Treatment manuals: Use in the treatment of bulimia nervosa

Wallace, Laurel M.; Ranson, Kristin M. von

doi:10.1016/j.brat.2011.09.002

Cited by 30 publications

(32 citation statements)

References 26 publications

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“…Sound reasonable? manuals to support treatment for eating disorders (e.g., Wallace & von Ranson, 2011;Waller et al, 2013) requires further research, to clarify whether such manuals facilitate the dissemination of evidence-based interventions. Furthermore, the lack of follow-up data means it is not known whether the changes made during treatment were sustained longterm.…”

Section: ________________________mentioning

confidence: 99%

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Turner

Marshall

Stopa

et al. 2015

Behaviour Research and Therapy

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therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy,[68][69][70][71][72][73][74][75] https://doi.org/10.1016/j.brat.2015.03.001 eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. These preliminary studies of effectiveness indicate that CBT can be delivered with strong outcomes in routine clinical settings. However, it is well-established that clinicians routinely fail to use CBT when working with the eating disorders (e.g., Tobin, Banker, Weisberg, & Bowers, 2007) or that they deliver it in sub-optimal ways (Waller, Stringer, & Meyer, 2012), expressing concerns about the use of those core CBT techniques (e.g., Turner, Tatham, Lant, Mountford, Waller, 2014) and discounting the use of evidence-based manuals to support their work (e.g., Waller et al., 2013). Therefore, there is a need for further evidence from other routine clinical settings to demonstrate that CBT for the eating disorders is an effective treatment, which others can use in their own clinics. This study aims to build on previous work by testing the effectiveness of CBT in a further routine clinical setting. It reports clinical outcomes for a large group of transdiagnostic patients who were offered CBT in a community eating disorders service in the UK. Unlike previous studies, there were very few exclusion criteria and no BMI cut-off. In this case, the variant of CBT used was based on a combination of elements from the relatively similar approaches of Fairburn (2008) and Waller et al. (2007), as used by Byrne et al. (2011) and Waller et al. (2014) respectively.

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Section: ________________________mentioning

confidence: 99%

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Turner

Marshall

Stopa

et al. 2015

Behaviour Research and Therapy

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“…The term ‘treatment manual’ typically refers to structured, procedural books outlining the rationale and goals of an intervention, as well as the recommended content ( i.e ., behaviour change techniques) to be delivered when administering an intervention [10]. Use of manuals offer numerous advantages for clinical practice; they said the dissemination and replication of interventions, make the content of time-limited interventions more structured and focused than they might be otherwise, and facilitate training and supervision of intervention providers [10,11]. The recent increase in the pressure to employ treatment manuals has extended beyond controlled research trials into practice, and evidence is emerging, supporting the use of manuals in clinical practice [11,12].…”

Section: Introductionmentioning

confidence: 99%

Assessing fidelity of delivery of smoking cessation behavioural support in practice

et al. 2013

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BackgroundEffectiveness of evidence-based behaviour change interventions is likely to be undermined by failure to deliver interventions as planned. Behavioural support for smoking cessation can be a highly cost-effective, life-saving intervention. However, in practice, outcomes are highly variable. Part of this may be due to variability in fidelity of intervention implementation. To date, there have been no published studies on this. The present study aimed to: evaluate a method for assessing fidelity of behavioural support; assess fidelity of delivery in two English Stop-Smoking Services; and compare the extent of fidelity according to session types, duration, individual practitioners, and component behaviour change techniques (BCTs).MethodsTreatment manuals and transcripts of 34 audio-recorded behavioural support sessions were obtained from two Stop-Smoking Services and coded into component BCTs using a taxonomy of 43 BCTs. Inter-rater reliability was assessed using percentage agreement. Fidelity was assessed by examining the proportion of BCTs specified in the manuals that were delivered in individual sessions. This was assessed by session type (i.e., pre-quit, quit, post-quit), duration, individual practitioner, and BCT.ResultsInter-coder reliability was high (87.1%). On average, 66% of manual-specified BCTs were delivered per session (SD 15.3, range: 35% to 90%). In Service 1, average fidelity was highest for post-quit sessions (69%) and lowest for pre-quit (58%). In Service 2, fidelity was highest for quit-day (81%) and lowest for post-quit sessions (56%). Session duration was not significantly correlated with fidelity. Individual practitioner fidelity ranged from 55% to 78%. Individual manual-specified BCTs were delivered on average 63% of the time (SD 28.5, range: 0 to 100%).ConclusionsThe extent to which smoking cessation behavioural support is delivered as specified in treatment manuals can be reliably assessed using transcripts of audiotaped sessions. This allows the investigation of the implementation of evidence-based practice in relation to smoking cessation, a first step in designing interventions to improve it. There are grounds for believing that fidelity in the English Stop-Smoking Services may be low and that routine monitoring is warranted.

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“…Thus, such evidence of efficacy in the research environment needs to be translated into evidence of effectiveness in less specialized clinical practice, in order to avoid clinicians ignoring the evidence as being irrelevant to their client group . This attitude might explain the common omission of core techniques when delivering CBT for adults with eating disorders and the fact that only a minority of clinicians report using manuals when working with bulimia nervosa . There is evidence for the clinical applicability of research‐based CBT for anxiety and depression .…”

Section: Introductionmentioning

confidence: 99%

Cognitive‐behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings

Waller

Gray

Hinrichsen

et al. 2013

Intl J Eating Disorders

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Treatment manuals: Use in the treatment of bulimia nervosa

Cited by 30 publications

References 26 publications

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Assessing fidelity of delivery of smoking cessation behavioural support in practice

Cognitive‐behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings

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