Implementing Family-Based Treatment for Adolescent Anorexia Nervosa for Providers in Private Practice: A Feasibility Study

为私人诊所的提供者实施以家庭为基础的青少年神经性厌食症治疗：可行性研究

• 批准号: 10458614
• 负责人: DANIEL LE GRANGE
• 金额: $ 23.89万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10458614
• 关键词: Adolescent; Adoption; Affect; Anorexia Nervosa; Attention; Attitude; Body Weight Changes; Caring; Chronic Disease; Client; Clinical; Clinical Treatment; Communities; Continuing Education; Data; Disease remission; Dissemination and Implementation; Effectiveness; Evidence based treatment; Failure; Family; Family psychotherapy; Feasibility Studies; Guidelines; Healthcare Systems; Hospitalization; Incentives; Incidence; Insurance Carriers; Knowledge; Learning; Life; Light; Measures; Mental Health; Mental disorders; Methods; Morbidity - disease rate; Motivation; Outcome; Outpatients; Participant; Patient-Focused Outcomes; Patients; Private Practice; Provider; Qualifying; Randomized Clinical Trials; Reporting; Self Efficacy; Self-Direction; Series; Signal Transduction; Specialist; Supervision; Therapeutic Effect; Time; Training; Treatment outcome; Validation; Weight; Weight Gain; Work; base; clinical practice; cost; design; effective therapy; effectiveness evaluation; effectiveness trial; evidence base; experience; follow-up; implementation process; improved; innovation; mortality; preventive intervention; programs; psychosocial; service intervention; severe mental illness; skills; uptake

This application responds to RFA-MH-18-706 Pilot Effectiveness Trials for Treatment, Preventive, and Services Interventions. There is a critical need to disseminate efficacious psychosocial treatments for mental disorders as there is a significant gap between evidenced-based approaches and common clinical practice. One example of the need to improve dissemination and implementation of psychosocial treatments is for adolescent Anorexia Nervosa (AN), a serious mental disorder with an incidence rate of about 1%.that can become life- threatening. Based on outcomes from a series of randomized clinical trials (RCTs), the first line treatment for adolescent AN is Family-based Treatment (FBT; however, most therapists are not trained to use it. Further, while approximately 45-50% of US mental health outpatient providers are in private practice, little attention has been paid to how best to train this group. We propose to use an online training strategy to study adoption of FBT to better understand factors that limit or enhance uptake and implementation of this treatment in private practice. We propose to build on these findings using a pre-post design to examine the feasibility of new methods to retain therapists, assess training mechanisms, and collect patient outcomes from clinicians in private practice. The primary significance of this study is its potential to increase the availability FBT--the most effective treatment for adolescent AN. A major innovation of the study is assessing the feasibility of training clinicians in private practice in FBT who provide significant treatment for adolescent AN. These data would provide support for a go/no-go decision about a large scale study to train therapists in private practice using online ET-FBT.

本申请响应RFA-MH-18-706治疗、预防和治疗的初步有效性试验， 服务干预。迫切需要传播有效的心理社会治疗， 由于循证方法与常见临床实践之间存在显著差距，因此，一 需要改进心理社会治疗的传播和实施的一个例子是青少年 神经性厌食症（Anorexia Nervosa，AN）是一种严重的精神疾病，发病率约为1%，可终身患病。 威胁。根据一系列随机临床试验（RCT）的结果， 青少年AN是基于家庭的治疗（FBT）;然而，大多数治疗师没有接受过使用它的训练。此外， 虽然大约45-50%的美国心理健康门诊提供者是私人执业，但很少有人注意到， 如何最好地训练这群人我们建议使用在线培训策略来研究FBT的采用 更好地了解限制或加强私人执业中接受和实施这种治疗的因素。 我们建议在这些研究结果的基础上，采用事前事后设计，研究新方法的可行性， 治疗师，评估培训机制，并从私人诊所的临床医生那里收集患者结果。的 这项研究的主要意义是它有可能增加FBT的可用性-最有效的治疗方法， 青少年AN.这项研究的一个主要创新是评估培训私人执业临床医生的可行性 在FBT中，他们为青少年AN提供了重要的治疗。这些数据将为go/no go提供支持 决定进行一项大规模研究，使用在线ET-FBT培训私人执业的治疗师。