dahlmann","year":"2014","unstructured":"Herpertz-Dahlmann B, Schwarte R, Krei M, Egberts K, Warnke A, Wewetzer C, et al. Day-patient treatment after short inpatient care versus continued inpatient treatment in adolescents with anorexia nervosa (ANDI): a multicentre, randomised, open-label, non-inferiority trial. Lancet. 2014;383(9924):1222\u20139. https:\/\/doi.org\/10.1016\/S0140-6736(13)62411-3.","journal-title":"Lancet"},{"issue":"4","key":"418_CR5","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1002\/(SICI)1098-108X(200005)27:4<381::AID-EAT2>3.0.CO;2-U","volume":"27","author":"RH Striegel-Moore","year":"2000","unstructured":"Striegel-Moore RH, Leslie D, Petrill SA, Garvin V, Rosenheck RA. One-year use and cost of inpatient and outpatient services among female and male patients with an eating disorder: evidence from a national database of health insurance claims. Int J Eat Disord. 2000;27(4):381\u20139. https:\/\/doi.org\/10.1002\/(SICI)1098-108X(200005)27:4<381::AID-EAT2>3.0.CO;2-U.","journal-title":"Int J Eat Disord"},{"issue":"2","key":"418_CR6","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1002\/eat.20903","volume":"45","author":"L Haas","year":"2012","unstructured":"Haas L, Stargardt T, Schreyoegg J, Schl\u00f6sser R, Danzer G, Klapp BF. Inpatient costs and predictors of costs in the psychosomatic treatment of anorexia nervosa. Int J Eat Disord. 2012;45(2):214\u201321. https:\/\/doi.org\/10.1002\/eat.20903.","journal-title":"Int J Eat Disord."},{"issue":"3","key":"418_CR7","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1192\/bjp.159.3.325","volume":"159","author":"AH Crisp","year":"1991","unstructured":"Crisp AH, Norton K, Gowers S, Halek C, Bowyer C, Yeldham D, et al. A controlled study of the effect of therapies aimed at adolescent and family psychopathology in anorexia nervosa. Br J Psychiatry. 1991;159(3):325\u201333. https:\/\/doi.org\/10.1192\/bjp.159.3.325.","journal-title":"Br J Psychiatry"},{"issue":"15","key":"418_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta14150","volume":"14","author":"SG Gowers","year":"2010","unstructured":"Gowers SG, Clark AF, Roberts C, Byford S, Barrett B, Griffiths A, et al. A randomised controlled multicentre trial of treatments for adolescent anorexia nervosa including assessment of cost-effectiveness and patient acceptability - the TOuCAN trial. Health Technol Assess. 2010;14(15):1\u201398. https:\/\/doi.org\/10.3310\/hta14150.","journal-title":"Health Technol Assess"},{"issue":"2","key":"418_CR9","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1017\/S0033291714001573","volume":"45","author":"S Madden","year":"2015","unstructured":"Madden S, Miskovic-Wheatley J, Wallis A, Kohn M, Lock J, Le Grange D, et al. A randomized controlled trial of in-patient treatment for anorexia nervosa in medically unstable adolescents. Psychol Med. 2015;45(2):415\u201327. https:\/\/doi.org\/10.1017\/S0033291714001573.","journal-title":"Psychol Med"},{"issue":"11","key":"418_CR10","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1002\/eat.22959","volume":"51","author":"M Simic","year":"2018","unstructured":"Simic M, Stewart CS, Eisler I, Baudinet J, Hunt K, O\u2019Brien J, et al. Intensive treatment program (ITP): a case series service evaluation of the effectiveness of day patient treatment for adolescents with a restrictive eating disorder. Int J Eat Disord. 2018;51(11):1261\u20139. https:\/\/doi.org\/10.1002\/eat.22959.","journal-title":"Int J Eat Disord."},{"issue":"1","key":"418_CR11","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1186\/s40337-020-00338-9","volume":"8","author":"J Baudinet","year":"2020","unstructured":"Baudinet J, Simic M, Griffiths H, Donnelly C, Stewart C, Goddard E. Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series. J Eat Disord. 2020;8(1):68. https:\/\/doi.org\/10.1186\/s40337-020-00338-9.","journal-title":"J Eat Disord"},{"issue":"1","key":"418_CR12","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s40337-021-00368-x","volume":"9","author":"H Shaw","year":"2021","unstructured":"Shaw H, Robertson S, Ranceva N. What was the impact of a global pandemic (COVID-19) lockdown period on experiences within an eating disorder service? A service evaluation of the views of patients, parents\/carers and staff. J Eat Disord. 