Evidence mapPaperPMID 42244010Full record

ArticleJournal of eating disorders2026

Nursing home staff's experiences and reflections regarding disordered eating among older adults: a focus group and vignette-based study.

Mikaela Willmer, Maria Engström, David Conde Caballero, Lisa Ryan, Paula Conroy, Elisabeth Rothenberg, Annakarin Olsson

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Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Mikaela WillmerDepartment of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden. mikaela.willmer@hig.se.
Maria EngströmDepartment of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
David Conde CaballeroDepartment of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Lisa RyanSchool of Health, Sport Science and Nutrition, Atlantic Technological University, Galway, Ireland.
Paula ConroyDepartment of Sport, Exercise and Nutrition, Atlantic Technological University, Galway, Ireland.
Elisabeth RothenbergDepartment of Nursing and Health Sciences, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
Annakarin OlssonDepartment of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEating disorders are often perceived to mainly affect young women, however previous research shows that they can both appear and persist in older populations. Research on eating disorders in older people is scarce, and there are no treatment guidelines or specialized diagnostic criteria, meaning that disordered eating in older adults is often misattributed to dementia, somatic illness, or the ageing process itself. This increases the risk of incorrect diagnosis and treatment, and hinders person-centred care. In order to start bridging this knowledge gap, the present study aimed to describe nursing home staff's experiences and reflections on disordered eating among the residents.

methodsThe study adopted a qualitative approach and a descriptive design. A total of 26 participants (registered nurses, licensed practical nurses and care assistants) were recruited from three nursing homes in mid-Sweden. Four focus group interviews were conducted, using a fictional patient case - a vignette - to help discussion. The interviews were audio recorded, transcribed, and analysed using qualitative content analysis inspired by Graneheim and Lundman.

resultsThree themes were identified during the analysis. The theme It's not disordered eating behavior, it's dementia or ageing - or is it? referred to staff's initial attribution of all problematic eating behaviors to dementia or other age-related illnesses. The theme Lack of knowledge, lack of time, lack of resources - We don't know, and no one else does, either contained reflections on the lack of education and resources that was experienced in all professions. The theme Navigating conflicts of interest related to problematic eating behaviors - a rocky path included perceptions of conflicts and ethical dilemmas related to food and eating.

conclusionsStaff in nursing homes do not have sufficient training and resources to identify and diagnose residents with disordered eating behaviors, which is a barrier to safe and person-centred care.

Indexed as

Eating disordersFocus groupHealthcare staffOlder adultsResidential care

Identifiers

PMID42244010
PMCPMC13242117

What Socratic holds

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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.