治疗师对一种结合体育锻炼和饮食疗法（PED-t）治疗饮食失调症的新疗法的体验：挪威体育科学学院一项随机对照试验中的访谈研究。
Therapists' experiences with a new treatment combining physical exercise and dietary therapy (the PED-t) for eating disorders: an interview study in a randomised controlled trial at the Norwegian School of Sport Sciences.
作者信息
Bakland Maria, Sundgot-Borgen Jorunn, Wynn Rolf, Rosenvinge Jan H, Stornæs Annett Victoria, Pettersen Gunn
机构信息
Department of Health and Care Science, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
出版信息
BMJ Open. 2018 Jan 11;8(1):e019386. doi: 10.1136/bmjopen-2017-019386.
OBJECTIVES
The aim of the current study is to explore how therapists running a guided physical exercise and dietary therapy programme (PED-t) experience their contribution to the treatment of patients with bulimia nervosa and binge eating disorder.
METHODS
Ten therapists running the PED-t were semistructurally interviewed and the transcribed interviews were analysed using a systematic text condensation approach.
SETTING
The study was run within the context of a randomised controlled trial at the Norwegian School of Sport Sciences.
RESULTS
The therapists experienced their knowledge about physical exercise and nutrition as important and useful, and that they could share their knowledge with the patients in different ways and with confidence in their own role. They also believed that their knowledge could serve as tools for the patients' post-treatment recovery and management of their daily lives. Moreover, the therapists put much effort in adjusting their teaching to fit each individual participant. Finally, they reported their personal qualities as important to build trust and therapeutic alliance.
CONCLUSIONS
The terms 'clinical confidence' and 'alliance' may stand out as the overarching 'metacategories' covering the experiences revealed in this study. The clinical implication is that new groups of professionals may have an important role in the treatment of eating disorders.
TRIAL REGISTRATION NUMBER
NCTO2079935; Results.
目的
本研究旨在探讨开展有指导的体育锻炼和饮食治疗项目（PED-t）的治疗师如何看待他们对神经性贪食症和暴饮暴食症患者治疗的贡献。
方法
对10名开展PED-t项目的治疗师进行了半结构化访谈，并采用系统的文本浓缩方法对访谈转录稿进行了分析。
背景
该研究是在挪威体育科学学院的一项随机对照试验的背景下进行的。
结果
治疗师们认为他们关于体育锻炼和营养的知识很重要且有用，并且他们能够以不同方式与患者分享这些知识，并对自己的角色充满信心。他们还认为自己的知识可以成为患者治疗后康复及日常生活管理的工具。此外，治疗师们付出很多努力来调整教学以适应每个参与者。最后，他们表示个人品质对于建立信任和治疗联盟很重要。
结论
“临床信心”和“联盟”这两个术语可能是涵盖本研究中所揭示经验的总体“元类别”。临床意义在于新的专业人员群体可能在饮食失调症的治疗中发挥重要作用。
试验注册号
NCTO2079935；结果。
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