TABLE 1.
List of consensus statements.
| Key take‐home messages |
| Consensus statement 1: Language is critical. The terminologies ‘programme‐led’ and ‘focused’ are preferable to ‘low intensity’ and ‘brief’ when describing interventions |
Consensus statement 2: Programme‐led and focused interventions are needed to close the demand‐capacity gap. They are:
|
| Consensus statement 9: Studies to establish the cost‐effectiveness of programme‐led and focused interventions across different models of care are needed to effect policy change |
| Workforce, training and supervision |
| Consensus statement 3: There is a readily available workforce that can be trained to deliver programme‐led and focused interventions for eating disorders. This workforce can provide relatively low‐cost interventions and also free up capacity of specialist clinicians |
| Consensus statement 4: A training and competency development model for the delivery of programme‐led and focused interventions is required, and could be incorporated into existing training programmes for other mental health disorders |
| Consensus statement 5: Individuals supporting the delivery of programme‐led and focused interventions must be offered high quality supervision and consultation |
| Optimising guidance and support |
| Consensus statement 6: Session‐by‐session outcome monitoring is an essential part of clinical decision making, supervision, transparency and accountability for programme‐led and focused interventions |
| Consensus statement 7: Early change is critical to treatment success, so greater efforts need to be made early on to help the patient to navigate challenges and to build the self‐efficacy to experiment with initial early change |
| Consensus statement 8: Regardless of when treatment comes to an end, it is important that it ends positively. The focus should be on what the patient did well throughout the treatment and suggestions for alternative support if needed |
| Consensus statement 11: We need more information on how best to provide guidance in programme‐led and focused interventions, including how, when and in what form |
| Consensus statement 15: Adherence to core treatment elements is important to maintain treatment efficacy. Using strategies that facilitate engagement and adherence have the potential to improve treatment outcomes and reduce drop‐out, such as involving carers |
| Reaching those in need |
| Consensus statement 10: A self‐referral/carer‐referral route to programme‐led and focused interventions, which bypasses primary care, can open up pathways to care |
| Consensus statement 13: We need to explore innovative ways to bring people's attention to the existence of services, as well as increase their willingness to engage with services |
| Consensus statement 14: Programme‐led and focused interventions should be accessed via multiple routes. They should be seen as one component of a broader care offering that are embedded within (e.g., primary care and specialist eating disorder services) and extend beyond services (e.g., schools) |
| Patient centred‐care |
| Consensus statement 12: It is preferable to ask people how they would most like to receive intervention materials and for services to be sufficiently flexible to meet such preferences |
| Consensus statement 17: A personalised approach that considers variations in patient characteristics and preferences may be optimal for understanding and treating specific groups, including neurodiverse populations, individuals with emotion dysregulation and those at high psychiatric or medical risk |
| Treatment innovations |
| Consensus statement 16: Adopting a systematic and practice‐based approach (i.e., co‐production, utilising clinical expertise and gathering evidence during practice) and pragmatic implementation approach may help to enhance outcomes in the real world |
| Consensus statement 18: Learning from treatment matching in depression can serve as a model for eating disorders |
| Consensus statement 19: Frameworks for treatment development, including modular treatments, and optimising interventions should be used to facilitate treatment innovations |
| Consensus statement 20: If we can better understand the components of behaviour change and mechanisms of action, we can use this information to improve the programme‐led and focused interventions that already exist, develop new ones and tailor the programmes to the needs of the individual |