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Clinical Experiences Using Family Based Treatment for Eating Disorders
Ayla N Gioia1, Cate Morales1, Agatha A Laboe2
1Department of Psychology, Hofstra University, Hempstead, USA.
The International Journal of Eating Disorders
|January 21, 2025
Summary
Clinicians frequently use Family-Based Treatment (FBT) for eating disorders (EDs). Key barriers include caregiver emotions, weight stigma beliefs, and time constraints, necessitating adaptations for real-world settings.
Area of Science:
- Clinical Psychology
- Psychiatry
- Public Health
Background:
- Evidence-based treatments for eating disorders (EDs) exist, yet therapist drift is common.
- Family-Based Treatment (FBT) is a leading evidence-based approach for EDs.
- Understanding real-world implementation challenges is crucial for effective treatment.
Purpose of the Study:
- To explore clinicians' utilization of FBT techniques.
- To identify clinician-reported barriers to FBT implementation in real-world settings.
Main Methods:
- 54 clinicians identifying as FBT users completed an online survey.
- Survey included quantitative self-ratings of FBT technique use, usefulness, and barriers.
- Questions were developed in consultation with eating disorder researchers.
Main Results:
- Most FBT techniques were frequently used (mean scores >75/100).
- Significant barriers included low time resources (80.70/100) and caregiver motivation issues.
- Challenges in establishing therapeutic alliance and validating youth experiences were reported by 37-42.6%.
Conclusions:
- Clinicians report high frequency of FBT technique use.
- Major barriers involve caregiver emotional processes, weight stigma, resource limitations, and buy-in.
- Future research should focus on adapting FBT to overcome these naturalistic implementation barriers.
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