Treatment fidelity in eating disorders and psychological research: Current status and future directions.
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| Title: | Treatment fidelity in eating disorders and psychological research: Current status and future directions. |
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| Authors: | Peyser, Deena, Sysko, Robyn, Webb, Lauren, Hildebrandt, Tom |
| Source: | International Journal of Eating Disorders. Dec2021, Vol. 54 Issue 12, p2121-2131. 11p. 4 Charts. |
| Subjects: | Treatment of eating disorders, Therapeutics, Economic impact, Time, Attitude (Psychology), Treatment effectiveness, Conceptual structures, Patient compliance, Job performance, Psychotherapy |
| Abstract: | Objective: The evaluation and use of treatment fidelity procedures are rare in the development and implementation of psychological interventions. This article aims to review the construct of treatment fidelity, highlight limitations to currently available measures, and introduce a conceptual framework for studying and adapting fidelity measures in clinical research and practice using eating disorders as an example. Method: As treatment fidelity assesses whether an intervention was delivered as intended, we operationalized this construct as: (a) treatment adherence, (b) therapist competence, and (c) treatment differentiation. Results: There is a significant gap in the literature assessing and documenting treatment fidelity. Available studies indicate that existing adherence measures can be time consuming, costly, and are not widely used in the field. Furthermore, therapist competence is a complex and context‐dependent construct that is challenging to measure. Finally, treatment differentiation is often inferred by ensuring adherence. Discussion: The development of simplified formal tests of treatment fidelity would help draw conclusions about treatment efficacy and improve the dissemination and implementation of interventions to promote optimal clinical outcomes. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 154144263 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Treatment fidelity in eating disorders and psychological research: Current status and future directions. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Peyser%2C+Deena%22">Peyser, Deena</searchLink><br /><searchLink fieldCode="AR" term="%22Sysko%2C+Robyn%22">Sysko, Robyn</searchLink><br /><searchLink fieldCode="AR" term="%22Webb%2C+Lauren%22">Webb, Lauren</searchLink><br /><searchLink fieldCode="AR" term="%22Hildebrandt%2C+Tom%22">Hildebrandt, Tom</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Dec2021, Vol. 54 Issue 12, p2121-2131. 11p. 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Economic+impact%22">Economic impact</searchLink><br /><searchLink fieldCode="DE" term="%22Time%22">Time</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Job+performance%22">Job performance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: The evaluation and use of treatment fidelity procedures are rare in the development and implementation of psychological interventions. This article aims to review the construct of treatment fidelity, highlight limitations to currently available measures, and introduce a conceptual framework for studying and adapting fidelity measures in clinical research and practice using eating disorders as an example. Method: As treatment fidelity assesses whether an intervention was delivered as intended, we operationalized this construct as: (a) treatment adherence, (b) therapist competence, and (c) treatment differentiation. Results: There is a significant gap in the literature assessing and documenting treatment fidelity. Available studies indicate that existing adherence measures can be time consuming, costly, and are not widely used in the field. Furthermore, therapist competence is a complex and context‐dependent construct that is challenging to measure. Finally, treatment differentiation is often inferred by ensuring adherence. Discussion: The development of simplified formal tests of treatment fidelity would help draw conclusions about treatment efficacy and improve the dissemination and implementation of interventions to promote optimal clinical outcomes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=154144263 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/eat.23624 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 2121 Subjects: – SubjectFull: Treatment of eating disorders Type: general – SubjectFull: Therapeutics Type: general – SubjectFull: Economic impact Type: general – SubjectFull: Time Type: general – SubjectFull: Attitude (Psychology) Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Conceptual structures Type: general – SubjectFull: Patient compliance Type: general – SubjectFull: Job performance Type: general – SubjectFull: Psychotherapy Type: general Titles: – TitleFull: Treatment fidelity in eating disorders and psychological research: Current status and future directions. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Peyser, Deena – PersonEntity: Name: NameFull: Sysko, Robyn – PersonEntity: Name: NameFull: Webb, Lauren – PersonEntity: Name: NameFull: Hildebrandt, Tom IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 54 – Type: issue Value: 12 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
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