Explaining the decision making process surrounding compulsory NF in the view of patients and their parents and their role in it. Also, exploring experiences and the impact of compulsory NF, aiming to identify ways to improve care and provide tools…
ID
Source
Brief title
Condition
- Eating disorders and disturbances
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Explaining the decision making process surrounding compulsory NF in the view of
patients and their parents: exploring their views on when compulsory NF is
appropriate and when is it not, and what reasons may be to (dis)continue, as
well as their experiences with long-term NF regarding benefits and harm.
Also, exploring the views of patients and parents on their role and the
involvement of the patient in the decision making process and exploring factors
that facilitate a feeling of autonomy, potential pitfalls and subsequent ways
for professionals to improve in this context. As well as exploring opinions on
what may be suitable alternatives to clinical long-term compulsory NF.
Secondary outcome
Not applicable.
Background summary
Compulsory nasogastric feeding (NF) in young ones is a drastic measure. It can
be a life-saving last resort, but can also cause iatrogenic traumatic harm. The
aim is to carry it out as short and humane as possible, in order to minimize
harm. However, compulsory NF seems to be continued up to several weeks or
months in a significant number of cases. Currently, there is no consensus on
when to initiate or (dis)continue compulsory NF. If we can explain how
treatment decisions in this context are made, as well as explore experiences
regarding the effects of compulsory NF, views on helpful elements, potential
pitfalls and how to facilitate a feeling of autonomy in patients during a
situation of severe coercion, tools for improvement of care and guidance in
these complex situations might be developed and implemented.
Study objective
Explaining the decision making process surrounding compulsory NF in the view of
patients and their parents and their role in it. Also, exploring experiences
and the impact of compulsory NF, aiming to identify ways to improve care and
provide tools for mental healthcare professionals to facilitate a feeling of
autonomy in patients.
Study design
we will conduct a qualitative study based on semi-structured interviews.
Study burden and risks
The extend of the burden related to the participation in this study icludes:
being contacted by the head practitioner (and researcher), participating in a
one-time semi-structured interview, reading the transcriptions and conclusions
based on the interview and potentially sending a reply.
This study includes minors above 12 years of age, because it can only be done
with this specific population. All precautionary measures are taken to minimize
the burden, making the risk of participation negligible.
Meibergdreef 9
Amsterdam 1105AZ
NL
Meibergdreef 9
Amsterdam 1105AZ
NL
Listed location countries
Age
Inclusion criteria
In order to be eligible to participate in this study, a subject must meet all
of the following criteria:
The patient had the diagnosis Anorexia Nervosa, was under 18 years of age
during admission, compulsory NF with physical restraint were carried out during
admission, and the patient must have had a minimum of one admission with
compulsory NF to another health care facility other than the Amsterdam UMC.
Parents of patients who meet the abovementioned criteria. Parents and patients
do not necessarily need to all be related. Meaning that patients can be
included, regardless if their parents want to participate and vice versa.
Exclusion criteria
A potential subject who meets any of the following criteria will be excluded
from participation in this study:
The patient be excluded if they are younger than 12 years of age at the
beginning of the study.
This exclusion criterion are not applicable to the parents.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL80911.018.22 |