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Using a knowledge transfer framework to identify factors facilitating implementation of family-based treatment

Authors

  • Jennifer Couturier MD,

    Corresponding author
    1. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
    2. Department of Pediatrics, McMaster University, Hamilton, Canada
    3. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
    • Correspondence to: Jennifer Couturier, Department of Psychiatry and Behavioural Neurosciences, Pediatric Eating Disorders Program, McMaster Children's Hospital, McMaster University, McMaster University Health Sciences Centre, Room 3H8G, 1280 Main St. West, Hamilton, Ontario, Canada, L8S 4L8. E-mail: coutur@mcmaster.ca

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  • Melissa Kimber MSW,

    1. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
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  • Susan Jack PhD,

    1. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
    2. School of Nursing, McMaster University, Hamilton, Canada
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  • Alison Niccols PhD,

    1. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
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  • Sherry Van Blyderveen PhD,

    1. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
    2. Department of Pediatrics, McMaster University, Hamilton, Canada
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  • Gail McVey PhD

    1. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
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  • Supported by Hamilton Academic Health Sciences Organization Alternate Funding Plan Innovation Fund.

ABSTRACT

Objective

To conduct a qualitative study to identify factors that would facilitate the transfer of the research evidence on Family-Based Treatment (FBT) into clinical practice.

Method

Fundamental qualitative description guided sampling, data collection, and analytic decisions for this study. Forty therapists who treat children and adolescents under the age of 18 with Anorexia Nervosa (AN) and belong to Ontario's provincial network of specialized eating disorder services completed an in-depth interview focusing on elements proposed by the Lavis knowledge transfer framework. An experienced coder conducted content analysis, with 20% of the interviews double-coded for reliability purposes.

Results

Participants requested training in the FBT model, including the provision of research evidence (i.e., journal articles), as well as the specific tenets of the model according to the FBT manual. The suggested audience for implementation included not only therapists themselves, but administrators, physicians, and community members. The development of best practice guidelines was also supported. Local FBT experts were suggested as credible messengers. Infrastructure relating to financial support and time away from clinical duties were reported to be essential for training. Ongoing supervision and mentorship were reported to be important elements of implementation and evaluation processes.

Discussion

Suggestions for moving FBT into practice were consistent with previous research, however, the importance of obtaining the evidence in the form of primary research articles and obtaining team buy-in were remarkable. Developing context-specific training programs and administrative processes for the implementation of FBT are warranted. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:410–417)

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