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Journal reading

1
blok 15
Rani,Rifqie,Rama
What was the article type?

Survey article
What was the title?

Cognitive-behavioral therapy in the time of coronavirus: Clinician tips


for working with eating disorders via telehealth when face-to-face
meetings are not possible
Who were the authors?

Glenn Waller DPhil, Matthew Pugh DClinPsy, Sandra Mulkens PhD, Elana Moore MSc, Victoria A. Mountford
DClinPsy, Jacqueline Carter DPhil, Amy Wicksteed DClinPsy, Aryel Maharaj MEd, Tracey D. Wade PhD, Lucene
Wisniewski PhD, Nicholas R. Farrell PhD, Bronwyn Raykos PhD, Susanne Jorgensen MSc, Jane Evans DClinPsy,
Jennifer J. Thomas PhD, Ivana Osenk BSc, Carolyn Paddock RD, Brittany Bohrer MA, Kristen Anderson MA. Hannah
Turner PhD, Tom Hildebrandt PsyD, Nikos Xanidis DClinPsy, Vera Smit MA
What was the main research
problem ?
Is eating disorder therapy via telehealth effective?
Was there any mention of previous
studies on this topic?
There is some preliminary research indicating that telehealth may be beneficial in treating eating
disorders and obesity (e.g., Abrahamsson, Ahlund, Ahrin, & Alfonsson, 2018; Anderson, Byrne, Crosby,
& Le Grange, 2017; Cassin et al., 2016; Giel et al., 2015; Hamatani et al., 2019; Sockalingam et al.,
2017),
But little substantial research supports this approach (e.g., Ertelt et al., 2011; Mitchell et al., 2008).
Why was this study performed (the
rationale)?

The coronavirus disease pandemic causes social isolation which has an impact
on all aspects, especially health. Because of this impact, many doctors who
treat outpatients with disorders have switched to video conferencing or
telephone.
What were the aims and objectives
of the study?

The aim of this article is to share the ideas that were generated by this process, to make
available the clinical techniques and process considerations of a number of experienced
clinicians
What was the study (research)
hypothesis?

Telehealth can overcome disruptions when face-to-face meetings are


not possible
How did the researcher attempt to
answer the research question?

The researcher doing a survey by online form (a Google document,


see Appendix A) which distributed to approximately 70 clinical
colleagues internationally
What were the inclusion criteria?

Nothing data found


What were the exclusion criteria?

● Nothing data found


Which variables were measured?

how to deliver CBT-ED online


What statistical methods/tests were
employed?
The methods of this research is using an online form (a Google document, see Appendix A)
was distributed to approximately 70 clinical colleagues internationally, who were known to
be practicing CBT with eating disorder clients, with the request that it should be passed on
to allow others to contribute.

After 96 hr, all the suggestions that had been shared by 22 clinicians were collated

However, nothing data about statistical method were employed in this research
What were the key findings?

A range of themes emerged from the online discussion. A large proportion were general
clinical and practical domains (patient and therapist concerns about telehealth; technical
issues in implementing telehealth; changes in the environment), but there were also
specific considerations and clinical recommendations about the delivery of CBT-ED
methods
Which results were statistically
significant?

Nothing data found


Which results were statistically non-
significant?

Nothing data found


Did the results answer the research
question?

Through interaction and sharing of ideas, clinicians across the world produced
a substantial number of recommendations about how to use telehealth to work
with people with eating disorders while remaining on track with evidencebased
practice. These are shared to assist clinicians over the period of changed
practice.
How were these results different/similar
when compared to other studies?

However, while there is some recent preliminary evidence that telehealth can be
effective in FBT for
adolescents with anorexia nervosa (Anderson et al., 2017), many clinicians have
found this transition to be a new experience, and that has led to the need to
think about transitions and future practice.
What were the conclusions?

There is hope in these clinical recommendations more flexible in their delivery


of evidence-based therapies, particularly in the context of any future
disruptions to normal service delivery. These responses to the current crisis
might teach us to be more effective in delivering telehealth in routine practice,
enhancing the accessibility of effective treatment for eating disorders when
normal service is resumed
Will the results be useful in clinical practice
or for further research?

Yes, the results in this journal will certainly be useful in further research.
In future, it would be useful to undertake similar studies of the application of other
therapies for eating disorders under such unusual circumstances, using more structured
methods (e.g., Delphi approaches) than were possible in this short timeframe.

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