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利用远程医疗为青少年神经性厌食症提供家庭式治疗。

Utilizing Telehealth to deliver family-based treatment for adolescent anorexia nervosa.

作者信息

Anderson Kristen E, Byrne Catherine E, Crosby Ross D, Le Grange Daniel

机构信息

Chicago Center for Evidence Based Treatment, Chicago, Illinois.

George Mason University, Fairfax, Virginia.

出版信息

Int J Eat Disord. 2017 Oct;50(10):1235-1238. doi: 10.1002/eat.22759. Epub 2017 Aug 11.

Abstract

OBJECTIVE

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).

METHOD

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.

RESULTS

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).

DISCUSSION

These findings provide preliminary evidence that it is feasible to deliver FBT via Telehealth and that satisfactory clinical outcomes are achievable.

摘要

目的

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。

方法

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。

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)。

讨论

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。

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