临床医生对加拿大西部儿童饮食障碍的基于证据的实践的知识和看法
Amelia Austin1,2, Emily P Williams3,4, Melissa Kimber5,6
1The Mathison Centre for Mental Health Research & Education, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Journal of eating disorders
|November 26, 2025
概括
许多临床医生缺乏针对儿科饮食障碍 (EDs) 的家庭治疗 (FBT) 的正式培训. 改善FBT培训和咨询的准入对于有效的基于证据的实践 (EBP) 交付至关重要.
科学领域:
- 儿科心理学 儿科心理学
- 临床心理学 临床心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 儿童饮食障碍的基于证据的实践 (EBP) 并不是普遍可用的.
- 基于家庭的治疗 (FBT) 是为儿科EDs强烈推的EBP.
- 包括FBT在内的EBP的实施在儿科护理中面临挑战.
研究的目的:
- 调查临床医生的EBP知识和观点,特别是FBT,用于儿科ED.
- 探索影响EBP和FBT实施的障碍和促进因素.
- 确定改善为儿科ED提供基于证据的护理的领域.
主要方法:
- 采用了多方法设计,结合了在线调查和电话采访.
- 招募了加拿大西部参与儿科ED护理的临床医生.
- 数据分析涉及描述性统计和混合的归纳/归纳定性方法.
主要成果:
- 64%的受访临床医生提供FBT,但12.5%缺乏正式培训.
- 确定的障碍包括不充分的培训,专业信念,计划任务和多学科合作中的困难.
- 临床医生为中心的障碍包括对整体护理的偏好和对FBT适合性的信念,而患者/家庭因素包括并发症和财务限制.
结论:
- 正式的FBT培训率低,以及发现的障碍,需要加强能力建设举措.
- 改善儿童ED临床医生获得培训和咨询的机会至关重要.
- 解决这些障碍可以改善儿童饮食障碍的基于证据的实践.
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