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

基本信息

批准号：
10221504
负责人：
DANIEL LE GRANGE
金额：
$ 23.91万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10221504
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

项目摘要

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.

该申请响应RFA-MH-18-706的试验效率试验，以进行治疗，预防和服务干预措施。迫切需要为精神传播有效的社会心理治疗疾病是因为基于证据的方法与常见临床实践之间存在显着差距。一需要改善社会心理治疗的传播和实施的例子是青少年神经性厌食症（AN），一种严重的精神障碍，发病率约为1％。威胁。根据一系列随机临床试验（RCT）的结果，青少年是基于家庭的治疗（FBT；但是，大多数治疗师都没有接受过培训。虽然大约45-50％的美国心理健康门诊提供者正在私人执业中，但很少关注被付给了如何最好地训练这一小组。我们建议使用在线培训策略研究FBT的采用更好地理解在私人实践中限制或增强这种治疗方法的摄取和实施的因素。我们建议使用前设计前设计以这些发现为基础，以检查新方法保留的可行性治疗师，评估培训机制并在私人执业中收集临床医生的患者结果。这这项研究的主要意义是增加可用性FBT的潜力，FBT是最有效的治疗方法青少年该研究的主要创新是评估培训临床医生在私人执业中的可行性在FBT中，为青少年提供了重大治疗。这些数据将为GO/No-Go提供支持关于一项大规模研究，使用在线ET-FBT进行私人执业培训治疗师的决定。