Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine
Abstract Background Family-based treatment (FBT) is an efficacious outpatient intervention for young people diagnosed with Anorexia Nervosa (AN). To date, treatment to protocol has relied on standard face-to-face delivery. Face-to-face therapy is subject to geographic, temporal and human factors, re...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-10-01
|
| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40337-020-00328-x |
| _version_ | 1797726982652297216 |
|---|---|
| author | A. Hambleton D. Le Grange J. Miskovic-Wheatley S. Touyz M. Cunich S. Maguire |
| author_facet | A. Hambleton D. Le Grange J. Miskovic-Wheatley S. Touyz M. Cunich S. Maguire |
| author_sort | A. Hambleton |
| collection | DOAJ |
| description | Abstract Background Family-based treatment (FBT) is an efficacious outpatient intervention for young people diagnosed with Anorexia Nervosa (AN). To date, treatment to protocol has relied on standard face-to-face delivery. Face-to-face therapy is subject to geographic, temporal and human factors, rendering it particularly susceptible to inequities and disruption. This has resulted in poorer service provision for rural and regional families, and recently a significant challenge to providing face-to-face services during the COVID-19 global pandemic. The present study examines whether FBT for AN can be successfully translated to a digital delivery platform to address these access issues. Method Forty young people aged 12 to 18 years who meet DSM-5 diagnostic criteria for AN, and live in a rural or regional setting, will along with their family be recruited to the study. Trained therapists will provide 18 sessions of FBT over 9 months via telemedicine to the home of the young person and their family. The analysis will examine treatment effectiveness, feasibility, acceptability, and cost-effectiveness. Discussion The study addresses the treatment needs of families not able to attend face-to-face clinical services for evidence-based treatment for eating disorders. This might be due to several barriers, including a lack of local services or long travel distances to services. There has been a recent and unprecedented demand for telemedicine to facilitate the continuity of care during COVID-19 despite geographical circumstances. If delivering treatment in this modality is clinically and economically effective and feasible, it will facilitate access to potentially lifesaving, evidence-based treatments for families formerly unable to access such care and provide evidence for the continuity of services when and where face-to-face treatment is not feasible. |
| first_indexed | 2024-03-12T10:53:18Z |
| format | Article |
| id | doaj.art-31f79e1f5019445d8b8fd9a56b5d6788 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-03-12T10:53:18Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-31f79e1f5019445d8b8fd9a56b5d67882023-09-02T06:40:41ZengBMCJournal of Eating Disorders2050-29742020-10-018111210.1186/s40337-020-00328-xTranslating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicineA. Hambleton0D. Le Grange1J. Miskovic-Wheatley2S. Touyz3M. Cunich4S. Maguire5InsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyUCSF Weill Institute for Neurosciences, School of Medicine, University of California, San FranciscoInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyThe Boden Collaboration for Obesity, Nutrition & Eating Disorders, Faculty of Medicine and Health (Central Clinical School), The University of SydneyInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyAbstract Background Family-based treatment (FBT) is an efficacious outpatient intervention for young people diagnosed with Anorexia Nervosa (AN). To date, treatment to protocol has relied on standard face-to-face delivery. Face-to-face therapy is subject to geographic, temporal and human factors, rendering it particularly susceptible to inequities and disruption. This has resulted in poorer service provision for rural and regional families, and recently a significant challenge to providing face-to-face services during the COVID-19 global pandemic. The present study examines whether FBT for AN can be successfully translated to a digital delivery platform to address these access issues. Method Forty young people aged 12 to 18 years who meet DSM-5 diagnostic criteria for AN, and live in a rural or regional setting, will along with their family be recruited to the study. Trained therapists will provide 18 sessions of FBT over 9 months via telemedicine to the home of the young person and their family. The analysis will examine treatment effectiveness, feasibility, acceptability, and cost-effectiveness. Discussion The study addresses the treatment needs of families not able to attend face-to-face clinical services for evidence-based treatment for eating disorders. This might be due to several barriers, including a lack of local services or long travel distances to services. There has been a recent and unprecedented demand for telemedicine to facilitate the continuity of care during COVID-19 despite geographical circumstances. If delivering treatment in this modality is clinically and economically effective and feasible, it will facilitate access to potentially lifesaving, evidence-based treatments for families formerly unable to access such care and provide evidence for the continuity of services when and where face-to-face treatment is not feasible.http://link.springer.com/article/10.1186/s40337-020-00328-xAnorexia nervosaCost-consequence analysisInequalitiesEating disorderCovid-19Young people |
| spellingShingle | A. Hambleton D. Le Grange J. Miskovic-Wheatley S. Touyz M. Cunich S. Maguire Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine Journal of Eating Disorders Anorexia nervosa Cost-consequence analysis Inequalities Eating disorder Covid-19 Young people |
| title | Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine |
| title_full | Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine |
| title_fullStr | Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine |
| title_full_unstemmed | Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine |
| title_short | Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine |
| title_sort | translating evidence based treatment for digital health delivery a protocol for family based treatment for anorexia nervosa using telemedicine |
| topic | Anorexia nervosa Cost-consequence analysis Inequalities Eating disorder Covid-19 Young people |
| url | http://link.springer.com/article/10.1186/s40337-020-00328-x |
| work_keys_str_mv | AT ahambleton translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine AT dlegrange translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine AT jmiskovicwheatley translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine AT stouyz translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine AT mcunich translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine AT smaguire translatingevidencebasedtreatmentfordigitalhealthdeliveryaprotocolforfamilybasedtreatmentforanorexianervosausingtelemedicine |