title: Treatment Protocols for Eating Disorders: Clinicians' Attitudes, Concerns, Adherence and Difficulties Delivering Evidence-Based Psychological Interventions.
abstract: There are several protocols in existence that guide clinicians in the implementation of effective, evidence-based psychological interventions for eating disorders. These have been made accessible in the form of treatment manuals. However, relatively few clinicians use those protocols, preferring to offer more eclectic or integrative approaches. Following a summary of the research that shows that these evidence-based approaches can be used successfully in routine clinical settings, this review considers why there is such poor uptake of these therapies in such settings. This review focuses on the role of service culture and on clinicians' own attitudes, beliefs and emotions. Possible means of enhancing uptake are considered, but these cannot be considered to be ideal solutions at present.
authors.affiliation: Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield, S10 1NT, UK. g.waller@sheffield.ac.uk.
authors.forename: Glenn
authors.initials: G
authors.lastname: Waller
mesh_terms: D001291:Attitude of Health Personnel; D002985:Clinical Protocols; D004644:Emotions; D019317:Evidence-Based Medicine; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D015279:Organizational Culture
keywords: Adherence therapist drift; Eating disorders; Evidence-based practice; Manuals; Protocols