A Survey of Attitudes towards Computerized Self-Help for Eating Disorders within a Community-Based Sample

McClay, Carrie Anne; Waters, Louise; Schmidt, Ulrike; Williams, Christopher J.

doi:10.1017/s1352465814000484

Cited by 24 publications

(18 citation statements)

References 30 publications

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“…Although screening and feedback about symptoms were less desirable components, there was a strong preference that material be tailored to the individual, even if that requires a screening process. Participants reported a preference for briefer sessions of online programs, consistent with previous findings [14]. However, there was a trade-off between duration and frequency, with a preference for delivery of brief sessions over shorter periods, but a preference for greater time between sessions when programs included longer sessions.…”

Section: Discussionsupporting

confidence: 85%

“…There has been limited research exploring user preferences for Internet interventions. A recent study by McClay and colleagues [14] in the area of online interventions for eating disorders has indicated that users had a preference for weekly engagement and sessions of 20 minutes or less. In a study of women with postpartum depression, 87.5% indicated a preference for intervention sessions of 15 to 30 minutes, whereas a third of women wanted videos to illustrate ways to cope and 65% wanted a chat room that was moderated by an expert in postpartum depression [15].…”

Section: Introductionmentioning

confidence: 99%

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Preferences for Internet-Based Mental Health Interventions in an Adult Online Sample: Findings From an Online Community Survey

Batterham¹,

Calear²

2017

JMIR Ment Health

141

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BackgroundDespite extensive evidence that Internet interventions are effective in treating mental health problems, uptake of Internet programs is suboptimal. It may be possible to make Internet interventions more accessible and acceptable through better understanding of community preferences for delivery of online programs.ObjectiveThis study aimed to assess community preferences for components, duration, frequency, modality, and setting of Internet interventions for mental health problems.MethodsA community-based online sample of 438 Australian adults was recruited using social media advertising and administered an online survey on preferences for delivery of Internet interventions, along with scales assessing potential correlates of these preferences.ResultsParticipants reported a preference for briefer sessions, although they recognized a trade-off between duration and frequency of delivery. No clear preference for the modality of delivery emerged, although a clear majority preferred tailored programs. Participants preferred to access programs through a computer rather than a mobile device. Although most participants reported that they would seek help for a mental health problem, more participants had a preference for face-to-face sources only than online programs only. Younger, female, and more educated participants were significantly more likely to prefer Internet delivery.ConclusionsAdults in the community have a preference for Internet interventions with short modules that are tailored to individual needs. Individuals who are reluctant to seek face-to-face help may also avoid Internet interventions, suggesting that better implementation of existing Internet programs requires increasing acceptance of Internet interventions and identifying specific subgroups who may be resistant to seeking help.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Preferences for Internet-Based Mental Health Interventions in an Adult Online Sample: Findings From an Online Community Survey

Batterham¹,

Calear²

2017

JMIR Ment Health

141

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“…Unguided interventions would have the additional advantage of allowing sufferers to retain a sense of anonymity, an attractive property for those who want to keep their eating disorder secret [36].…”

Section: The Use Of Etherapy Outside Healthcare Systemsmentioning

confidence: 99%

Treating eating disorders using the internet

Fairburn

Murphy²

2015

Current Opinion in Psychiatry

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This is a new field. The findings of the four randomized controlled trials are consistent with the earlier reports indicating that guided eTherapy interventions of a cognitive behavioural nature are acceptable to (female) adults with a binge eating problem and that a subgroup improves substantially. More effective interventions are required and their use in different healthcare settings needs to be investigated. Direct-to-sufferer eTherapy interventions have the potential to increase access to effective forms of treatment and, in younger cases, they might serve as a form of secondary prevention.

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“…Such approaches are attractive due to greater potential cost-effectiveness, and evidence suggests that these alternative delivery methods are acceptable and feasible for delivery in this population (e.g., Carrard et al, 2011;Sanchez-Ortiz et al, 2011b). Recent evidence from McClay et al, (2016) indicated that online GSH programmes for bulimia were popular among a community sample of individuals presenting with bulimic symptoms, and the flexibility and regularity of support provided may be more important than offering guidance face-to-face. Indeed, for some, face-to-face contact is undesirable (McClay et al, 2013), with evidence to suggest that younger participants may be more comfortable in communicating and seeking support online (Kauer, Mangan & Sanci, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…However, some patients were dissatisfied with the amount of guidance offered and the level of expertise of the guide in addressing eating disorder symptoms (Banasiak et al, 2007;McClay et al, 2013). Indeed, participants particularly value guidance that is available frequently and easily, as demonstrated in a recent community survey of individuals with bulimic symptoms (McClay, Waters, Schmidt & Williams, 2016). Participants reported that the inclusion of regular, responsive, and remotely delivered support were desirable features of web-based self-help programmes for BN and BED (e.g., via text messaging, email or through forums; McClay et al, 2016).…”

mentioning

confidence: 99%

Guided Recovery: An Interpretative Phenomenological Analysis of Service Users’ Experiences of Guided Self-Help for Bulimic and Binge Eating Disorders

Plateau

Brookes

Pugh

2018

Cognitive and Behavioral Practice

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The efficacy of Cognitive Behavioral Therapy-based Guided Self-Help for mild to moderate bulimia and binge eating disorders has been well supported. However, limited research has explored in-depth individual experiences of this treatment approach. In depth semi-structured interviews were conducted with four individuals who had completed Cognitive Behavioral Therapy based Guided Self Help (CBT-GSH) for bulimic or binge eating disorders. The interviews were transcribed verbatim and subsequently analysed using Interpretative Phenomenological Analysis (IPA). Three superordinate themes emerged: Autonomy and volition; A dynamic relationship: the guided and the guide; and The unwanted friend. The reciprocal nature of the guide/guided relationship was identified as integral to the success of the therapeutic approach. However, participants expressed initial uncertainty towards the therapeutic process, and experienced an uncomfortable dissonance between a lack of volition in therapy seeking and the need to continually self-prescribe CBT-GSH. The findings affirm the central role of the guide in promoting motivation to engage with therapy and highlight the potential benefits of in-session weighing. However, it may be necessary to provide additional support on commencing CBT-GSH to address concerns about the therapeutic approach in this group.

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A Survey of Attitudes towards Computerized Self-Help for Eating Disorders within a Community-Based Sample

Cited by 24 publications

References 30 publications

Preferences for Internet-Based Mental Health Interventions in an Adult Online Sample: Findings From an Online Community Survey

Preferences for Internet-Based Mental Health Interventions in an Adult Online Sample: Findings From an Online Community Survey

Treating eating disorders using the internet

Guided Recovery: An Interpretative Phenomenological Analysis of Service Users’ Experiences of Guided Self-Help for Bulimic and Binge Eating Disorders

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