Skip to main content

Table 1 Characteristics of qualitative studies

From: Transitions from child and adolescent to adult mental health services for eating disorders: an in-depth systematic review and development of a transition framework

Author

Objective

Location

Sample

Study design

Analysis

Key themes

Dimitropoulos et al. [17]

To understand factors that affect transitions from PEDPs to AEDPs in young people with AN

Eating Disorders Program, Toronto General Hospital, Canada

Providers

(n = 18 +)

In-depth, semi-structured focus groups (2 h. × 2); in-depth, semi-structured interviews (1 h. × 5)

Grounded theory; triangulation

Barriers: illness-related factors, developmental interruption, and decline in parental involvement with related service withdrawal

Dimitropoulos et al. [38]

To understand factors that influence effective transitions from PEDPs to AEDPs for AN

Eating Disorders Program, Toronto General Hospital, Canada

Providers

(n = 23)

In-depth, semi-structured focus groups (2 h. × 2); in-depth, semi-structured interviews (1 h. × 5)

Grounded theory; triangulation

Factors: readiness (not age), transition-specific interventions for patients and families, and coordinated medical follow up

Dimitropoulos et al. [39]

To identify barriers and facilitators to transitioning from PEDPs to AEDPs in young adults with EDs

Eating Disorders Program, Toronto General Hospital, Canada

Patients

(n = 15)

In-depth, structured interviews (1 h.)

Grounded theory; triangulation

Barriers: inconsistent transition procedures and systemic barriers to recovery after transitioning to AEDPs; facilitators: better coordination, communication, and collaboration

Lockertsen et al. [40]

To explore how providers experience the transition from CAMHS to AMHS for patients with AN

South-Eastern Norway Regional Health Authority, Norway

Providers (n = 8)

Dialectic, multi-step focus group (1.5 h. × 1); in-depth, semi-structured interviews (1.5 h. × 2)

Malterud’s systematic text condensation

Barriers: different treatment cultures, mistrust between services, clinician insecurity, and lack of transfer alliance

Lockertsen et al. [42]

To understand how patients with AN experience the transition from CAMHS to AMHS

South-Eastern Norway Regional Health Authority, Norway

Patients

(n = 10)

Dialectic, multi-step focus group (1–1.5 h. × 1); in-depth, semi-structured interviews (1–1.5 h. × 5)

Giorgi’s systematic text condensation

Experiences: lack of preparation and related loneliness, not treated uniquely, time to build provider trust, and provider interactions

Lockertsen et al. [43]

To explore how parents experience the transition from CAMHS to AMHS for children with AN

South-Eastern Norway Regional Health Authority, Norway

Parents

(n = 12)

In-depth, semi-structured interviews (1–1.5 h.)

Giorgi’s systematic text condensation

Barriers: sudden discharge, lack of continuity of care, poor involvement in process, and overwhelming responsibility; facilitators: provider knowledge and professional support

Mooney et al. [46]

To assess the value of educational resources to support young people with AN in transitioning from CAMHS to AMHS

Janeway Children’s Health and Rehabilitation Centre, Canada

Patients(n = 6)

In-depth, semi-structured interviews (30 min.)

 Thematic analysis

Findings: educational resources as benchmarks for evaluating ED status and tools for connecting with new providers in AMHS

Nadarajah et al. [44]

To identify barriers and facilitators to impending transitions from CAMHS to AMHS for adolescents with EDs

McMaster Children’s Hospital, Canada

Patients, caregivers (n = 10)

In-depth, semi-structured interviews (0.5–1 h.)

Summative content analysis

Barriers: re-explaining/re-sharing information, lack of professional support, and late discussions; facilitators: parental involvement and transition coordinators or passport

Scanferla et al. [47]

To capture shared transition experiences from PEDPs to AEDPs among young people with AN and their families

Paris Psychiatry and Neuroscience University Hospital Group, France

Patients, caregivers (n = 18)

In-depth, semi-structured interviews

Interpretive phenomenological analysis

Barriers: delayed access to care, adverse effects, and lack of provider support; facilitators: supporting personal life goals and involving caregivers in the transition process

Wales et al. [45]

To understand the transition from CAMHS to AMHS for EDs; and to identify factors that influence this process

National Health Services, England

Patients, caregivers,

providers

(n = 33)

In-depth focus groups (1 h. × 4); in-depth, semi-structured interviews (50 min × 11)

Thematic analysis

Factors: communication, service differences, and transition timing; improved communication, clear expectations, and flexibility may enhance transitions

  1. AEDPs adult eating disorder programs, AMHS adult mental health services, AN anorexia nervosa, CAMHS child and adolescent mental health services, EDs eating disorders, PEDPs pediatric eating disorder programs