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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Main Authors: C. E. Brown, K. Nicholson Perry
Format: Article
Language:English
Published: BMC 2018-09-01
Series:Journal of Eating Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40337-018-0208-0
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spelling 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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