Clinician Adherence to Guidelines in the Delivery of Family-Based Therapy for Eating Disorders
Clinician Adherence to Guidelines in the Delivery of Family-Based Therapy for Eating Disorders
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DOI：
10.1002/eat.22276
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发表时间：
2015-03-01
影响因子：
5.5
通讯作者：
Robinson, Adele Lafrance
中科院分区：
文献类型：
--
作者：
Kosmerly, Stacey;Waller, Glenn;Robinson, Adele Lafrance
临床医生已经被证明在提供循证治疗时偏离了协议。本研究探讨了这种现象，在提供以家庭为基础的治疗（FBT）的饮食失调，和临床医生的特点，可能会解释这样的治疗师drive. MethodTheparticipants是117名临床医生报告使用FBT的饮食失调。他们完成了一项在线调查，其中包括有关临床医生的特点，病例量，并报告使用FBT手册和核心治疗任务，以及一个措施的anxiety.ResultsThe核心FBT任务的使用高于其他疗法的问题，但仍有值得注意的差距推荐和报告的做法。大约三分之一的临床医生报告说，提供FBT，大大偏离循证方案，往往出现在个人治疗的基础上。使用FBT手册指导治疗与更好地坚持推荐的技术相关。临床医生的病例量和焦虑与使用特定的FBT Tasks. DiscussionConsistently与以前的研究关于临床医生使用的其他疗法的差异，FBT的饮食失调症的交付是不均匀的。Conclusionfurther调查这种现象是需要确定的影响偏离治疗方案的FBT的饮食失调症的有效性。(c)2014 Wiley Periodicals，Inc. (Int J Eat Disord 2015; 48：223-229）
ObjectiveClinicians have been shown to drift away from protocol in their delivery of evidence-based treatments. This study explores this phenomenon in the delivery of family-based therapy (FBT) for eating disorders, and the clinician characteristics that might explain such therapist drift.MethodThe participants were 117 clinicians who reported using FBT for eating disorders. They completed an online survey, which included questions relating to clinician characteristics, caseload, and reported use of FBT manuals and core therapeutic tasks, as well as a measure of anxiety.ResultsThe use of core FBT tasks was higher than for other therapies, but there were still noteworthy gaps between recommended and reported practice. Approximately a third of clinicians reported delivering FBT that deviated very substantially from evidence-based protocols, often appearing to be on an individual therapy basis. Using an FBT manual to guide treatment delivery was associated with greater adherence to recommended techniques. Clinician caseload and anxiety were associated with differences in the use of specific FBT tasks.DiscussionConsistent with previous research regarding clinicians' use of other therapies, the delivery of FBT for the eating disorders is not homogeneous.ConclusionFurther investigation of this phenomenon is needed to determine the impact of deviating from treatment protocols on the effectiveness of FBT for the eating disorders. (c) 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:223-229)