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Cognitive-behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face-to-face meetings are not possible.

Identifieur interne : 000A32 ( Main/Corpus ); précédent : 000A31; suivant : 000A33

Cognitive-behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face-to-face meetings are not possible.

Auteurs : Glenn Waller ; Matthew Pugh ; Sandra Mulkens ; Elana Moore ; Victoria A. Mountford ; Jacqueline Carter ; Amy Wicksteed ; Aryel Maharaj ; Tracey D. Wade ; Lucene Wisniewski ; Nicholas R. Farrell ; Bronwyn Raykos ; Susanne Jorgensen ; Jane Evans ; Jennifer J. Thomas ; Ivana Osenk ; Carolyn Paddock ; Brittany Bohrer ; Kristen Anderson ; Hannah Turner ; Tom Hildebrandt ; Nikos Xanidis ; Vera Smit

Source :

RBID : pubmed:32383530

English descriptors

Abstract

OBJECTIVE

The coronavirus pandemic has led to a dramatically different way of working for many therapists working with eating disorders, where telehealth has suddenly become the norm. However, many clinicians feel ill equipped to deliver therapy via telehealth, while adhering to evidence-based interventions. This article draws together clinician experiences of the issues that should be attended to, and how to address them within a telehealth framework.

METHOD

Seventy clinical colleagues of the authors were emailed and invited to share their concerns online about how to deliver cognitive-behavioral therapy for eating disorders (CBT-ED) via telehealth, and how to adapt clinical practice to deal with the problems that they and others had encountered. After 96 hr, all the suggestions that had been shared by 22 clinicians were collated to provide timely advice for other clinicians.

RESULTS

A range of themes emerged from the online discussion. A large proportion were general clinical and practical domains (patient and therapist concerns about telehealth; technical issues in implementing telehealth; changes in the environment), but there were also specific considerations and clinical recommendations about the delivery of CBT-ED methods.

DISCUSSION

Through interaction and sharing of ideas, clinicians across the world produced a substantial number of recommendations about how to use telehealth to work with people with eating disorders while remaining on track with evidence-based practice. These are shared to assist clinicians over the period of changed practice.


DOI: 10.1002/eat.23289
PubMed: 32383530
PubMed Central: PMC7267365

Links to Exploration step

pubmed:32383530

Le document en format XML

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<name sortKey="Jorgensen, Susanne" sort="Jorgensen, Susanne" uniqKey="Jorgensen S" first="Susanne" last="Jorgensen">Susanne Jorgensen</name>
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<nlm:affiliation>Dorset All Age Eating Disorders Service, Bournemouth, UK.</nlm:affiliation>
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<name sortKey="Evans, Jane" sort="Evans, Jane" uniqKey="Evans J" first="Jane" last="Evans">Jane Evans</name>
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<name sortKey="Hildebrandt, Tom" sort="Hildebrandt, Tom" uniqKey="Hildebrandt T" first="Tom" last="Hildebrandt">Tom Hildebrandt</name>
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<nlm:affiliation>Mount Sinai School of Medicine, New York, New York, USA.</nlm:affiliation>
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<nlm:affiliation>Lanarkshire NHS CAMHS Eating Disorders Service, Lanarkshire, UK.</nlm:affiliation>
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<name sortKey="Smit, Vera" sort="Smit, Vera" uniqKey="Smit V" first="Vera" last="Smit">Vera Smit</name>
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<term>Feeding and Eating Disorders (therapy)</term>
<term>Humans</term>
<term>Pandemics (prevention & control)</term>
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<b>OBJECTIVE</b>
</p>
<p>The coronavirus pandemic has led to a dramatically different way of working for many therapists working with eating disorders, where telehealth has suddenly become the norm. However, many clinicians feel ill equipped to deliver therapy via telehealth, while adhering to evidence-based interventions. This article draws together clinician experiences of the issues that should be attended to, and how to address them within a telehealth framework.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>Seventy clinical colleagues of the authors were emailed and invited to share their concerns online about how to deliver cognitive-behavioral therapy for eating disorders (CBT-ED) via telehealth, and how to adapt clinical practice to deal with the problems that they and others had encountered. After 96 hr, all the suggestions that had been shared by 22 clinicians were collated to provide timely advice for other clinicians.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>A range of themes emerged from the online discussion. A large proportion were general clinical and practical domains (patient and therapist concerns about telehealth; technical issues in implementing telehealth; changes in the environment), but there were also specific considerations and clinical recommendations about the delivery of CBT-ED methods.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>Through interaction and sharing of ideas, clinicians across the world produced a substantial number of recommendations about how to use telehealth to work with people with eating disorders while remaining on track with evidence-based practice. These are shared to assist clinicians over the period of changed practice.</p>
</div>
</front>
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<AbstractText Label="OBJECTIVE">The coronavirus pandemic has led to a dramatically different way of working for many therapists working with eating disorders, where telehealth has suddenly become the norm. However, many clinicians feel ill equipped to deliver therapy via telehealth, while adhering to evidence-based interventions. This article draws together clinician experiences of the issues that should be attended to, and how to address them within a telehealth framework.</AbstractText>
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<AbstractText Label="RESULTS">A range of themes emerged from the online discussion. A large proportion were general clinical and practical domains (patient and therapist concerns about telehealth; technical issues in implementing telehealth; changes in the environment), but there were also specific considerations and clinical recommendations about the delivery of CBT-ED methods.</AbstractText>
<AbstractText Label="DISCUSSION">Through interaction and sharing of ideas, clinicians across the world produced a substantial number of recommendations about how to use telehealth to work with people with eating disorders while remaining on track with evidence-based practice. These are shared to assist clinicians over the period of changed practice.</AbstractText>
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