Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa.
Adolescent anorexia nervosa
Clinician perspectives
Guided self-help
Virtual eating disorder treatment
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
08
02
2022
accepted:
02
04
2022
pubmed:
24
4
2022
medline:
15
10
2022
entrez:
23
4
2022
Statut:
ppublish
Résumé
Guided self-help (GSH) treatments have the capacity to expand access to care, decrease costs, and increase dissemination compared to traditional therapist-directed treatment approaches. However, little is known about parent and clinician perspectives about the acceptability of GSH for adolescents with eating disorders. This study utilized a mixed methods approach to obtain qualitative and quantitative data regarding clinician and participants' experiences with GSH. Parent participants were enrolled in a randomized trial comparing GSH family-based treatment (GSH-FBT) to family-based treatment delivered via videoconferencing (FBT-V) for adolescents (12-18 years old) with a DSM-5 diagnosis of anorexia nervosa (AN). Parent participants provided qualitative feedback using the Helping Alliances Questionnaire about their experience of treatment. Clinician participants were six master's or PhD-level therapists. These clinicians were trained in and provided both treatments (GSH-FBT and FBT-V). They provided responses to questionnaires and participated in a 1-h focus group about their experience as treatment providers. Regardless of treatment condition, parents listed more improvement than worsening of symptoms in their child with AN. Clinicians reported lower scores on competency and comfort metrics with GSH-FBT compared to FBT-V. Qualitatively, clinicians reported both advantages and disadvantages of delivering GSH-FBT. Further studies are needed to better understand how GSH interventions can be disseminated to patients and families, particularly those with limited access to specialized eating disorder treatment centers. Level of evidence Level I, data collected as part of a randomized controlled trial.
Identifiants
pubmed: 35460449
doi: 10.1007/s40519-022-01401-x
pii: 10.1007/s40519-022-01401-x
pmc: PMC9033934
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2583-2593Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR003142
Pays : United States
Organisme : NCRR NIH HHS
ID : UL1 TR001085
Pays : United States
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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