ArticleJournal of eating disorders2025
Adapting family-based treatment for primary care (FBT-PC) for treating child and adolescent restrictive eating disorders in rural settings: a case series.
Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAccess to eating disorder care for child and adolescent patients is challenging especially for patients from rural and/or lower-resourced health systems. In order to improve the availability of eating disorder treatment, we developed Family-Based Treatment for Primary Care (FBT-PC), for primary care delivery. Although research has shown that FBT-PC has a significant effect on young patients' eating disorder symptoms, the model has not been evaluated in rural settings. The purpose of this study was to establish proof-of concept of an adaptation of FBT-PC for rural settings, in preparation for a pilot feasibility/acceptability trial.
methodsThis study describes adaptations made to the FBT-PC protocol for implementation in small town and rural areas, as well as a case series of six children and adolescents with restrictive eating disorders who received FBT-PC in these settings.
resultsFindings from this case series establish proof-of-concept for FBT-PC implementation in rural primary care clinics. Specifically, the majority of patients either completed treatment (n = 3) or were referred to standard FBT (n = 1) which is consistent with the intention of FBT-PC as offering a lower-step eating disorder intervention.
conclusionsThese promising preliminary cases support further evaluation of FBT-PC in rural settings. Future research is needed to assess clinical outcomes and acceptability of the intervention. Trial Registration Clinicaltrials.gov #22-011880.
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