AUTHOR=Le Grange Daniel , Gorrell Sasha , Hughes Elizabeth K. , Accurso Erin C. , Yeo Michele , Pradel Martin , Sawyer Susan M. 

TITLE=Delivery of Family-Based Treatment for Adolescent Anorexia Nervosa in a Public Health Care Setting: Research Versus Non-Research Specialty Care

JOURNAL=Frontiers in Psychiatry

VOLUME=10

YEAR=2020

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2019.01001

DOI=10.3389/fpsyt.2019.01001

ISSN=1664-0640

ABSTRACT=<p>Comparing evidence-based psychotherapy (EBP) to usual care typically demonstrates the superiority of EBPs, although this has not been studied for eating disorders EBPs such as family-based treatment (FBT). The current study set out to examine weight outcomes for adolescents with anorexia nervosa who received FBT through a randomized clinical research trial (RCT, <italic>n</italic> = 54) or non-research specialty care (<italic>n</italic> = 56) at the same specialist pediatric eating disorder service. Weight was recorded throughout outpatient treatment (up to 18 sessions over 6 months), as well as at 6- and 12-month follow-up. Survival curves were used to examine time to weight restoration [greater than 95% median body mass index (mBMI)] as predicted by type of care (RCT vs. non-research specialty care), baseline clinical and demographic characteristics, and their potential interaction. Results did not indicate a significant main effect for type of care, but there was a significant effect for baseline weight (<italic>p</italic> = .03), such that weight restoration was achieved faster across both treatment types for those with a higher initial %mBMI. These data suggest that weight restoration achieved in non-research specialty care FBT was largely similar to that achieved in a controlled research trial.</p><sec><title>Clinical Trial Registration</title><p><uri xlink:href="http://www.anzctr.org.au/" xmlns:xlink="http://www.w3.org/1999/xlink">http://www.anzctr.org.au/</uri>, identifier ACTRN12610000216011.</p></sec>