2021;9(1):14. https:\/\/doi.org\/10.1186\/s40337-021-00368-x.","journal-title":"J Eat Disord"},{"issue":"7","key":"418_CR13","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1002\/eat.23289","volume":"53","author":"G Waller","year":"2020","unstructured":"Waller G, Pugh M, Mulkens S, Moore E, Mountford VA, Carter J, et al. Cognitive-behavioral therapy in the time of coronavirus: clinician tips for working with eating disorders via telehealth when face-to-face meetings are not possible. Int J Eat Disord. 2020;53(7):1132\u201341. https:\/\/doi.org\/10.1002\/eat.23289.","journal-title":"Int J Eat Disord"},{"issue":"6","key":"418_CR14","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1002\/erv.2785","volume":"28","author":"DV Blalock","year":"2020","unstructured":"Blalock DV, Le Grange D, Johnson C, Duffy A, Manwaring J, Tallent CN, et al. Pilot assessment of a virtual intensive outpatient program for adults with eating disorders. Eur Eating Disorders Rev. 2020;28(6):789\u201395.","journal-title":"Eur Eating Disorders Rev"},{"issue":"1","key":"418_CR15","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/s40337-021-00390-z","volume":"9","author":"S Plumley","year":"2021","unstructured":"Plumley S, Kristensen A, Jenkins PE. Continuation of an eating disorders day programme during the COVID-19 pandemic. J Eat Disord. 2021;9(1):34. https:\/\/doi.org\/10.1186\/s40337-021-00390-z.","journal-title":"J Eat Disord"},{"key":"418_CR16","volume-title":"Maudsley Service Manual for Child and Adolescent Eating Disorders","author":"I Eisler","year":"2016","unstructured":"Eisler I, Simic M, Blessitt E, Dodge L, MCCAED Team. Maudsley Service Manual for Child and Adolescent Eating Disorders. 2016. Available from: https:\/\/mccaed.slam.nhs.uk\/wp-content\/uploads\/2019\/11\/Maudsley-Service-Manual-for-Child-and-Adolescent-Eating-Disorders-July-2016.pdf"},{"key":"418_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/13645579.2020.1805550","volume":"16","author":"V Braun","year":"2020","unstructured":"Braun V, Clarke V, Boulton E, Davey L, McEvoy C. The online survey as a qualitative research tool. Int J Soc Res Methodol. 2020;16:1\u201314.","journal-title":"Int J Soc Res Methodol"},{"key":"418_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/14780887.2020.1769238","volume":"12","author":"V Braun","year":"2020","unstructured":"Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2020;12:1\u201325.","journal-title":"Qual Res Psychol"},{"issue":"2","key":"418_CR19","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa.","journal-title":"Qual Res Psychol"},{"issue":"4","key":"418_CR20","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019;11(4):589\u201397. https:\/\/doi.org\/10.1080\/2159676X.2019.1628806.","journal-title":"Qual Res Sport Exerc Health"},{"issue":"6","key":"418_CR21","doi-asserted-by":"publisher","first-page":"S89","DOI":"10.1016\/j.jadohealth.2020.02.014","volume":"66","author":"M Boer","year":"2020","unstructured":"Boer M, van den Eijnden RJJM, Boniel-Nissim M, Wong S-L, Inchley JC, Badura P, et al. Adolescents\u2019 intense and problematic social media use and their well-being in 29 countries. J Adolesc Health. 2020;66(6):S89\u201399. https:\/\/doi.org\/10.1016\/j.jadohealth.2020.02.014.","journal-title":"J Adolesc Health"},{"key":"418_CR22","first-page":"36","volume-title":"Children and parents: media use and attitudes report 2019","author":"The Office of Communications (Ofcom)","year":"2020","unstructured":"The Office of Communications (Ofcom). Children and parents: media use and attitudes report 2019; 2020. p. 36. Available from: https:\/\/www.ofcom.org.uk\/__data\/assets\/pdf_file\/0023\/190616\/children-media-use-attitudes-2019-report.pdf"},{"issue":"1","key":"418_CR23","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1037\/a0022181","volume":"48","author":"SR Shirk","year":"2011","unstructured":"Shirk SR, Karver MS, Brown R. The alliance in child and adolescent psychotherapy. Psychotherapy. 