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Background <p>Guided self-help family-based treatment (GSH-FBT) is emerging as a promising, more efficient alternative to traditional family-based treatment (FBT). The present study is designed to examine the real-world implementation of GSH-FBT at pediatric treatment sites across nine provinces in Canada.</p> Methods <p>Implementation teams at each site consisting of a GSH-FBT coach, a medical provider, and a program administrator will be formed. Clinician coaches will be trained in this new modality and supported with weekly GSH-FBT consultation. Each site will recruit ten families with an adolescent with anorexia nervosa and the parents will undergo ten virtual GSH-FBT sessions. The implementation approach will be evaluated using qualitative and quantitative methods. Outcomes of interest include (1) treatment fidelity, (2) treatment wait times, (3) change in adolescent symptoms and parent/caregiver self-efficacy, (4) change in provider readiness, attitudes, and confidence towards the intervention, and (5) the overall experience of the implementation of the intervention from the perspective of the provider teams, and participant families.</p> Discussion <p>The findings of this study will help to identify factors important to the acceptability and implementation of GSH-FBT in real-world clinical settings.</p> Trial registration <p>This study was first registered with clinicaltrials.gov (registration # NCT06851273) on February 12, 2025 (url: <a href="https://clinicaltrials.gov/study/NCT06851273?id=NCT06851273&amp;rank=1">https://clinicaltrials.gov/study/NCT06851273?id=NCT06851273&amp;rank=1</a>).</p>

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National implementation of guided self-help family-based treatment for youth with eating disorders: a study protocol

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月6日

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  • Jennifer Couturier,
  • Jeannine Smith,
  • Maria Nicula,
  • Ethan Nella,
  • Tovah Yanover,
  • Holly Agostino,
  • Stephanie Annema,
  • Jonathan Boman,
  • Jason Bond,
  • Jennifer S. Coelho,
  • Anne-Marie Coolen,
  • Nandini Datta,
  • Gina Dimitropoulos,
  • Catherine Ford,
  • Leanna Isserlin,
  • Natasha Johnson,
  • Shaleen Jones,
  • Debra Katzman,
  • Brynn Kelly,
  • Aaron Keshen,
  • Melissa Kimber,
  • Sonia Kumar,
  • Ayisha Kurji,
  • Emilie Lacroix,
  • Alison Markland,
  • Brittany Matheson,
  • Gail McVey,
  • Brittany McQuillan,
  • Mark Norris,
  • Nicole Obeid,
  • Suzanne Phillips,
  • Wendy Preskow,
  • Allison Rodrigues,
  • Sarah Smith,
  • Chelcie Soroka,
  • Wendy Spettigue,
  • Cheryl Webb,
  • Jessica Wournell,
  • James D. Lock

摘要

Background

Guided self-help family-based treatment (GSH-FBT) is emerging as a promising, more efficient alternative to traditional family-based treatment (FBT). The present study is designed to examine the real-world implementation of GSH-FBT at pediatric treatment sites across nine provinces in Canada.

Methods

Implementation teams at each site consisting of a GSH-FBT coach, a medical provider, and a program administrator will be formed. Clinician coaches will be trained in this new modality and supported with weekly GSH-FBT consultation. Each site will recruit ten families with an adolescent with anorexia nervosa and the parents will undergo ten virtual GSH-FBT sessions. The implementation approach will be evaluated using qualitative and quantitative methods. Outcomes of interest include (1) treatment fidelity, (2) treatment wait times, (3) change in adolescent symptoms and parent/caregiver self-efficacy, (4) change in provider readiness, attitudes, and confidence towards the intervention, and (5) the overall experience of the implementation of the intervention from the perspective of the provider teams, and participant families.

Discussion

The findings of this study will help to identify factors important to the acceptability and implementation of GSH-FBT in real-world clinical settings.

Trial registration

This study was first registered with clinicaltrials.gov (registration # NCT06851273) on February 12, 2025 (url: https://clinicaltrials.gov/study/NCT06851273?id=NCT06851273&rank=1).