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Development and validation of a progress monitoring tool tailored for use in intensive eating disorder treatment
Author(s) -
EspelHuynh Hallie,
ThompsonBrenner Heather,
Boswell James F.,
Zhang Fengqing,
Juarascio Adrienne S.,
Lowe Michael R.
Publication year - 2020
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2718
Subject(s) - eating disorders , exploratory factor analysis , context (archaeology) , psychology , construct validity , clinical psychology , construct (python library) , coping (psychology) , psychometrics , paleontology , computer science , biology , programming language
Objective Despite calls for routine use of progress and outcome monitoring in private and intensive treatment centres for eating disorders (EDs), existing measures have limited relevance to these supervised treatment settings. This study sought to develop and validate the progress monitoring tool for eating disorders, a multidimensional measure for progress monitoring in the context of intensive ED treatment. Method Thirty‐seven items were generated by a team of content experts, clinicians, and administrative staff from the target treatment setting. Adolescent and adult females ( N = 531) seeking residential ED treatment completed the items at admission as part of the clinic's routine assessment battery; 83% were retained for repeat assessment at discharge. Exploratory factor analysis was conducted for preliminary measure development. Results Results yielded a five‐factor, 26‐item structure explaining 50% of total variance. Final construct domains included weight and shape concern, ED behaviours and urges, emotion avoidance, adaptive coping, and relational connection. The measure demonstrated adequate internal consistency , sensitivity to change during treatment, and convergence with validated assessment measures. Conclusions Preliminary data support the progress monitoring tool for eating disorders as a novel and valid multidimensional measure of treatment‐relevant constructs. This measure may have utility in measuring treatment progress for patients receiving intensive treatment for EDs.