Search results

Pro‐eating disorder websites are online communities of individuals who do not consider eating disorders to be serious mental illnesses requiring treatment. People visit these websites to meet other like‐minded individuals, to share tips and tricks on how to lose weight and how to otherwise maintain the symptomatology of the disorder. This paper aims to review what is actually known about the risks associated with visiting these websites and provides recommendations for dealing with pro‐eating disorder material.

Relevant peer‐reviewed papers were located by means of searching three online journal databases (SCOPUS, PubMed, Web of Knowledge), and through carrying out reference checking. Key words for the search were: pro‐anorexia, pro‐ana, pro‐bulimia, pro‐mia and pro‐eating disorders.

Pro eating disorder websites are common and visited by a significant proportion of patients with eating disorders and non‐patients. The sites may be perceived beneficial, as they provide support and a sense of community. Although there is evidence for the harmfulness of pro‐eating disorder content on the internet, there is no clear indication that such sites promote the development or maintenance of eating disorders. Therefore, banning pro eating disorder websites seems inappropriate and unpractical, but measures for web‐hosting companies should be in place allowing them to remove such content. Instead, bodies creating alternative websites for young people should be supported. Clinicians and parents should be made aware of the existence of pro eating disorder websites and how to deal with them.

This paper provides an overview of the research in this field and discusses possible ways in which health professionals and the general public may respond to the existence of these web sites.

The purpose of this paper is to examine patient engagement in remote consultation services, an increasingly important issue facing Healthcare Operations Management (HOM) given the significant expansion in this and other forms of telehealth worldwide over the last decade. We use our analysis of the literature to develop a comprehensive framework that incorporates the patient journey, multidimensionality, antecedents and consequences, interventions and improvement options, as well as the cyclic nature of patient engagement. We also propose measures suitable for empirical assessment of different aspects of our framework.

We undertook a comprehensive review of the extant literature using a systematic review approach. We identified and analysed 63 articles published in peer-reviewed scientific journals between 2003 and 2022.

We conceptualise patient engagement with remote consultation across three key aspects: dimensions, process, and the antecedents and consequences of engagement. We identify nine contextual categories that influence such engagement. We propose several possible metrics for measuring patient engagement during three stages (before service, at/during service and after service) of remote consultation, as well as interventions and possible options for improving patient engagement therein.

The primary contribution of our research is the development of a comprehensive framework for patient engagement in remote consultation that draws on insights from literature in several disciplines. In addition, we have linked the three dimensions of engagement with the clinical process to create a structure for future engagement assessment. Furthermore, we have identified impact factors and outcomes of engagement in remote consultation by understanding which can help to improve levels of adoption, application and satisfaction, and reduce healthcare inequality. Finally, we have adopted a “cyclic” perspective and identified potential interventions that can be combined to further improve patient engagement in remote consultation.