Evaluation of a computer-mediated eating disorder intervention program

Winzelberg, Andrew J.; Taylor, C. Barr; Sharpe, T. J.; Eldredge, Kathleen L.; Dev, Pravati; Constantinou, Philip S.

doi:10.1002/(sici)1098-108x(199812)24:4<339::aid-eat1>3.0.co;2-j

Cited by 112 publications

(69 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All four studies used the 'Student Bodies program' 90,91 to deliver the intervention. These studies measured a range of eating disorder outcomes: the Eating Disorder Inventory (EDI) scales, the Eating Disorder Examination-Questionnaire (EDE-Q), and Eating Disorder Examination-Body Dissatisfaction (EDI-BD) subscales.…”

Section: Eating Disordersmentioning

confidence: 99%

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

Harris

Felix²,

Miners³

et al. 2011

Health Technol Assess

105

View full text Add to dashboard Cite

How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

show abstract

Section: Eating Disordersmentioning

confidence: 99%

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

Harris

Felix²,

Miners³

et al. 2011

Health Technol Assess

105

View full text Add to dashboard Cite

show abstract

“…One study examined brief multi-media computer-delivered CBT intervention for teens with disordered eating showed a reduction in binge/purge behavior 198,199 . In addition, three clinical trials have examined technology to promote weight loss in teens.…”

Section: Motivation-motivationalmentioning

confidence: 99%

Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

Acosta

Manubay²,

Levin³

2008

Harvard Review of Psychiatry

View full text Add to dashboard Cite

Rates of pediatric obesity have increased dramatically over the past decade. This trend is particularly alarming as obesity is associated with significant medical and psychosocial consequences. Obesity may contribute to cardiovascular, metabolic, and hepatic complications, as well as psychiatric difficulties. The development of obesity appears to be influenced by a complex array of genetic, metabolic, and neural frameworks, as well as behavior, eating habits, and physical activity. Numerous parallels exist between obesity and addictive behaviors, including genetic predisposition, personality, environmental risk factors, and common neurobiological pathways in the brain. Typical treatments for pediatric obesity include behavioral interventions targeting diet and/or exercise. Treatments focusing on diet and exercise have yielded mixed results, and typically have been examined in specialty clinic populations, limiting their generalizability. There are limited medication options for overweight children and adolescents, and no approved medical intervention in children younger than 16. Bariatric surgery may be an option for some adolescents, but due to the risks of surgery it is often seen as a last resort. The parallels between addiction and obesity aid in the development of novel interventions for pediatric obesity. Motivational enhancement and cognitive-behavioral strategies used in addiction treatment may serve to be beneficial. KeywordsPediatric obesity; medical co-morbidity; addiction; treatment; review Pediatric obesity has reached epidemic proportions, with a 200-400% increase in the past 10 years [1][2][3] . Alarmingly, routine screening for obesity in children is very low (0.5% in a recent review of 600 pediatric cases), treatment is only provided to a fraction of children identified as overweight, and the most frequently used treatment (general advice) is known to be ineffective 4 . The current article will review some of the correlates of obesity, examine parallels with addictive behaviors, and review treatment recommendations.Due to concerns about stigma, the CDC recommends the term "overweight", rather than obese, when referring to youth 5 . Overweight is a condition where one has excess adipose tissue 6 . Body Mass Index (BMI) is the most accepted parameter for measuring total body fat. A BMI of > 85 th percentile indicates mild to moderate overweight, and a BMI > 95 th percentile indicates a need for intervention. Based on these criteria, more than 20% of US Medical and psychosocial consequences of overweight in children and adolescentsBeing overweight during childhood and adolescence is associated with a myriad of concurrent medical and psychosocial consequences, as well as placing children and teens at higher risk for medical comorbidity and mortality as adults. One of the most widely documented health consequences of overweight is a metabolic syndrome that includes insulin resistance, type 2 diabetes mellitus, polycystic ovary syndrome, dyslipidemia, and hypertension 13 . This syndrome has b...

show abstract

“…Computers have recently been used to engage and help individuals with early or subclinical eating disorders in college-based preventive interventions (Winzelberg et al, 1998). Studies have also shown that patients with bulimia nervosa or binge eating disorder may benefit from using "guided self-help" based on professionally written manuals that may be used with or without additional professional support.…”

Section: Guided Self-helpmentioning

confidence: 99%

E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues

Yager

2001

Int. J. Eat. Disord.

View full text Add to dashboard Cite

Objective To explore using adjunctive e‐mail in treating anorexia nervosa. Method Four treatment plans were supplemented by obligatory e‐mail emphasizing patients' reports of specific eating‐related behaviors. Office visits occurred weekly to once every few months. E‐mail contact occurred once to several times per week. Patients also saw other providers. Results All patients have shown good clinical improvement. Patients provided their assessments of contributions made by the use of e‐mail and generally found it to be helpful. Discussion E‐mail has had excellent patient acceptability and adherence. Benefits have been attributed to increased therapeutic contact, “talking” on demand, and having to frequently confront one's integrity, honesty, and eating behaviors. Little clinician time is needed for reading and responding to e‐mails. Informed consent and confidentiality issues must be carefully addressed. Controlled trials are warranted to further evaluate the roles that adjunctive e‐mail may play in clinical research and practice. © 2001 by John Wiley & Sons, Inc. Int J Eat Disord 29: 125–138, 2001.

show abstract

Evaluation of a computer-mediated eating disorder intervention program

Cited by 112 publications

References 21 publications

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues

Contact Info

Product

Resources

About