{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T15:46:05Z","timestamp":1774539965338,"version":"3.50.1"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["448560"],"award-info":[{"award-number":["448560"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,28]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Family-Based Treatment (FBT)\u2014the most widely supported treatment for pediatric eating disorders\u2014transitioned to virtual delivery in many programs due to COVID-19. Using a blended implementation approach, we systematically examined therapist adherence to key components of FBT and fidelity to FBT by videoconferencing (FBT-V), preliminary patient outcomes, and team experiences with our FBT-V implementation approach as well as familial perceptions of FBT-V effectiveness. We examined our implementation approach across four pediatric eating disorder programs in Ontario, Canada, using mixed methods. Participants included therapists (n = 8), medical practitioners (n = 4), administrators (n = 6), and families (n = 5; 21 family members in total). We developed implementation teams at each site, provided FBT-V training, and offered clinical and implementation consultation. Therapists submitted video recordings of their first four FBT-V sessions for fidelity rating, and patient outcomes. Therapists self-reported readiness, attitudes, confidence, and adherence to FBT-V. Focus groups were conducted with each team and family after the first four sessions of FBT-V. Quantitative data were analyzed using repeated measures ANOVA. Qualitative data were analyzed using directed and summative content analysis. Therapists adhered to key FBT components and maintained FBT-V fidelity. Changes in therapists\u2019 readiness, attitudes, and confidence in FBT-V over time were not significant. All patients gained weight. Focus groups revealed implementation facilitators\/barriers, positives\/negatives surrounding FBT-V training and consultation, suggestions for improvement, and effectiveness attributed to FBT-V. Our implementation approach appeared to be feasible and acceptable. Future research with a larger sample is required, furthering our understanding of this approach and exploring how organizational factors influence treatment fidelity.<\/jats:p>","DOI":"10.1093\/tbm\/ibac086","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T18:19:21Z","timestamp":1667499561000},"page":"85-97","source":"Crossref","is-referenced-by-count":8,"title":["Multidisciplinary implementation of family-based treatment delivered by videoconferencing (FBT-V) for adolescent anorexia nervosa during the COVID-19 pandemic"],"prefix":"10.1093","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3218-0168","authenticated-orcid":false,"given":"Jennifer","family":"Couturier","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioural Neurosciences, McMaster University , Hamilton, ON , Canada"},{"name":"Eating Disorder Program, McMaster Children\u2019s Hospital , Hamilton, ON , 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Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Agar","sequence":"additional","affiliation":[{"name":"Eating Disorder Program, McMaster Children\u2019s Hospital , Hamilton, ON , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioural Neurosciences, McMaster University , Hamilton, ON , Canada"},{"name":"Eating Disorder Program, McMaster Children\u2019s Hospital , Hamilton, ON , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Anderson","sequence":"additional","affiliation":[{"name":"Chicago Center for Evidence-Based Treatment , Chicago, IL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Barwick","sequence":"additional","affiliation":[{"name":"Social and Behavioural Health Sciences Division, Dalla Lana School of Public Health, University 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Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail","family":"McVey","sequence":"additional","affiliation":[{"name":"Social and Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto , ON , Canada"},{"name":"Ontario Community Outreach Program for Eating Disorders, University Health Network , Toronto, ON , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Lock","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Stanford University , Stanford, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,11,3]]},"reference":[{"issue":"7","key":"2023022810474467100_","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1002\/eat.23318","article-title":"The impact of the COVID-19 pandemic on eating disorder risk and 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