Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
University of California San Diego, San Diego, California, USA.
Int J Eat Disord. 2024 Aug;57(8):1691-1706. doi: 10.1002/eat.24197. Epub 2024 Apr 16.
Individuals with eating disorders (EDs) often do not receive evidence-based care, such as interpersonal psychotherapy (IPT), partly due to lack of accessible training in these treatments. The standard method of training (i.e., in-person workshops) is expensive and time consuming, prompting a need for more scalable training tools. The primary aim of this pilot and open trial was to examine the effects of an IPT online training platform on training outcomes (i.e., IPT fidelity, knowledge, and acceptance) and, secondarily, whether online training was different from in-person training (using a comparative sample from a separate study) in terms of training outcomes and patient symptoms.
Participants were therapists (N = 60) and student patients (N = 42) at 38 college counseling centers. Therapists completed baseline questionnaires and collected data from a student patient with ED symptoms. Therapists then participated in an IPT online training program and completed post-training assessments.
Following online training, acceptance of evidence-based treatments, therapist knowledge of IPT, therapist acceptance of IPT, and treatment fidelity increased; acceptance of online training was high at baseline and remained stable after training. Using the 90% confidence interval on outcome effect sizes, results suggested IPT online training was not different from in-person training on most outcomes. Results are based on 60% of therapists who originally enrolled due to high dropout rate of therapist participants.
Findings from this preliminary pilot study support the use of IPT online training, which could increase access to evidence-based ED treatment and improve patient care.
Lack of accessible therapist training has contributed to many therapists not delivering, and therefore many patients not receiving, evidence-based treatment. This study evaluated a highly disseminable online training and compared outcomes to traditional in-person training and found that training and patient outcomes were not different. Online training has the potential to enhance access to evidence-base care, which could in turn optimize patient outcomes.
患有饮食失调症（ED）的个体通常无法获得循证护理，例如人际心理治疗（IPT），部分原因是缺乏这些治疗方法的可及培训。标准培训方法（即面对面研讨会）既昂贵又耗时，因此需要更具可扩展性的培训工具。本初步开放试验的主要目的是检验IPT 在线培训平台对培训结果（即 IPT 保真度、知识和接受度）的影响，其次是在线培训与面对面培训（使用来自另一项独立研究的比较样本）在培训结果和患者症状方面是否存在差异。
参与者为 38 个大学咨询中心的治疗师（N=60）和学生患者（N=42）。治疗师完成基线问卷，并从患有 ED 症状的学生患者处收集数据。然后，治疗师参加 IPT 在线培训计划并完成培训后评估。
在线培训后，对循证治疗的接受度、治疗师对 IPT 的了解、治疗师对 IPT 的接受度和治疗的保真度均有所提高；在基线时，对在线培训的接受度较高，培训后保持稳定。基于对结果效应大小的 90%置信区间，结果表明 IPT 在线培训在大多数结果上与面对面培训没有区别。结果基于最初因治疗师参与者高辍学率而注册的 60%的治疗师。
这项初步初步试验研究的结果支持使用 IPT 在线培训，这可以增加对循证 ED 治疗的可及性并改善患者护理。
缺乏可及的治疗师培训导致许多治疗师无法提供治疗，因此许多患者无法接受循证治疗。本研究评估了一种高度可传播的在线培训，并将结果与传统的面对面培训进行了比较，发现培训和患者结果没有差异。在线培训有可能增强对循证护理的可及性，从而优化患者的结果。
