supported by hamilton academic health sciences organization alternate funding plan innovation fund.
Understanding the uptake of family-based treatment for adolescents with anorexia nervosa: Therapist perspectives†
Article first published online: 22 AUG 2012
Copyright © 2012 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 46, Issue 2, pages 177–188, March 2013
How to Cite
Couturier, J., Kimber, M., Jack, S., Niccols, A., Van Blyderveen, S. and McVey, G. (2013), Understanding the uptake of family-based treatment for adolescents with anorexia nervosa: Therapist perspectives . Int. J. Eat. Disord., 46: 177–188. doi: 10.1002/eat.22049
- Issue published online: 7 FEB 2013
- Article first published online: 22 AUG 2012
- Manuscript Accepted: 14 JUL 2012
- hamilton academic health sciences organization alternate funding plan innovation fund
- family-based treatment;
- evidence-based practices;
To explore and describe therapists' perceptions of the factors affecting their uptake of family-based treatment (FBT) for adolescents with anorexia nervosa (AN).
Fundamental qualitative description guided the sampling and data collection in this study. A purposeful sample of 40 therapists providing treatment to youth with AN, completed an in-depth interview. Conventional content analysis guided the development of initial codes and categories, whereas constant comparison analytic techniques were used to compare and contrast therapist perceptions across contexts. Summative content analysis was used to provide counts of keywords, phrases, and themes.
Therapists face several barriers to the implementation of FBT, divided broadly into interventional, organizational, interpersonal, patient/family, systemic, and illness factors. Therapists support the implementation of evidence-based practices, including FBT for AN, but fidelity to this model is not practiced. Specific concerns about the intervention included weighing the patient, providing nutritional advice, and the family meal. Ninety-five percent of therapists requested further training in the FBT model.
Further investigation into the barriers and facilitating factors to the use of FBT is warranted. Understanding effective dissemination and training strategies is critical to ensuring patients receive the best possible care. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)