Novel Group Parent Training Program for Anorexia Nervosa

针对神经性厌食症的新型团体家长培训计划

• 批准号: 7251886
• 负责人: NANCY L ZUCKER
• 金额: $ 14.06万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7251886
• 关键词: Adolescent; Affective; Age; Alanine Transaminase; Anorexia Nervosa; Appetite Depressants; Area; Attitude; Behavior Therapy; Body mass index; Caregivers; Child; Child Development; Childhood; Classification; Client satisfaction; Cognition; Cognitive; Competence; Data; Development; Diagnosis; Dialectical behavior therapy; Disease; Eating Disorders; Educational workshop; Equipment and supply inventories; Evaluation; Exhibits; Expressed Emotion; Family; Focus Groups; Funding; GPT gene; Growth; Growth and Development function; Height; Instruction; Intervention; Knowledge; Lead; Measures; Mental disorders; Mentored Clinical Oncology Award; Mentored Clinical Scientist Award; Mentored Patient-Oriented Research Career Development Award; Mentors; Modeling; Outcome; Outcome Measure; Parents; Participant; Patient Self-Report; Phase; Population; Positioning Attribute; Randomized; Range; Rate; Relative (related person); Reporting; Research; Research Design; Research Personnel; Research Project Grants; Score; Self Efficacy; Staging; Stress; Symptoms; Testing; Training; Training Programs; Treatment outcome; Weight; Weight Gain; age group; base; design; experience; improved; indexing; member; mortality; novel; patient oriented research; programs; satisfaction; size; skills; therapy development; treatment effect

DESCRIPTION (provided by candidate): This mentored K23 award in patient-oriented research for Dr. Nancy Zucker, sponsored by Dr. Cynthia Bulik, describes a rigorous five year training program in the area of treatment development for eating disorders, initially for anorexia nervosa. Anorexia nervosa continues to have one of the highest mortality rates among psychiatric disorders, yet the most efficacious manner in which to treat this disorder continues to be debated. Completion of this training program will allow Dr. Zucker to adapt treatment models that have been effective in the management of other childhood disorders to adolescents with eating disorders and their families. She will receive further advanced training in child and adolescent cognitive development, child and family treatment approaches, and research design. She will use this advanced instruction to further develop and pilot a group parent training program for the management of anorexia nervosa. The specific aims of this proposal are: 1) to examine the preliminary efficacy of a group parent-training program on adolescent eating disorder symptoms; 2) to examine changes in parent variables that have been reported to impact treatment outcome, 3) to examine changes in family functioning, and 4) to examine the treatment acceptability of the intervention. The intervention combines skills in behavior modification and dialectical behavior therapy while targeting parent variables that have been reported in families of adolescents with anorexia nervosa. Dr. Zucker will conduct a two-stage research design. Phase 1 will consist of focus groups comprised of members of parent training groups that Dr. Zucker has previously conducted. Results from Phase I will be used to improve the intervention. She will then subject the improved intervention to a pilot, pre-post, randomized design to assess preliminary efficacy in Phase 2. This initial trial will lead to further enhancements of the program, will define the populations most suited to a group parent-training model, will permit exploration of potential mechanisms of action, and will highlight additional participant needs for further treatment development. Pilot data from this proposal will place her in a position to apply for funding via the R01 mechanism to subject the intervention to more systematic study. Thus, the coursework, training workshops, and mentored research experiences will allow Dr. Zucker to combine effective approaches for alternative childhood disorders with advanced training in cognitive development to design approaches for the treatment of adolescent eating disorders.

描述（由候选人提供）：这项由Cynthia Bulik博士赞助的Nancy Zucker博士在以患者为导向的研究中获得了指导的K23奖，该奖项描述了针对饮食失调的治疗开发领域的一项严格的五年培训计划，最初是针对厌食症的。神经性厌食症仍然是精神疾病中死亡率最高的死亡率之一，但治疗这种疾病的最有效方式仍在争论中。该培训计划的完成将使Zucker博士能够适应对其他儿童疾病有效管理饮食障碍及其家人的治疗模型。她将接受进一步的儿童和青少年认知发展，儿童和家庭治疗方法以及研究设计的高级培训。她将使用此高级指导进一步开发和试行一项小组家长培训计划，以管理神经性厌食症。该提案的具体目的是：1）检查小组父母培训计划在青少年饮食失调症状上的初步疗效； 2）检查已报告会影响治疗结果的父变量的变化，3）检查家庭功能变化； 4）检查干预措施的治疗可接受性。干预措施结合了行为修改和辩证行为疗法的技能，同时针对厌食症的青少年家庭中报告的父型变量。扎克博士将进行两阶段的研究设计。第1阶段将由Zucker博士先前进行的父母培训小组成员组成的焦点小组组成。第一阶段的结果将用于改善干预措施。然后，她将对改进的干预措施进行试验，前孔前，随机设计，以评估第2阶段的初步疗效。该初步试验将导致该计划的进一步增强，将定义最适合团体父母培训模型的人群，将允许探索潜在的行动机制，并将强调进一步的参与者需要进一步治疗。该提案的试点数据将使她能够通过R01机制申请资金，以使干预措施接受更系统的研究。因此，课程工作，培训研讨会和指导的研究经验将使扎克博士能够将替代性儿童疾病的有效方法与认知发展的高级培训相结合，以设计治疗青少年饮食失调的方法。