Therapist adherence in the strong without anorexia nervosa (SWAN) study: A randomized controlled trial of three treatments for adults with anorexia nervosa

The International Journal of Eating Disorders
Louise J AndonySusan M Byrne

Abstract

To develop a psychotherapy rating scale to measure therapist adherence in the Strong Without Anorexia Nervosa (SWAN) study, a multi-center randomized controlled trial comparing three different psychological treatments for adults with anorexia nervosa. The three treatments under investigation were Enhanced Cognitive Behavioural Therapy (CBT-E), the Maudsley Anorexia Nervosa Treatment for Adults (MANTRA), and Specialist Supportive Clinical Management (SSCM). The SWAN Psychotherapy Rating Scale (SWAN-PRS) was developed, after consultation with the developers of the treatments, and refined. Using the SWAN-PRS, two independent raters initially rated 48 audiotapes of treatment sessions to yield inter-rater reliability data. One rater proceeded to rate a total of 98 audiotapes from 64 trial participants. The SWAN-PRS demonstrated sound psychometric properties, and was considered a reliable measure of therapist adherence. The three treatments were highly distinguishable by independent raters, with therapists demonstrating significantly more behaviors consistent with the actual allocated treatment compared to the other two treatment modalities. There were no significant site differences in therapist adherence observed. The findings prov...Continue Reading

References

Apr 1, 2005·The American Journal of Psychiatry·Virginia V W McIntoshPeter R Joyce
Dec 7, 2006·The British Journal of Clinical Psychology·Ulrike Schmidt, Janet Treasure
Apr 16, 2011·Behaviour Research and Therapy·Christopher G Fairburn, Zafra Cooper
Jul 1, 2005·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Virginia V W McIntoshPeter R Joyce

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Citations

Sep 20, 2018·The International Journal of Eating Disorders·Kathryn L PriorPeter M McEvoy
Oct 20, 2018·European Eating Disorders Review : the Journal of the Eating Disorders Association·Hans-Christian PulsAnja Hilbert
Jul 13, 2019·European Eating Disorders Review : the Journal of the Eating Disorders Association·Gina DimitropoulosD Blake Woodside
Aug 25, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Tracey D WadeSusan Byrne
Oct 9, 2021·The International Journal of Eating Disorders·Deena PeyserTom Hildebrandt

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Methods Mentioned

BETA
Cognitive Behavioural Therapy

Software Mentioned

SWAN
CSPRS
MANTRA
PRS
AN

Related Concepts

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Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.