Assessing implementation fidelity in the First Episode Rapid Early Intervention for Eating Disorders service model.

摘要: Background The First Episode Rapid Early Intervention for Eating Disorders (FREED) service model is associated with significant reductions in wait times and improved clinical outcomes emerging adults recent-onset eating disorders. An understanding of how FREED implemented a necessary precondition to enable an attribution these findings key components the model, namely wait-time targets care package. Aims This study evaluated fidelity during multicentre FREED-Up study. Method Participants were 259 (aged 16–25 years) disorder <3 years duration, offered treatment through pathway. Patient journey records documented patient from screening end treatment. Adherence (engagement call within 48 h, assessment 2 weeks, 4 weeks) package, differences adherence across diagnosis group examined. Results There increases (16–40%) following introduction FREED, irrespective diagnosis. Receiving under optimal conditions also increased targets. Care package use differed by component most used activities psychoeducation dietary change. Attention transitions was less well used. Conclusions provides indication levels model. These rates can tentatively be considered as clinically meaningful thresholds. Results highlight aspects its implementation that warrant future examination.