Implementation of Family-Based Treatment for Primary Care in a novel healthcare system: description of the adaptation process.

Abstract

Though effective evidence-based treatments for child and adolescent eating disorders exist, there are significant barriers for families looking to access this care. One potential solution is the development of interventions, such as Family-Based Treatment for Primary Care (FBT-PC), that can be delivered in more accessible settings by primary care providers. FBT-PC has been evaluated in one health system in the Midwest United States and found to have a large effect on patient outcomes and comparable rates of retention and hospitalization to gold-standard FBT. To have maximum reach, however, FBT-PC needs to be adaptable for a wide range of primary care settings with different patient populations and clinical needs. We describe the adaptation of FBT-PC for a unique healthcare setting, including adjustments to context, content, and training. Findings suggest that the adapted intervention is acceptable to providers for use with a diverse patient population.