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Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa

PURPOSE: 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 adole...

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Autores principales: Matheson, Brittany E., Datta, Nandini, Welch, Hannah, Citron, Kyra, Couturier, Jennifer, Lock, James D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033934/
https://www.ncbi.nlm.nih.gov/pubmed/35460449
http://dx.doi.org/10.1007/s40519-022-01401-x
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author Matheson, Brittany E.
Datta, Nandini
Welch, Hannah
Citron, Kyra
Couturier, Jennifer
Lock, James D.
author_facet Matheson, Brittany E.
Datta, Nandini
Welch, Hannah
Citron, Kyra
Couturier, Jennifer
Lock, James D.
author_sort Matheson, Brittany E.
collection PubMed
description PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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spelling pubmed-90339342022-04-25 Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa Matheson, Brittany E. Datta, Nandini Welch, Hannah Citron, Kyra Couturier, Jennifer Lock, James D. Eat Weight Disord Original Article PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Springer International Publishing 2022-04-23 2022 /pmc/articles/PMC9033934/ /pubmed/35460449 http://dx.doi.org/10.1007/s40519-022-01401-x Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Matheson, Brittany E.
Datta, Nandini
Welch, Hannah
Citron, Kyra
Couturier, Jennifer
Lock, James D.
Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title_full Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title_fullStr Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title_full_unstemmed Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title_short Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa
title_sort parent and clinician perspectives on virtual guided self-help family-based treatment (gsh-fbt) for adolescents with anorexia nervosa
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033934/
https://www.ncbi.nlm.nih.gov/pubmed/35460449
http://dx.doi.org/10.1007/s40519-022-01401-x
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