Table 2:
Treatment Fidelity Scores (Scale of 1 to 7) for Each Item of Family-Based Treatment by phase
| Phase 1 (Session 1) | N of 22 | Mean | SD |
|---|---|---|---|
| Greet Family in sincere but grave manner | 22 | 4.1 | .75 |
| Take a history that engages family | 22 | 4.8 | .74 |
| Separate the patient from the illness | 22 | 4.5 | 1.1 |
| Orchestrate an intense scene around seriousness | 22 | 4.6 | .95 |
| Charge the parents with task of re-feeding | 22 | 4.4 | 1.3 |
| Session 2 (Meal) | 10 | ||
| Take history and observe family patterns around food | 10 | 4.7 | .82 |
| Help parents convince patient to eat one more bite | 10 | 5.3 | .95 |
| Align patient with siblings | 8 | 4.0 | 1.1 |
| Rest of Phase 1 | 70 | ||
| Focus Therapeutic discussion on food and eating | 69 | 4.9 | 1.1 |
| Help parental dyad’s efforts at re-feeding | 70 | 4.8 | 1.0 |
| Discuss and evaluate siblings efforts | 41 | 3.3 | 1.5 |
| Continue to modify parental and sibling criticism | 54 | 3.9 | 1.2 |
| Continue to distinguish patient’s interests from those of AN | 70 | 3.9 | 1.4 |
| Phase 2 | 68 | ||
| Continue to support parents in management of eating disorder symptoms | 68 | 4.8 | 1.1 |
| Assist parents in negotiating return of control to adolescent | 66 | 4.0 | 1.2 |
| Encourage family to examine relationships between adolescent issues and the development of Anorexia | 67 | 3.6 | 1.2 |
| Continue to modify parental and sibling criticisms | 45 | 3.6 | 1.3 |
| Continue to assist siblings in supporting their ill sibling | 28 | 3.2 | 1.3 |
| Continue to highlight difference between adolescent’s own ideas and those of Anorexia | 68 | 3.7 | 1.4 |
| Phase 3 | 20 | ||
| Review adolescent issues with family to model problem solving | 20 | 4.2 | 1.4 |
| Involve the family to review of issues | 20 | 4.6 | 1.2 |
| Check with parents how much they are doing as a couple | 15 | 1.9 | 1.2 |
| Explore adolescent themes | 20 | 3.6 | 1.6 |
| Plan for future issues | 20 | 3.9 | 1.4 |
| Manage termination | 19 | 3.5 | 1.8 |