Anderson Kristen E, Byrne Catherine E, Crosby Ross D, Le Grange Daniel
Chicago Center for Evidence Based Treatment, Chicago, Illinois.
George Mason University, Fairfax, Virginia.
Int J Eat Disord. 2017 Oct;50(10):1235-1238. doi: 10.1002/eat.22759. Epub 2017 Aug 11.
The purpose of this study was to test the feasibility and preliminary effect size on the main outcome measure (weight gain) of family-based treatment (FBT) for adolescents with anorexia nervosa (AN) and their families delivered via a Telehealth platform (i.e., an HIPAA compliant videoconferencing format).
Ten adolescents, mean age of 16.08 years (SD = 1.99), meeting DSM-5 criteria for AN or atypical AN, were enrolled in the study and offered FBT via a Telehealth platform. Feasibility and acceptability were evaluated by rates of recruitment and retention. Treatment outcome was determined utilizing percent median body mass index (%mBMI), the eating disorder examination (EDE), and measures for depression and self-esteem.
Recruitment target was achieved within allotted time, and all participants were retained for the course of treatment. Percent mBMI improved significantly from baseline to the end-of-treatment (p = .013) and from baseline to the 6-month follow-up (p = .032). Similar results were achieved for the EDE Global Score (p = .002 and .001, respectively).
These findings provide preliminary evidence that it is feasible to deliver FBT via Telehealth and that satisfactory clinical outcomes are achievable.
本研究旨在测试通过远程医疗平台(即符合健康保险流通与责任法案的视频会议形式)为神经性厌食症(AN)青少年及其家庭提供基于家庭的治疗(FBT)对主要结局指标(体重增加)的可行性和初步效应量。
招募了10名符合DSM - 5标准的AN或非典型AN的青少年,平均年龄16.08岁(标准差=1.99),并通过远程医疗平台为他们提供FBT。通过招募率和留存率评估可行性和可接受性。利用中位体重指数百分比(%mBMI)、饮食失调检查(EDE)以及抑郁和自尊测量指标来确定治疗结果。
在规定时间内实现了招募目标,并且所有参与者在治疗过程中均被留存。从基线到治疗结束,%mBMI显著改善(p = 0.013),从基线到6个月随访时也显著改善(p = 0.032)。EDE全球评分也取得了类似结果(分别为p = 0.002和0.001)。
这些发现提供了初步证据,表明通过远程医疗提供FBT是可行的,并且可以实现令人满意的临床结果。