Adrienne S Juarascio, Emily K Presseller, Paakhi Srivastava, Stephanie M Manasse, Evan M Forman
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A Randomized Controlled Trial of CBT+: A Clinician-Controlled, Just-In-Time, Adjunctive Intervention for Bulimia-Spectrum Disorders.
Cognitive Behavior Therapy (CBT) for bulimia nervosa (BN) requires patient skill utilization (use of treatment skills) and skill acquisition (successful skill use) for symptom improvement. Treatment outcomes are unsatisfactory, possibly due to poor skill acquisition and utilization by post-treatment. Just-in-time adaptive interventions (JITAIs), momentary interventions delivered at opportunities for skill practice, may improve skill acquisition and utilization. Participants (N = 56 individuals with bulimia-spectrum eating disorders) completed electronic self-monitoring in CBT+ and received JITAIs or no JITAIs alongside 16 sessions of CBT. Feasibility, acceptability, target engagement, and treatment outcomes were evaluated. JITAIs demonstrated feasibility and acceptability. Treatment outcomes and target engagement did not differ between conditions. The lack of group differences in target engagement and treatment outcomes may be explained by skill use self-monitoring promoting skill utilization and acquisition or low statistical power. Our findings suggest that JITAIs are feasible and acceptable during CBT for BN and warrant additional study.
期刊介绍：
For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.
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