Evidence map›Paper›PMID 41214774›Full record

ReviewJournal of eating disorders2025

Intensive community and home-based treatments for eating disorders: a scoping review.

Başak İnce, Amelia Austin, Matthew D Phillips, Elizabeth Fordham, Erica Cini, Ulrike Schmidt

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Başak İnceDepartment of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK. basak.ince@kcl.ac.uk.
Amelia AustinMathison Centre for Mental Health Research and Education, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Matthew D PhillipsDepartment of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Elizabeth FordhamDepartment of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Erica Cini *University College London, London, UK.
Ulrike Schmidt *Department of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.

Funding

Medical Research Council/Arts and Humanities Research Council/Economic and Social Research Council Adolescence, Mental Health and the Developing Mind MR/W002418/1NIHR Evaluation, Trials and Studies Coordinating Centre (NETSCC) 17/123/03
6 · The paper itself

Abstract

backgroundIntensive community treatment (ICT) and home-based treatment (HBT) have emerged as valuable alternatives to institution-based intensive treatments (inpatient or day patient) for severe mental illnesses. Although potential benefits of ICT and HBT for eating disorders (EDs) have been proposed, this area of research remains largely unexplored.

methodA scoping review was conducted to map the available literature. Four databases (PubMed, PsycInfo, MEDLINE, Web of Science), grey literature, and trial registries were searched. Sources were included if they presented treatments offering more than two planned therapeutic contacts per week for at least part of the program, excluding physical monitoring contacts, for patients diagnosed with any ED across all ages.

resultsForty-six sources met the inclusion criteria (ICT: n = 31; HBT: n = 15), with most studies from Europe (n = 23) and the USA (n = 18). Among these, 28 reported quantitative data, six reported qualitative data, and three employed a mixed-methods approach. The remainder were either protocol papers or service descriptions only. The majority focused on anorexia nervosa (AN) or mixed EDs, with varying study designs and predominantly low to moderate evidence quality. There were no randomized controlled trials. HBTs primarily targeted children and adolescents with AN, emphasizing family-based approaches, while ICTs exhibited greater variability in age groups and diagnoses, frequently combining cognitive behavioral and dialectical behavioral therapies, often alongside family-based components for children and adolescents. Despite high variability in design, quality, and measurements, studies frequently reported improvements in clinical outcomes. Programs were often described as feasible and acceptable, noting patient satisfaction, strong adherence, and cost-effectiveness due to reduced hospital admissions.

conclusionsEven though there was variability in implementation and methodologies, ICTs and HBTs appear to be promising alternatives to traditional institution-based intensive treatments. Future research requires higher-quality large-scale randomized trials with improved reporting of treatment characteristics and outcomes to enable robust investigations of effectiveness.

Indexed as

Eating disordersHome-based careHome treatmentIntensive careIntensive community treatmentIntensive outpatient

Identifiers

PMID41214774
PMCPMC12604378

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.