A qualitative evaluation of team and family perceptions of family-based treatment delivered by videoconferencing (FBT-V) for adolescent Anorexia Nervosa during the COVID-19 pandemic

Journal of Eating Disorders

Research

Catherine Miller¹  Kim Hewitt-McVicker¹  Shelley Restall¹  Kristen Anderson²  Jodi Rosner³  Paul Agar⁴  Laura Grennan⁵  Maria Nicula⁵  Melissa Kimber⁵  Danielle Pellegrini⁵  Jennifer Couturier⁶  Sheri Findlay⁶  Cheryl Webb⁶  Samantha Martin⁷  Jennifer Holmes-Haronitis⁷  Marla Engelberg⁷  Sherri Miller⁸  Jessica Pereira⁸  Caitlin Shipley⁸  Martha McLeod⁸  Kerry Bourret⁹  Rob Paularinne⁹  Karen DeGagne⁹  Aylee Nelson⁹  James Lock^1,10  Gina Dimitropoulos^1,11  Melanie Barwick^1,12  Ahmed Boachie^1,13  Gail McVey^1,14 

[1] Canadian Mental Health Association – Waterloo Wellington, Kitchener, ON, Canada;Chicago Center for Evidence-Based Treatment, Chicago, IL, USA;Grand River Hospital, Kitchener, ON, Canada;McMaster Children’s Hospital, 1200 Main St W, L8N 3Z5, Hamilton, ON, Canada;McMaster University, Hamilton, ON, Canada;McMaster University, Hamilton, ON, Canada;McMaster Children’s Hospital, 1200 Main St W, L8N 3Z5, Hamilton, ON, Canada;North York General Hospital, North York, ON, Canada;Southlake Regional Health Centre, Newmarket, ON, Canada;St. Joseph’s Care Group, Thunder Bay, ON, Canada;Stanford University, Stanford, CA, USA;University of Calgary, Calgary, AB, Canada;University of Toronto, Toronto, ON, Canada;Research Institute, The Hospital for Sick Children, Toronto, ON, Canada;University of Toronto, Toronto, ON, Canada;Southlake Regional Health Centre, Newmarket, ON, Canada;University of Toronto, Toronto, ON, Canada;University Health Network, Toronto, ON, Canada;

关键词: Eating disorders;    Anorexia Nervosa;    Virtual care;    Family-based treatment;    COVID-19;    Therapists;    Medical practitioners;    Program administrators;    Families;    Qualitative research;   

DOI  :  10.1186/s40337-022-00631-9

 received in 2022-04-22, accepted in 2022-07-17,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundDuring the COVID-19 pandemic, outpatient eating disorder care, including Family-Based Treatment (FBT), rapidly transitioned from in-person to virtual delivery in many programs. This paper reports on the experiences of teams and families with FBT delivered by videoconferencing (FBT-V) who were part of a larger implementation study.MethodsFour pediatric eating disorder programs in Ontario, Canada, including their therapists (n = 8), medical practitioners (n = 4), administrators (n = 6), and families (n = 5), participated in our study. We provided FBT-V training and delivered clinical consultation. Therapists recorded and submitted their first four FBT-V sessions. Focus groups were conducted with teams and families at each site after the first four FBT-V sessions. Focus group transcripts were transcribed verbatim and key concepts were identified through line-by-line reading and categorizing of the text. All transcripts were double-coded. Focus group data were analyzed using directed and summative qualitative content analysis.ResultsAnalysis of focus group data from teams and families revealed four overarching categories—pros of FBT-V, cons of FBT-V, FBT-V process, and suggestions for enhancing and improving FBT-V. Pros included being able to treat more patients and developing a better understanding of family dynamics by being virtually invited into the family’s home (identified by teams), as well as convenience and comfort (identified by families). Both teams and families recognized technical difficulties as a potential con of FBT-V, yet teams also commented on distractions in family homes as a con, while families expressed difficulties in developing therapeutic rapport. Regarding FBT-V process, teams and families discussed the importance and challenge of patient weighing at home. In terms of suggestions for improvement, teams proposed assessing a family’s suitability or motivation for FBT-V to ensure it would be appropriate, while families strongly suggested implementing hybrid models of FBT in the future which would include some in-person and some virtual sessions.ConclusionTeam and family perceptions of FBT-V were generally positive, indicating acceptability and feasibility of this treatment. Suggestions for improved FBT-V practices were made by both groups, and require future investigation, such as examining hybrid models of FBT that involve in-person and virtual elements.Trial registration ClinicalTrials.gov NCT04678843.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2022

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