Table 1 Top 20 facilitators and barriers in AN treatment initiation
Factor | Main category | Ranka | Interview partners n (%) | Single codings n (%) |
|---|---|---|---|---|
F + B - (Not) recognizing and addressing | SE-P | 1 | 18 (81.8) | 83 (6.9) |
F + B – Waiting time and availability | HCS | 2 | 16 (72.7) | 82 (6.8) |
F+ B – (No/wrong) recommendation and referral | HCS-P | 3 | 20 (90.9) | 54 (4.5) |
F + B – Competence, specialization, training | HCS | 3 | 13 (59.1) | 97 (8.1) |
B – Non-understanding of AN as illness or the need for treatment | SE-P | 5 | 12 (54.5) | 57 (4.8) |
F – Health education and de-stigmatization of AN and psychotherapy | SF | 6 | 14 (63.6) | 42 (3.5) |
F – Exchange, support, concern, understanding | SE-P | 6 | 13 (59.1) | 51 (4.3) |
F – Positive role models for treatment | SE-P | 8 | 9 (40.9) | 57 (4.8) |
F+ B – (No) reminding of, making of or accompanying to appointments | SE-P | 9 | 10 (45.5) | 40 (3.3) |
F – Suggesting or encouraging to seek treatment | SE-P | 10 | 13 (59.1) | 24 (2.0) |
F – Somatic symptoms | P | 10 | 10 (45.5) | 37 (3.1) |
F – Good personal connections | SE-HCS | 12 | 11 (50.0) | 33 (2.8) |
F + B – Networking, cooperation | HCS | 13 | 7 (31.8) | 47 (3.9) |
F+ B – (No/vaguely) diagnosing or communicating diagnosis | HCS-P | 14 | 8 (36.4) | 34 (2.8) |
F+ B – (Not) living, being, eating alone | P-SE | 15 | 10 (45.5) | 20 (1.7) |
F – Exacerbation and personal breaking point reached | P | 16 | 9 (40.9) | 20 (1.7) |
B – Trivializing and neglected assistance | HCS-–P | 17 | b6 (27.3) | 34 (2.8) |
F + B – Fit between individual patient and service settings | HCS | 18 | 7 (31.8) | b16 (1.3) |
F + B – (Reducing) comparisons with media ideals | SF | 19 | b6 (27.3) | 30 (2.5) |
F – Continuity (of care) and regular control examinations | HCS-P | 20 | b6 (27.3) | 20 (1.7) |
Total | 22 | 1.200 |