A systematic review of mHealth interventions for the support of eating disorders

Anastasiadou, Dimitra; Folkvord, Frans; Lupiáñez‐Villanueva, Francisco

doi:10.1002/erv.2609

Cited by 77 publications

(83 citation statements)

References 46 publications

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“…Overall, the findings indicate that eTherapies for EDs, principally those intended for BN and BED phenotypes, successfully produced decreases in ED symptoms, and comorbid depression and anxiety at postassessment, with small to medium effect sizes. These results are supported by previous meta-analyses on eTherapies for EDs, which also demonstrate the effectiveness of digital interventions in reducing both ED and related symptoms (Aardoom et al, 2013;Anastasiadou et al, 2018;Dölemeyer et al, 2013;Melioli et al, 2016).…”

Section: Discussionsupporting

confidence: 84%

“…eTherapy refers to the provision of targeted mental health interventions via information and communication technologies such as tablets, smartphones and computers, and often requires use of the internet (Aardoom, Dingemans, Spinhoven, & Van Furth, 2013). Several systematic reviews and meta-analyses have been published recently demonstrating the acceptability of eTherapies and their effectiveness in reducing eating disorder (ED) symptoms (Aardoom et al, 2013;Anastasiadou, Folkvord, & Lupiañez-Villanueva, 2018;Dölemeyer, Tietjen, Kersting, & Wagner, 2013;Hay & Claudino, 2015;Loucas et al, 2014;Melioli et al, 2016). However, while some reviews have concluded that the eTherapies evaluated to date offer a worthy alternative to traditional individual psychotherapy (Aardoom et al, 2013;Dölemeyer et al, 2013), others display greater scepticism and conclude that there is insufficient evidence to support the equivalence of eTherapies and the traditional model of treatment delivery (Hay & Claudino, 2015;Loucas et al, 2014).…”

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confidence: 99%

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Evaluating the role of digital intervention design in treatment outcomes and adherence to eTherapy programs for eating disorders: A systematic review and meta‐analysis

Barakat

Maguire

Smith

et al. 2019

Intl J Eating Disorders

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Objective Despite the existence of reviews which document the effectiveness of online therapies, there is little consensus regarding the exact components of online treatment delivery that are most effective in maintaining user engagement and reducing eating disorder (ED) symptomology. The current review and meta‐analysis aimed to determine which components of web‐based, ED self‐help interventions are associated with lower attrition and improved therapeutic outcome. Method A systematic search of electronic databases (PsycINFO, Medline, Web of Science, Scopus) was conducted for published studies of web‐based interventions for EDs and a meta‐analysis of the final included studies was performed. Each intervention was coded across four dimensions, including the multimedia channels employed (e.g., text, audio, videos), degree of user interactivity (e.g., online self‐monitoring, skills exercises), level of automated feedback (e.g., reminders, personalized feedback), and technological device through which the program was accessed (e.g., smartphone, computer). Results A final 23 papers were included. The results of meta‐regressions indicated that higher scores on the multimedia subscale were associated with greater ED symptom improvement in treatment groups. Conversely, a higher degree of feedback in the treatment group was associated with a group difference in ED psychopathology favoring the control group. Other intervention components were not associated with treatment outcome or dropout. Discussion The results are discussed in relation to limitations of the scale used to quantify digital intervention features, as well as the limited diversity and technological sophistication of available ED digital interventions. Such findings indicate the importance of understanding the digital components, which differentiate online therapeutic programs.

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 99%

Evaluating the role of digital intervention design in treatment outcomes and adherence to eTherapy programs for eating disorders: A systematic review and meta‐analysis

Barakat

Maguire

Smith

et al. 2019

Intl J Eating Disorders

View full text Add to dashboard Cite

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“…It allows for families to get support and reduces the stigma they may feel. Online‐ and e‐health measures for ED patients have been developed and tested for over 20 years worldwide and are available for implementation, but more research is necessary (Anastasiadou et al, ; Anderson et al, 2017; Barakat et al, ; Vollert et al, 2019; Zerwas et al, 2017). However, some aspects of the assessment can be challenging to monitor without face‐to‐face contact or some form of surrogate measure (Keshen et al, 2020; McLean et al, 2019), especially in more extreme cases (e.g., severely underweight, non‐suicidal self‐injury, self‐destructive patients).…”

Section: General Implications For Eating Disordersmentioning

confidence: 99%

COVID‐19 and implications for eating disorders

Fernández‐Aranda

Casas

Claes

et al. 2020

Euro Eating Disorders Rev

363

413

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“…We also know very little about the relative merits of book-based versus technologybased interventions. Recent advancements have led to an increase in mobile app-based programmes, although most of them are used for self-monitoring purposes 46 . Little is as yet known about the usability and feasibility of delivering mobile-based stand-alone self-help programmes.…”

Section: Research Implicationsmentioning

confidence: 99%

Self-Help Treatment of Eating Disorders

Yim

Schmidt

2019

Psychiatric Clinics of North America

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DISCLOSURE STATEMENTDisclosure of any relationship with a commercial company that has a direct financial interest in subject matter or materials discussed in article or with a company making a competing product None. KEYWORDS 4-8 keywords to enhance online search results Self-help, eating disorders, review, bulimia nervosa, binge eating disorder, intervention KEY POINTS 3 to 5 bullet points of approximately 25 words each that summarize the main ideas of your article. Key points appear at the very beginning of your article in print and online. -Studies of self-help interventions have mainly focused on the treatment of bulimia nervosa (BN), and binge eating disorder (BED), with very few addressing treatment of anorexia nervosa (AN). -Guided self-help interventions for BN and BED are superior to waiting list or delayed treatment in terms of improving ED psychopathology and abstinence rates. -Systematic reviews comparing guided self-help (GSH) and other therapies have combined other treatments that are less intensive (pure self-help), more intensive or equally intensive as GSH. It is hard to draw firm conclusions on the relative efficacy of GSH from these. -Findings on the impact of guidance on outcome are mixed, however there is some evidence on the impact of guidance on treatment adherence. -Future studies are needed to separate out the effects of different modes of self-help (guided/unguided; bibliotherapy/digital), comparison groups (waitlist/type of comparison therapy), as well as the point in the care pathway (prevention, relapse prevention) at which the intervention is delivered. SYNOPSISBrief summary of your article (100 words or fewer; no references or figures/tables). The synopsis appears only in the table of contents, and is often used by indexing services such as PubMed.The authors provide an overview of the current state of research on self-help interventions for eating disorders. The efficacy of different forms of self-help interventions for bulimia nervosa, binge eating disorder and other eating disorders at various stages of the care pathway (from prevention to relapse prevention) is described. Cost-effectiveness studies are also presented. Moderators of outcome, such as guidance and adherence, are discussed. Overall, the findings are promising and support the use of self-help interventions in the treatment of bulimic disorders, across the stages of the care pathway. Less is known about the use of self-help in anorexia nervosa.

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A systematic review of mHealth interventions for the support of eating disorders

Abstract: Limited effects were found for mHealth interventions to reduce ED-related symptoms. A common evaluation framework for ED mHealth interventions should be proposed to assess the validity of interventions before implementing them on a larger scale in clinical practice.

Cited by 77 publications

References 46 publications

Evaluating the role of digital intervention design in treatment outcomes and adherence to eTherapy programs for eating disorders: A systematic review and meta‐analysis

Evaluating the role of digital intervention design in treatment outcomes and adherence to eTherapy programs for eating disorders: A systematic review and meta‐analysis

COVID‐19 and implications for eating disorders

Self-Help Treatment of Eating Disorders

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