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: 10040019
• 负责人: DANIEL LE GRANGE
• 金额: $ 25.28万
• 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 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10040019
• 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; 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; Preventive Intervention; Private Practice; Process; 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 trial; evidence base; experience; follow-up; improved; innovation; mortality; 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.

此应用程序响应RFA-MH-18-706治疗、预防和治疗的试点有效性试验 服务干预。迫切需要传播对精神疾病有效的心理社会治疗。 这是因为循证方法和普通临床实践之间存在着巨大的差距。一 需要更好地传播和实施心理社会治疗的例子是针对青少年的 神经性厌食症(AN)是一种严重的精神障碍，发病率约为1%。 具有威胁性。根据一系列随机临床试验(RCT)的结果，一线治疗 青少年AN是以家庭为基础的治疗(FBT；然而，大多数治疗师没有接受过使用它的培训。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的，但很少有人关注 被付钱给如何最好地训练这个团队。我们建议使用在线培训策略来研究FBT的采用 为了更好地了解在私人执业中限制或加强这种治疗的吸收和实施的因素。 我们建议在这些发现的基础上，采用事后设计来研究新方法的可行性，以保留 治疗师，评估培训机制，并从私人执业的临床医生那里收集患者结果。这个 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 青春期安。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，为青少年AN提供重要治疗的人。这些数据将为进行/不进行提供支持 关于使用在线ET-FBT培训私人执业治疗师的大规模研究的决定。