A pilot evaluation of group-based programming offered at a Canadian outpatient adult eating disorders clinic

Neil, Brad A. Mac; Leung, Pauline; Nadkarni, Pallavi; Stubbs, Laura; Singh, Manish Kumar

doi:10.1016/j.evalprogplan.2016.05.003

Cited by 8 publications

(4 citation statements)

References 34 publications

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“…In total, 61 participants (56.50%) attended at least one CBT group session. The remaining participants either did not attend any treatment programming (14.8%) or only attended the clinic’s adjunct groups (28.7%), including nutrition groups, acceptance and commitment therapy, and cognitive-remediation therapy (Mac Neil & Hudson, 2018; Mac Neil, Leung, Nadkarni, Stubbs, & Singh, 2016; Mac Neil, Nadkarni, et al, 2016; Sandoz, Wilson, & DuFrene, 2011; Tchanturia, Davies, Reeder, & Wykes, 2010). Approximately one quarter (24.59%) of participants dropped out of the CBT group.…”

Section: Resultsmentioning

confidence: 99%

“…Participants provided their written consent for the study as a part of the clinic’s ongoing program evaluation research. All participants were eligible and encouraged to attend the 16-week CBT group based on current best practices in the treatment of adults with eating disorders (for a description of the group programming and preliminary outcomes, see Mac Neil, Leung, Nadkarni, Stubbs, & Singh, 2016). All participants were advised at intake assessment that the CBT group was the core treatment programing at the clinic and that they would be registered into the group.…”

Section: Methodsmentioning

confidence: 99%

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Ready or Not: Examining Self-Reported Readiness for Behavior Change at Intake Assessment for Adults With an Eating Disorder

Hudson

Neil

2018

Behav Modif

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We explored whether a single-item self-report measure (i.e., the Readiness Ruler) was an appropriate measure of treatment engagement in adult outpatients with eating disorders. In total, 108 women diagnosed with an eating disorder completed the Readiness Ruler and measures of symptom severity at intake to a hospital-based outpatient treatment program. Treatment engagement was operationalized as attendance to a minimum of one session of a cognitive-behavioral therapy (CBT) treatment group, the number of CBT group sessions attended, and whether the participants dropped out of the CBT group prematurely. Results suggest that the Readiness Ruler was not associated with attending the CBT group. Among the participants who attended the program, the Readiness Ruler was not associated with the number of CBT group sessions attended or CBT group dropout. Higher Readiness Ruler score was associated with more severe symptomatology. In conclusion, the Readiness Ruler may not be a good predictor of CBT group treatment engagement for individuals with eating disorders and may instead be a proxy for symptom severity.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Ready or Not: Examining Self-Reported Readiness for Behavior Change at Intake Assessment for Adults With an Eating Disorder

Hudson

Neil

2018

Behav Modif

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“…Sessions 10 through 13 included work on using self-as-context, and sessions 13 through 16 are focused on defusion. The broader group therapy program included a 16-session CBT group based on current best practices in the treatment of eating disorders and with pilot data published on the group (1,26,27), a 12-session exposure with response prevention group for body satisfaction (28), nutrition counseling groups, and additional adjunct therapy groups (eg, cognitive remediation therapy) (29).…”

Section: Methodsmentioning

confidence: 99%

Patient Experience and Satisfaction With Acceptance and Commitment Therapy Delivered in a Complimentary Open Group Format for Adults With Eating Disorders

Neil

Hudson

2018

Journal of Patient Experience

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We examined patient experiences and satisfaction with acceptance and commitment therapy (ACT) delivered in a novel weekly open-group therapy format immediately following psychiatric intake assessment into a hospital-based outpatient adult eating disorders program. Participants were 68 adults with a Diagnostic and Statistical Manual of Mental Disorders, 5th edition diagnosis of an eating disorder who reported their experiences and satisfaction with the ACT group. Participants reported that they were somewhat satisfied to very satisfied with the open ACT group and that the treatment content was helpful. Specifically, participants reported that ACT group helped them to recognize their personal values and learn strategies for behavior change. Satisfaction with ACT group was associated with engagement in the broader group therapy program. Results suggest that ACT delivered in an open group format is well liked by adults in an outpatient program for eating disorders. ACT is a promising complimentary treatment for individuals with eating disorders that can be easily integrated by clinicians into outpatient care.

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“…In addition, group therapy reduces patient payment to 54–70% of that of individual psychotherapy; therefore, group therapy is cost-effective. Many reports have indicated that group therapy for eating disorders is cost-effective and cost-beneficial [ 12 – 14 ]. Moreover, both CBT and interpersonal therapy have demonstrated good outcomes [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders

et al. 2017

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BackgroundCognitive-behavioral therapy (CBT) has been recommended for the treatment of eating disorders, and group therapy is known to have certain advantages over individual therapy. The aim of the current study was to compare the 10-year prognosis of patients who completed integrated group CBT with those who dropped out and to examine the effect of completion of group CBT on the prognosis.MethodsThe participants were 65 adult patients with eating disorders. All patients were women and Japanese. The average age (19–37) of the patients was 25.1 ± 3.8 years, and the average body mass index (BMI) was 17.7 ± 2.0. We conducted integrated group CBT with the patients and compared eating disorder symptoms, mood states, coping styles, and self-esteem before and after therapy. Furthermore, we compared clinical features and the 10-year prognosis of patients who completed the treatment and those who dropped out.ResultsAfter 10 sessions of group therapy, Eating Attitudes Test scores, Profile of Mood States depression scores, and Coping Inventory for Stressful Situations emotion-oriented scores decreased, while Rosenberg’s Self-Esteem Scale scores increased. Regarding the results of the 10-year follow up, the completer group had more patients with a good prognosis. In contrast, the dropout group had more patients with a poor prognosis.ConclusionsThose who completed the integrated group CBT had a good prognosis. Group therapy gives the patients an opportunity to form peer relationships, and helps them to develop communication and socialization skills. Furthermore, in the group therapy sessions, the patients develop self-awareness by listening to other members of the group and they also develop interpersonal relationships. This effect may be temporary, but experience of group therapy may provide hope for the patient and increase the chance of the patient continuing treatment.Trial registrationRetrospectively registered in University Hospital Medical Information Network in Japan: No. 000028868 (May 19th, 2017).

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A pilot evaluation of group-based programming offered at a Canadian outpatient adult eating disorders clinic

Cited by 8 publications

References 34 publications

Ready or Not: Examining Self-Reported Readiness for Behavior Change at Intake Assessment for Adults With an Eating Disorder

Ready or Not: Examining Self-Reported Readiness for Behavior Change at Intake Assessment for Adults With an Eating Disorder

Patient Experience and Satisfaction With Acceptance and Commitment Therapy Delivered in a Complimentary Open Group Format for Adults With Eating Disorders

A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders

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