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Measuring the Effectiveness of Evidence-Based Treatments for Eating Disorders in a Real-World Clinical Setting
Başlık:
Measuring the Effectiveness of Evidence-Based Treatments for Eating Disorders in a Real-World Clinical Setting
Yazar:
Buchman, Samantha, author.
ISBN:
9780438025110
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (124 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Debra Safer Committee members: Jamie Kent.
Özet:
While the number of randomized controlled treatment trials (RCT) continues to grow exponentially, studies examining the real-world application of such treatments remain scarce. The field of eating disorders exemplifies this phenomenon in that more than seventy RCTs now exist exploring the efficacy of eating disorder treatments, yet comparatively few studies exist which examine how such treatments fare in real-world settings.
The present study narrows this gap by investigating the effectiveness of evidence-based treatments for adults with eating disorders in a real-world outpatient clinic. Characteristics of evidence-based treatment delivery and adherence to treatment protocol from the point of view of the treating clinician are also described. Participants (N=21) were adults who presented for an intake and subsequent individual outpatient treatment at a university-based eating disorders clinic. All met full criteria for a DSM-5 eating disorder.
Participants completed self-report questionnaires (via tablet computers) at intake and each subsequent therapy appointment about their past 7 days of eating disorder symptoms, including: rates of bingeing, purging, driven exercise, laxative use, diuretic use and the presence of dietary restraint. Patients were assigned to one of six eating disorders clinicians at the Clinic based on availability. Choice of evidence-based treatment (CBT, DBT or IPT) was collaboratively decided on by clinician and patient. Clinicians were interviewed at end of treatment about characteristics of their therapy and adherence to evidence-based treatment protocol.
Findings on patient outcomes after treatment were broadly comparable to those of benchmarking RCTs. Approximately 23% of patients were in full remission (i.e., diagnosis-free per clinical records) and 9.5% in partial remission (i.e., met only some criteria for diagnosis per clinical records) by end of treatment. Additionally, 89% of patients who reported bingeing without purging at baseline and 33% of patients who reported both bingeing and purging at baseline were abstinent (i.e. no longer endorsing these behaviors over the past 7 days) by end of treatment. Of the patients who reported baseline dietary restraint, laxative use or excessive exercise, no significant reductions were observed by end of treatment. In terms of clinician outcomes, responses indicated some discrepancy between reported practices and actual adherence to treatment protocol.
Though this study is small and requires replication, findings provide important preliminary support for the generalizability of evidence-based treatments to routine care settings. Additionally, such findings offer important insights into the complexities of translating evidence-based treatments to real-world contexts.
Notlar:
School code: 1569
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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