Scale development study demonstrates initial reliability of a fidelity tool for eating disorder clinicians, highlighting utility in supervision.
Background: Current efforts by NEDC and ANZAED to implement a credentialing system for eating disorder clinicians aims to achieve a national minimum standard for training in evidence-based interventions.However, there is substantial evidence that clinicians do not reliably deliver core components of evidence-based interventions for eating disorders, even if they have received training, without ongoing supervision.Objective: The present paper describes the development of a fidelity scale, the Cognitive Behavioural Therapy Scale for Eating Disorders (CBTS-ED), that aims to measure core competences for delivery of cognitive behavioural therapy for eating disorders (CBT-ED), aligning with national and international standards, that can be used in supervision.Method: A group of 10 international experts in CBT-ED, collaborated to identify key competences for delivery of CBT-ED and develop a valid and reliable scale with high clinical utility to assess competence in CBT-ED.Results: The present paper will describe the core principles of the CBTS-ED; and initial data examining reliability of expert and nonexpert ratings of therapy sessions rated using the CBTS-ED scale. Discussion:The potential utility of the CBTS-ED scale as a tool for self-reflection, training and supervision as well as evaluation of competence and adherence to CBT-ED, and ultimately improving patient outcomes will be discussed. O2.
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Raykos et al. (2024) studied this question.
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