Item | M | SD | Mode | % of panellists showing agreement | Consensus achieved |
---|---|---|---|---|---|
Existing measures of compulsive exercise may not be accurate in athletes | 4.33 | 0.97 | 5 | 89 | Yes (Round 2) |
There is a lack of consensus among researchers, clinicians and individuals with eating disorders on how to define and conceptualise compulsive exercise | 4.76 | 0.44 | 5 | 100 | Yes (Round 3) |
The lack of consensus has impacted progress in the field, as research is often not comparable | 4.61 | 0.78 | 5 | 89 | Yes (Round 2) |
The lack of consensus has impacted progress in the field, as research is often not comparable | 4.47 | 0.62 | 5 | 94 | Yes (Round 3) |
Existing measures do not take into account that individuals with an eating disorder may have obsessive thoughts or unhealthy attitudes towards exercise without a behavioural component | 4.00 | 0.71 | 4 | 88 | Yes (Round 3) |
As exercise is a socially accepted behaviour, it may be difficult for eating disorder patients to realise that the way they exercise is pathological in the context of their eating disorder | 3.89 | 1.13 | 5 | 89 | Yes (Round 2) |
A measure assessing compulsive exercise contributes – in some cases unnecessarily- to the already extensive assessment process for individuals with eating disorders | 4.89 | 0.32 | 5 | 89 | Yes (Round 2, disagree) |
Eating disorder treatment should include facilities to teach patients to exercise in a healthful way through in vivo exposure | 4.82 | 0.93 | 5 | 100 | Yes (Round 3) |
Teaching eating disorder patients how to exercise in a healthful way needs to be given more focus in treatment | 4.39 | 0.98 | 5 | 94 | Yes (Round 2) |
It is difficult to measure compulsive exercise accurately due to inaccuracy of self-report | 3.82 | 1.13 | 4 | 76 | Near (Round 3) |
It is difficult to measure compulsive exercise accurately due to varying definitions of what constitutes exercise | 4.39 | 0.50 | 4 | 89 | Yes (Round 2) |
It is difficult to measure compulsive exercise accurately due to patients with eating disorders engaging in a variety of physical activity they may not see as exercise, such as tensing muscles or standing for long periods of time | 3.50 | 1.15 | 4 | 94 | Yes (Round 2) |
It is difficult to measure compulsive exercise accurately due to desirability reporting | 3.88 | 0.86 | 4 | 82 | Near (Round 3) |
It is difficult to measure compulsive exercise accurately due to current questionnaires not assessing for incidental exercise | 3.76 | 0.83 | 4 | 76 | Near (Round 3) |
The accuracy of self-report is likely diminished due to concerns about consequences of answering truthfully | 4.29 | 0.99 | 5 | 88 | Yes (Round 3) |
The accuracy of self-report is likely diminished due to recall bias | 3.59 | 0.94 | 4 | 76 | Near (Round 3) |
The accuracy of self-report is likely diminished due to desirability reporting | 3.76 | 1.09 | 4 | 82 | Near (Round 3) |
There is no international gold standard describing how to best measure and assess compulsive exercise | 4.44 | 0.98 | 5 | 94 | Yes (Round 2) |