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Train‐the‐Trainer: Implementation of Cognitive Behavioural Guided Self‐Help for Recurrent Binge Eating in a Naturalistic Setting
Author(s) -
Zandberg Laurie J.,
Wilson G. Terence
Publication year - 2013
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2210
Subject(s) - bulimia nervosa , trainer , binge eating disorder , eating disorders , binge eating , psychopathology , psychology , clinical psychology , cognition , abstinence , psychiatry , psychotherapist , computer science , programming language
Objective The present study evaluated the feasibility and acceptability of cognitive behavioural guided self‐help (CBTgsh) for recurrent binge eating using the train‐the‐trainer implementation strategy. Method After receiving expert‐led training in CBTgsh, a master's‐level graduate student in clinical psychology subsequently trained and supervised less experienced graduate students to implement the treatment in an open clinical trial. Participants were 38 treatment‐seeking students at a university counselling centre with recurrent binge eating, featuring cases of bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified. Results Intent‐to‐treat (ITT) analyses revealed 42.1% abstinence from binge eating at post‐treatment and 47.4% at one‐month follow‐up. Participants reported significant pretreatment to post‐treatment reductions on measures of specific eating disorder psychopathology, general psychopathology, and functional impairment and high levels of treatment acceptability. Conclusions These results provide ‘proof‐of‐concept’ for the train‐the‐trainer implementation strategy and add to the evidence supporting the feasibility and effectiveness of CBTgsh in routine clinical care. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.