A primary care modification of family-based treatment for adolescent restrictive eating disorders

Jocelyn Lebow, Janna R.Gewirtz O’Brien, Angela Mattke, Cassandra Narr, Jennifer Geske, Marcie Billings, Matthew M. Clark, Robert M. Jacobson, Sean Phelan, Daniel Le Grange, Leslie Sim

Research output: Contribution to journalArticle

Abstract

Although eating disorders pose a significant threat to the health and well-being of children and adolescents, due to a profound scarcity of specialty providers, only a small percentage of patients receives evidence-based treatment. To improve access to care for restrictive eating disorders, we developed a modified version of Family-Based Treatment to be delivered by primary care providers (PCPs) and conducted a pilot study to evaluate the feasibility and preliminary outcomes of this intervention. Fifteen adolescents (mean age = 15.5 years) with restrictive eating disorders and their caregiver(s) were enrolled in Family-Based Treatment for Primary Care (FBT-PC), delivered by three trained PCPs. Retention for the intervention was high (n = 13, 86.7%). Over the course of 3 months, participants attended an average of 9.2 (SD = 2.8) sessions and experienced a significant increase in BMI percentile from 39.1 to 54.8 (t (13) = −6.71, p <.001; d =.61). FBT-PC appears to be feasible for implementation in the primary care setting and has the potential to improve access to treatment and yield positive outcomes for young patients with restrictive eating disorders.

Original languageEnglish (US)
JournalEating Disorders
DOIs
StateAccepted/In press - Jan 1 2019

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Primary Health Care
Therapeutics
Child Welfare
Caregivers
Feeding and Eating Disorders
Health

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Lebow, J., O’Brien, J. R. G., Mattke, A., Narr, C., Geske, J., Billings, M., ... Sim, L. (Accepted/In press). A primary care modification of family-based treatment for adolescent restrictive eating disorders. Eating Disorders. https://doi.org/10.1080/10640266.2019.1656468

A primary care modification of family-based treatment for adolescent restrictive eating disorders. / Lebow, Jocelyn; O’Brien, Janna R.Gewirtz; Mattke, Angela; Narr, Cassandra; Geske, Jennifer; Billings, Marcie; Clark, Matthew M.; Jacobson, Robert M.; Phelan, Sean; Le Grange, Daniel; Sim, Leslie.

In: Eating Disorders, 01.01.2019.

Research output: Contribution to journalArticle

Lebow, Jocelyn ; O’Brien, Janna R.Gewirtz ; Mattke, Angela ; Narr, Cassandra ; Geske, Jennifer ; Billings, Marcie ; Clark, Matthew M. ; Jacobson, Robert M. ; Phelan, Sean ; Le Grange, Daniel ; Sim, Leslie. / A primary care modification of family-based treatment for adolescent restrictive eating disorders. In: Eating Disorders. 2019.
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