ArticleInternet interventions2026
Disseminating cognitive-behavioral therapy for body dysmorphic disorder: Evaluating the efficacy of online provider training.
Article in Internet interventions, 2026. 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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Authors and funding
8 authors.
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Abstract
Background: Body dysmorphic disorder (BDD) is a severe psychiatric condition affecting approximately 2% of the population, yet access to evidence-based cognitive behavioral therapy (CBT) is limited due to insufficient clinician training. Web-based training offers a solution for disseminating specialized treatment skills, but real-world effectiveness data are lacking. This study evaluated a brief, online CBT training program for BDD delivered under naturalistic conditions. Methods: Between 2017 and 2023, 166 clinicians enrolled in a 4-week web-based training covering BDD assessment and CBT treatment techniques. The training included video lectures, case examples, discussion boards, and optional Q&A sessions. Participants completed surveys at baseline, post-training, and 6-month follow-up assessing self-reported confidence assessing and treating BDD, beliefs about CBT, self-reported implementation of evidence-based practices (EBPs), and perceived barriers. Mixed-effects models evaluated changes over time, and regression analyses examined predictors of dropout and outcomes. Results: Clinicians demonstrated significant improvements from baseline to post-training in self-reported confidence assessing BDD (EMM difference = 31.1), confidence treating BDD (EMM difference = 37.7), positive beliefs about CBT (EMM difference = 7.9), and EBP implementation (EMM difference = 6.2%; all Conclusions: Brief web-based training can enhance clinician self-reported confidence and readiness to deliver CBT for BDD, supporting dissemination of specialized skills. However, high attrition and reliance on self-report highlight challenges inherent to naturalistic training evaluation.
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