{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:00:42Z","timestamp":1787029242060,"version":"build-2736575974"},"reference-count":22,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Type 1 Diabetes (T1D) is associated with increased risk of eating disorders. This study aimed to (1) assess adherence of Australasian paediatric T1D clinics to international guidelines on screening for disordered eating and (2) identify barriers and enablers to the use of screening tools for the identification of disordered eating. Methods: A 24-item survey covering five content domains: clinic characteristics, identification of disordered eating, screening tool use, training and competence, and pathways for referral, was sent to Australasian clinics caring for \u2265150 children and adolescents with T1D. Results: Of 13 eligible clinics, 10 participated. Two reported rates of disordered eating of &gt;20%, while eight reported rates &lt; 5%. All clinics used the routine clinical interview as the primary method of screening for disordered eating. Only one used screening tools; these were not diabetes-specific or routinely used. Barriers to use of screening tools included shortage of time and lack of staff confidence around use (n = 7, 70%). Enablers included staff training in disordered eating. Conclusions: Screening tools for disordered eating are not utilised by most Australasian paediatric T1D clinics. Overall, low reported rates of disordered eating suggest that it may be undetected, potentially missing an opportunity for early intervention.<\/jats:p>","DOI":"10.3390\/nu13114187","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T23:22:56Z","timestamp":1638314576000},"page":"4187","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Screening Practices for Disordered Eating in Paediatric Type 1 Diabetes Clinics"],"prefix":"10.3390","volume":"13","author":[{"given":"Emma","family":"Hanley Burden","sequence":"first","affiliation":[{"name":"College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Hart","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia"},{"name":"Hunter New England Mental Health Service, Waratah, NSW 2298, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirrilly","family":"Pursey","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9588-0677","authenticated-orcid":false,"given":"Peter P.","family":"Howley","sequence":"additional","affiliation":[{"name":"School of Information and Physical Sciences\/Data Science and Statistics, The University of Newcastle, Callaghan, NSW 2308, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tenele A.","family":"Smith","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3104-8800","authenticated-orcid":false,"given":"Carmel E.","family":"Smart","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia"},{"name":"John Hunter Children\u2019s Hospital, Department of Paediatric Endocrinology and Diabetes, Newcastle, NSW 2303, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,22]]},"reference":[{"key":"ref_1","unstructured":"(2013). 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