000003001 001__ 3001 000003001 005__ 20240503132033.0 000003001 0247_ $$2DOI$$a10.6083/M4GM86CT 000003001 037__ $$aETD 000003001 245__ $$aReducing variability in a cognitive behavioral therapy group in an eating disorders program 000003001 260__ $$bOregon Health and Science University 000003001 269__ $$a2016-07-01 000003001 336__ $$aPortfolio 000003001 502__ $$bD.N.P. 000003001 520__ $$aPatients with anorexia, bulimia, or eating disorder not otherwise specified (NOS) represent a psychiatrically and medically complex population. These disorders are characterized by chronicity, psychiatric comorbidities, and potentially serious medical and dental consequences carry the highest mortality rates of any psychiatric illness. Psychotherapy, particularly cognitive behavioral therapy (CBT), is the cornerstone of evidence based treatment. Variation is defined as the way the performance of a treatment process changes over time. While some random variation is normal, too much variation may result in deviation from fundamental CBT principles and may be less effective. Reducing non-random variation in group CBT delivery thus is an important part of maintaining fidelity to CBT principles and improving patient outcomes. The purpose of this project was to conceptualize and reduce causes of unwanted variability in the delivery of a twice weekly cognitive behavioral group therapy intervention, a core component of the partial hospitalization and intensive outpatient eating disorders programs at a Portland hospital. 000003001 650__ $$aSeizures$$025832 000003001 650__ $$aPsychotherapy, Group$$024866 000003001 650__ $$aArrhythmias, Cardiac$$015069 000003001 650__ $$aPsychotherapy$$024864 000003001 650__ $$aCognitive Behavioral Therapy$$028756 000003001 650__ $$aTooth Erosion$$027177 000003001 650__ $$aBinge-Eating Disorder$$038762 000003001 650__ $$aBulimia$$015890 000003001 650__ $$aAnorexia$$014806 000003001 691__ $$aSchool of Nursing$$041370 000003001 7001_ $$aMcClean, Tiffany$$uOregon Health and Science University$$041354 000003001 8564_ $$92d1ef095-9c25-4a1c-a424-9a01579e1a43$$s73945$$uhttps://digitalcollections.ohsu.edu/record/3001/files/3804_etd.pdf 000003001 905__ $$a/rest/prod/k0/69/87/71/k06987717 000003001 909CO $$ooai:digitalcollections.ohsu.edu:3001$$pstudent-work 000003001 980__ $$aTheses and Dissertations