Evidence map›Paper›PMID 25142619›Full record

Trial reportThe International journal of eating disorders2015

Development and evaluation of a treatment fidelity instrument for family-based treatment of adolescent anorexia nervosa.

Sarah Forsberg, Kathleen Kara Fitzpatrick, Alison Darcy, Vandana Aspen, Erin C Accurso, Susan W Bryson, Stewart Agras, Katherine D Arnow, Daniel Le Grange, James Lock

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Therapist adherence to family-based treatment for adolescents with anorexia nervosa: A multi-site exploratory study.European eating disorders review : the journal of the Eating Disorders Association · 2020
    Trial
  5. Article
  6. Clinical Experiences Using Family Based Treatment for Eating Disorders.The International journal of eating disorders · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
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  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarah ForsbergDepartment of Psychiatry and Behavioral Medicine, Stanford University School of Medicine, Stanford, California.
Kathleen Kara Fitzpatrick
Alison Darcy
Vandana Aspen
Erin C Accurso
Susan W Bryson
Stewart Agras
Katherine D Arnow
Daniel Le Grange
James Lock

Funding

Regional Postdoctoral Training Grant in Eating Disorders ResearchT32MH082761 · NIMH · UNIVERSITY OF MINNESOTA · PI CAROL B. PETERSON · 2009 to 2026
$6.2M
Mentoring and Research in Adolescent Eating DisordersK24MH074467 · NIMH · STANFORD UNIVERSITY · PI LOCK, JAMES D · 2005 to 2014
$1.9M
Optimizing Fidelity to Family-Based Treatment for Adolescent Anorexia NervosaR21MH096779 · NIMH · STANFORD UNIVERSITY · PI LOCK, JAMES D · 2012 to 2013
$435k
NIMH NIH HHS K24 MH074467NIMH NIH HHS R21 MH096779NIMH NIH HHS T32 MH082761
6 · The paper itself

Abstract

objectiveThis study provides data on the psychometric properties of a newly developed measure of treatment fidelity in Family-Based Treatment (FBT) for adolescent anorexia nervosa (AN). The Family Therapy Fidelity and Adherence Check (FBT-FACT) was created to evaluate therapist adherence and competency on the core interventions in FBT.

methodParticipants were 45 adolescents and their families sampled from three randomized clinical trials evaluating treatment for AN. Trained fidelity raters evaluated 19 therapists across 90 early session recordings using the FBT-FACT. They also rated an additional 15 session 1 recordings of an alternate form of family therapy-Systemic Family Therapy for the purpose of evaluating discriminant validity of the FBT-FACT. The process of development and the psychometric properties of the FBT-FACT are presented.

resultsOverall fidelity ratings for each session demonstrated moderate to strong inter-rater agreement. Internal consistency of the measure was strong for sessions 1 and 2 and poor for session 3. Principal components analysis suggests sessions 1 and 2 are distinct interventions. DISCUSSION: The FBT-FACT demonstrates good reliability and validity as a measure of treatment fidelity in the early phase of FBT.

Indexed as

Family TherapyAdolescentAnorexia NervosaFemaleHumansMalePatient CompliancePsychometricsReproducibility of ResultsTreatment Outcomeanorexia nervosafamily based treatmentpsychometric assessmenttreatment fidelity measurement

Identifiers

PMID25142619
PMCPMC4349507

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.