Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity?
Abstract Background Clinicians routinely report not practising evidence-based treatments with eating disorders. There has been limited research investigating the impact of adaptable clinician characteristics such as self-efficacy and therapeutic optimism in this area. This study evaluated if there i...
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doaj-7858e024454b427297d7cc2678a63d822020-11-24T21:28:13ZengBMCJournal of Eating Disorders2050-29742018-09-016111010.1186/s40337-018-0208-0Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity?C. E. Brown0K. Nicholson Perry1Australian College of Applied Psychology, Discipline of Psychological ScienceAustralian College of Applied Psychology, Discipline of Psychological ScienceAbstract Background Clinicians routinely report not practising evidence-based treatments with eating disorders. There has been limited research investigating the impact of adaptable clinician characteristics such as self-efficacy and therapeutic optimism in this area. This study evaluated if there is a relationship between clinician therapeutic optimism, self-efficacy and the provision of evidence-based practice in the treatment of bulimia nervosa and binge eating disorder. Method A survey developed for this study was administered to 100 psychologists who were recruited online via a range of organisations affiliated with psychology and/or eating disorders. The survey measured demographic factors, eating disorder treatment knowledge, treatment fidelity, the use of individual treatment components and a range of clinician characteristics including self-efficacy and therapeutic optimism. Results Results demonstrated that clinician self-efficacy was positively associated with and predicted treatment fidelity. Therapeutic optimism had significant low correlations with treatment fidelity but did not predict treatment fidelity. Conclusion These findings would suggest that strengthening clinician self-efficacy is useful in improving evidence-based practice in the treatment of binge eating disorder and bulimia nervosa and may also have implications in the training of clinicians. The study also demonstrated that the use of a range of knowledge translation strategies are valuable in enhancing clinician adherence to evidence-based practice. Further research with direct measures of treatment fidelity is needed to clarify these findings.http://link.springer.com/article/10.1186/s40337-018-0208-0Cognitive behavioral therapyEating disordersKnowledge translation strategiesSelf-efficacyTherapist driftTreatment fidelity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
C. E. Brown K. Nicholson Perry |
spellingShingle |
C. E. Brown K. Nicholson Perry Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? Journal of Eating Disorders Cognitive behavioral therapy Eating disorders Knowledge translation strategies Self-efficacy Therapist drift Treatment fidelity |
author_facet |
C. E. Brown K. Nicholson Perry |
author_sort |
C. E. Brown |
title |
Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
title_short |
Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
title_full |
Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
title_fullStr |
Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
title_full_unstemmed |
Cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
title_sort |
cognitive behavioural therapy for eating disorders: how do clinician characteristics impact on treatment fidelity? |
publisher |
BMC |
series |
Journal of Eating Disorders |
issn |
2050-2974 |
publishDate |
2018-09-01 |
description |
Abstract Background Clinicians routinely report not practising evidence-based treatments with eating disorders. There has been limited research investigating the impact of adaptable clinician characteristics such as self-efficacy and therapeutic optimism in this area. This study evaluated if there is a relationship between clinician therapeutic optimism, self-efficacy and the provision of evidence-based practice in the treatment of bulimia nervosa and binge eating disorder. Method A survey developed for this study was administered to 100 psychologists who were recruited online via a range of organisations affiliated with psychology and/or eating disorders. The survey measured demographic factors, eating disorder treatment knowledge, treatment fidelity, the use of individual treatment components and a range of clinician characteristics including self-efficacy and therapeutic optimism. Results Results demonstrated that clinician self-efficacy was positively associated with and predicted treatment fidelity. Therapeutic optimism had significant low correlations with treatment fidelity but did not predict treatment fidelity. Conclusion These findings would suggest that strengthening clinician self-efficacy is useful in improving evidence-based practice in the treatment of binge eating disorder and bulimia nervosa and may also have implications in the training of clinicians. The study also demonstrated that the use of a range of knowledge translation strategies are valuable in enhancing clinician adherence to evidence-based practice. Further research with direct measures of treatment fidelity is needed to clarify these findings. |
topic |
Cognitive behavioral therapy Eating disorders Knowledge translation strategies Self-efficacy Therapist drift Treatment fidelity |
url |
http://link.springer.com/article/10.1186/s40337-018-0208-0 |
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