دورية أكاديمية
Adapting family-based treatment for adolescent anorexia nervosa delivered in the home: A novel approach for improving access to care and generalizability of skill acquisition.
| العنوان: | Adapting family-based treatment for adolescent anorexia nervosa delivered in the home: A novel approach for improving access to care and generalizability of skill acquisition. |
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| المؤلفون: | Goldschmidt AB; Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. goldscha@pitt.edu., Tortolani CC; Department of Counseling, Educational Leadership, and School Psychology, Rhode Island College, Providence, RI, USA.; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University/The Miriam Hospital, Providence, RI, USA., Accurso EC; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, USA., Dunbar EP; Department of Psychology, University of Rhode Island, Kingstown, RI, USA., Egbert AH; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University/The Miriam Hospital, Providence, RI, USA.; Department of Psychological Sciences, University of Connecticut, Connecticut, Storz, USA., Donaldson D; Department of Family Medicine, Warren Alpert Medical School of Brown University/Gateway Healthcare, Providence, RI, USA., Donaldson AA; Department of Pediatrics, Warren Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI, USA. |
| المصدر: | Journal of eating disorders [J Eat Disord] 2023 Aug 05; Vol. 11 (1), pp. 130. Date of Electronic Publication: 2023 Aug 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101610672 Publication Model: Electronic Cited Medium: Print ISSN: 2050-2974 (Print) Linking ISSN: 20502974 NLM ISO Abbreviation: J Eat Disord Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, 2013- |
| مستخلص: | Background: Anorexia nervosa (AN) is a serious mental illness associated with high rates of morbidity and mortality. Family-based treatment (FBT) is a well-established treatment for adolescent AN, yet it is underutilized in community settings and is unavailable to many families, particularly those from lower income and racial and ethnic minority backgrounds. Furthermore, some families do not respond optimally to FBT, possibly because of challenges translating skills acquired in office-based treatment settings to naturalistic settings. Home-based treatment could reduce barriers to access and enhance generalization of newly learned treatment skills. Home-based models demonstrate initial feasibility, acceptability, and efficacy for adolescent AN, however, FBT principles have yet to be applied as a stand-alone intervention in a home-based level of care. This paper describes the rationale for and process of adapting FBT principles/interventions to improve fit within a home-based model delivered in the context of community mental health, and discusses potential strengths and opportunities associated with this approach. Results: Adaptations were made through consultation with collaborating community agencies and were guided by the complex interventions framework. The primary modifications included: (1) altered dose; (2) multiple family meals; (3) additional support for meal preparation and supervision; (4) clinician attendance at medical appointments; (5) cultural adaptation; and (6) introduction of distress tolerance and emotion regulation skills. Conclusions: Implementing FBT in the home may present one promising and novel approach to enhance engagement and treatment outcomes for adolescents with restrictive eating disorders, particularly those who are underserved, but evaluation of efficacy/effectiveness is needed. (© 2023. BioMed Central Ltd., part of Springer Nature.) |
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| معلومات مُعتمدة: | R34 MH123589 United States MH NIMH NIH HHS; K23-MH120347 United States MH NIMH NIH HHS; R34-MH123589 United States MH NIMH NIH HHS |
| فهرسة مساهمة: | Keywords: Accessibility; Adaptation; Anorexia nervosa; Family-based treatment; Home-based; Restrictive eating |
| تواريخ الأحداث: | Date Created: 20230805 Latest Revision: 20231121 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10403819 |
| DOI: | 10.1186/s40337-023-00850-8 |
| PMID: | 37543601 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2050-2974 |
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| DOI: | 10.1186/s40337-023-00850-8 |