{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T04:23:57Z","timestamp":1792211037205,"version":"4.4.0"},"reference-count":86,"publisher":"Guilford Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p> Trichotillomania (TTM) involves the chronic pulling out of hair to the point of hair loss or thinning, which continues despite repeated attempts to stop. Behavior therapy is a promising treatment for the condition, but studies have been limited by the lack of a credible control condition, small sample sizes, follow-up periods of short duration, and low participation by underrepresented populations. In the current article, the authors describe the theoretical rationale for an acceptance-enhanced form of behavior therapy for TTM in adults and describe the methodology used to test the efficacy of this intervention against a psychoeducation and supportive control condition. In addition, the authors discuss the importance of and difficulties encountered with enrolling minority participants into TTM research, as well as strategies used to enhance minority recruitment. Finally, the authors discuss the instruments, procedures, and related outcomes of the fidelity measures used in the randomized controlled trial. <\/jats:p>","DOI":"10.1521\/bumc_2019_83_04","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T14:37:57Z","timestamp":1565015877000},"page":"399-431","source":"Crossref","is-referenced-by-count":14,"title":["Acceptance-enhanced behavior therapy for trichotillomania: Randomized controlled trial rationale, method, and strategies for recruiting minority participants"],"prefix":"10.1521","volume":"83","author":[{"given":"Angela","family":"Neal-Barnett","sequence":"first","affiliation":[{"name":"Kent State University, Kent, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas W.","family":"Woods","sequence":"additional","affiliation":[{"name":"Texas A&M University, College Station, Texas."},{"name":"Marquette University, Milwaukee, Wisconsin."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flint M.","family":"Espil","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Stanford, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martale","family":"Davis","sequence":"additional","affiliation":[{"name":"Kent State University, Kent, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Texas A&M University, College Station, Texas."},{"name":"Marquette University, Milwaukee, Wisconsin."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott N.","family":"Compton","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Walther","sequence":"additional","affiliation":[{"name":"Brown University School of Medicine, Providence, Rhode Island."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Twohig","sequence":"additional","affiliation":[{"name":"Utah State University, Logan, Utah."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Saunders","sequence":"additional","affiliation":[{"name":"Marquette University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn P.","family":"Cahill","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Milwaukee."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin E.","family":"Franklin","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.03.160"},{"key":"ref2","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref4","first-page":"448","volume":"25","author":"Atkinson D. 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