2011;48(1):17\u201324. https:\/\/doi.org\/10.1037\/a0022181.","journal-title":"Psychotherapy."},{"key":"418_CR24","doi-asserted-by":"publisher","DOI":"10.31234\/osf.io\/fgytk","volume-title":"Attachment and mentalization as predictors of outcome in family therapy for adolescent anorexia nervosa","author":"T Jewell","year":"2020","unstructured":"Jewell T, Herle M, Serpell L, Eivors A, Simic M, Fonagy P, et al. Attachment and mentalization as predictors of outcome in family therapy for adolescent anorexia nervosa; 2020. Available from. https:\/\/doi.org\/10.31234\/osf.io\/fgytk."},{"issue":"5","key":"418_CR25","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1080\/10503307.2015.1119908","volume":"27","author":"T Berger","year":"2017","unstructured":"Berger T. The therapeutic alliance in internet interventions: a narrative review and suggestions for future research. Psychother Res. 2017;27(5):511\u201324. https:\/\/doi.org\/10.1080\/10503307.2015.1119908.","journal-title":"Psychother Res"},{"issue":"6","key":"418_CR26","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1002\/cpp.2315","volume":"25","author":"C Norwood","year":"2018","unstructured":"Norwood C, Moghaddam NG, Malins S, Sabin-Farrell R. Working alliance and outcome effectiveness in videoconferencing psychotherapy: a systematic review and noninferiority meta-analysis. Clin Psychol Psychother. 2018;25(6):797\u2013808. https:\/\/doi.org\/10.1002\/cpp.2315.","journal-title":"Clin Psychol Psychother"},{"issue":"12","key":"418_CR27","first-page":"145","volume":"15","author":"M DiLoreto","year":"2016","unstructured":"DiLoreto M, Gaines T. An investigation of discrepancies between qualitative and quantitative findings in survey research. Int J Learn Teach Educ Res. 2016;15(12):145\u201354.","journal-title":"Int J Learn Teach Educ Res"},{"issue":"1\u20132","key":"418_CR28","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1080\/00223980.2011.606435","volume":"146","author":"MP Levine","year":"2012","unstructured":"Levine MP. Loneliness and eating disorders. J Psychol. 2012;146(1\u20132):243\u201357. https:\/\/doi.org\/10.1080\/00223980.2011.606435.","journal-title":"J Psychol"},{"issue":"2","key":"418_CR29","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.2196\/jmir.8090","volume":"20","author":"A Banbury","year":"2018","unstructured":"Banbury A, Nancarrow S, Dart J, Gray L, Parkinson L. Telehealth interventions delivering home-based support group videoconferencing: systematic review. J Med Internet Res. 2018;20(2):e25. https:\/\/doi.org\/10.2196\/jmir.8090.","journal-title":"J Med Internet Res"},{"issue":"3","key":"418_CR30","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1016\/j.eatbeh.2014.06.001","volume":"15","author":"D Anastasiadou","year":"2014","unstructured":"Anastasiadou D, Medina-Pradas C, Sepulveda AR, Treasure J. A systematic review of family caregiving in eating disorders. Eat Behav. 2014;15(3):464\u201377. https:\/\/doi.org\/10.1016\/j.eatbeh.2014.06.001.","journal-title":"Eat Behav"}],"container-title":["Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-021-00418-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40337-021-00418-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-021-00418-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T09:03:22Z","timestamp":1621847002000},"score":1,"resource":{"primary":{"URL":"https:\/\/jeatdisord.biomedcentral.com\/articles\/10.1186\/s40337-021-00418-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,24]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["418"],"URL":"https:\/\/doi.org\/10.1186\/s40337-021-00418-4","relation":{},"ISSN":["2050-2974"],"issn-type":[{"value":"2050-2974","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,24]]},"assertion":[{"value":"3 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the South London and Maudsley Child and Adolescent Audit and Service Evaluation Committee. All methods were performed in accordance with the required guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Service evaluation approval allows for analysis and publication of anonymised data generated by approved projects.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"62"}}