Byrne, Sarah
(2019)
An investigation of clinicians’ experiences of delivering Family Based Therapy for adolescents with Anorexia nervosa: and clinical research portfolio.
D Clin Psy thesis, University of Glasgow.
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Abstract
Objective: Family based therapy (FBT) has been identified as the first line treatment for adolescents with anorexia nervosa, and has been implemented in five health boards in the West of Scotland. This research seeks to examine the experiences and beliefs of clinicians delivering FBT to young people with anorexia, with a particular focus on their beliefs around facilitating and detrimental factors to treatment outcomes.
Method: Clinicians working in each of the five health boards were invited to take part in the study. Eight clinicians providing FBT to adolescents with anorexia nervosa were recruited. Semi-structured interviews were conducted and data were analysed using thematic analysis. This was then synthe- sised into sub-themes, mapping onto the framework of barriers and facilitators to implementation of FBT.
Results: Analysis identified eight facilitating factors and seven potential barriers, from the clini- cians’ perspective. Of note, four factors were identified that may act as either a facilitator or a barri- er, depending on other contextual factors.
Discussion: The present findings provide insights into the perspective of clinicians providing FBT for anorexia in real world CAMHS services. These insights may suggest potential avenues for addi- tional attention from clinicians, such as areas of potential bias, and where potential barriers can be shaped into facilitators. Future research into clinicians’ experiences and strategies that may enhance facilitators and decrease barriers would be beneficial.
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