Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa
Community-based clinicians who treat patients with eating disorders rarely use empirically-supported treatments, and research demonstrates that clinicians make significant modifications when implementing family-based treatment (FBT) for anorexia nervosa. This study examined clinician attitudes towar...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-04-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00305/full |
| _version_ | 1818302211513384960 |
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| author | Erin C. Accurso Daniel Le Grange Daniel Le Grange Andrea K. Graham |
| author_facet | Erin C. Accurso Daniel Le Grange Daniel Le Grange Andrea K. Graham |
| author_sort | Erin C. Accurso |
| collection | DOAJ |
| description | Community-based clinicians who treat patients with eating disorders rarely use empirically-supported treatments, and research demonstrates that clinicians make significant modifications when implementing family-based treatment (FBT) for anorexia nervosa. This study examined clinician attitudes toward FBT and explored the extent to which attitudes predicted intent to shift practices following training in FBT. Clinicians (N = 129) completed a standardized training in FBT for AN, either a two-day introductory training (n = 99) or a one-day “advanced” training (n = 30). Linear regressions were used to examine the association between therapists’ attitudes toward FBT and their intent to use strategies consistent with FBT in the future, adjusting for pre-training use of strategies. Providers reported very positive attitudes toward evidence-based practices in general and moderately positive attitudes toward FBT. There were no significant differences between “novice” and “advanced” providers on attitudes toward evidence-based practices or FBT (ps > .10). For the subset of providers attending their first training in FBT, more positive attitudes toward FBT significantly predicted greater intent to use FBT-consistent strategies (p = .004), and more positive attitudes toward evidence-based practice significantly predicted lesser intent to use FBT-inconsistent strategies (p = .009). This study suggests that both general attitudes toward evidence-based practice and specific attitudes toward FBT may impact implementation. Future research might examine whether a brief intervention to improve attitudes toward FBT might increase the likelihood of seeking expert consultation post-training. |
| first_indexed | 2024-12-13T05:35:18Z |
| format | Article |
| id | doaj.art-384a29e925df4a50b9235c52813ffef7 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-13T05:35:18Z |
| publishDate | 2020-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-384a29e925df4a50b9235c52813ffef72022-12-21T23:57:57ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-04-011110.3389/fpsyt.2020.00305515407Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia NervosaErin C. Accurso0Daniel Le Grange1Daniel Le Grange2Andrea K. Graham3Department of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United StatesDepartment of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United StatesDepartment of Psychiatry & Behavioral Neuroscience, The University of Chicago, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCommunity-based clinicians who treat patients with eating disorders rarely use empirically-supported treatments, and research demonstrates that clinicians make significant modifications when implementing family-based treatment (FBT) for anorexia nervosa. This study examined clinician attitudes toward FBT and explored the extent to which attitudes predicted intent to shift practices following training in FBT. Clinicians (N = 129) completed a standardized training in FBT for AN, either a two-day introductory training (n = 99) or a one-day “advanced” training (n = 30). Linear regressions were used to examine the association between therapists’ attitudes toward FBT and their intent to use strategies consistent with FBT in the future, adjusting for pre-training use of strategies. Providers reported very positive attitudes toward evidence-based practices in general and moderately positive attitudes toward FBT. There were no significant differences between “novice” and “advanced” providers on attitudes toward evidence-based practices or FBT (ps > .10). For the subset of providers attending their first training in FBT, more positive attitudes toward FBT significantly predicted greater intent to use FBT-consistent strategies (p = .004), and more positive attitudes toward evidence-based practice significantly predicted lesser intent to use FBT-inconsistent strategies (p = .009). This study suggests that both general attitudes toward evidence-based practice and specific attitudes toward FBT may impact implementation. Future research might examine whether a brief intervention to improve attitudes toward FBT might increase the likelihood of seeking expert consultation post-training.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00305/fullfamily-based treatmenteating disorderschildren and adolescentsdissemination and implementationclinician attitudes |
| spellingShingle | Erin C. Accurso Daniel Le Grange Daniel Le Grange Andrea K. Graham Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa Frontiers in Psychiatry family-based treatment eating disorders children and adolescents dissemination and implementation clinician attitudes |
| title | Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa |
| title_full | Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa |
| title_fullStr | Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa |
| title_full_unstemmed | Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa |
| title_short | Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa |
| title_sort | attitudes toward family based treatment impact therapists intent to change their therapeutic practice for adolescent anorexia nervosa |
| topic | family-based treatment eating disorders children and adolescents dissemination and implementation clinician attitudes |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00305/full |
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