A pilot study evaluating online training for therapist delivery of interpersonal psychotherapy for eating disorders

Author:

Karam Jones Anna M.12ORCID,Fitzsimmons‐Craft Ellen E.1ORCID,D'Adamo Laura1ORCID,Eichen Dawn M.2ORCID,Graham Andrea K.3ORCID,Kolko Conlon Rachel P.4ORCID,Balantekin Katherine N.5ORCID,Welch R. Robinson1,Agras W. Stewart6ORCID,Wilson G. Terence7,Wilfley Denise E.1ORCID

Affiliation:

1. Department of Psychiatry Washington University School of Medicine St. Louis Missouri USA

2. University of California San Diego San Diego California USA

3. Department of Medical Social Sciences Northwestern University Chicago Illinois USA

4. Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA

5. Department of Exercise and Nutrition Sciences University at Buffalo Buffalo New York USA

6. Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine USA

7. Graduate School of Applied and Professional Psychology, Rutgers The State University of New Jersey Piscataway New Jersey USA

Abstract

AbstractObjectiveIndividuals with eating disorders (EDs) often do not receive evidence‐based care, such as interpersonal psychotherapy (IPT), partly due to lack of accessible training in these treatments. The standard method of training (i.e., in‐person workshops) is expensive and time consuming, prompting a need for more scalable training tools. The primary aim of this pilot and open trial was to examine the effects of an IPT online training platform on training outcomes (i.e., IPT fidelity, knowledge, and acceptance) and, secondarily, whether online training was different from in‐person training (using a comparative sample from a separate study) in terms of training outcomes and patient symptoms.MethodParticipants were therapists (N = 60) and student patients (N = 42) at 38 college counseling centers. Therapists completed baseline questionnaires and collected data from a student patient with ED symptoms. Therapists then participated in an IPT online training program and completed post‐training assessments.ResultsFollowing online training, acceptance of evidence‐based treatments, therapist knowledge of IPT, therapist acceptance of IPT, and treatment fidelity increased; acceptance of online training was high at baseline and remained stable after training. Using the 90% confidence interval on outcome effect sizes, results suggested IPT online training was not different from in‐person training on most outcomes. Results are based on 60% of therapists who originally enrolled due to high dropout rate of therapist participants.ConclusionsFindings from this preliminary pilot study support the use of IPT online training, which could increase access to evidence‐based ED treatment and improve patient care.Public significanceLack of accessible therapist training has contributed to many therapists not delivering, and therefore many patients not receiving, evidence‐based treatment. This study evaluated a highly disseminable online training and compared outcomes to traditional in‐person training and found that training and patient outcomes were not different. Online training has the potential to enhance access to evidence‐base care, which could in turn optimize patient outcomes.

Funder

National Institutes of Health

National Eating Disorders Association

Publisher

Wiley

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