Feasibility and acceptability of CD‐ROM‐based cognitive‐behavioural treatment for binge‐eating disorder

Abstract

We compared preliminary feasibility and acceptability of CD-ROM-delivered CBT for overweight individuals with binge-eating disorder (BED) to 10 weekly group CBT sessions (Group) and to a waiting list control (WL). Attrition was numerically greater in the Group than the CD-ROM condition; although only Group differed significantly from WL in dropout rates. Those in the CD-ROM condition reported continued use of their CD-ROM after treatment. Also, the majority of WL participants elected to receive CD-ROM over Group treatment at the end of the waiting period. Preliminarily, no significant differences emerged across the active treatment groups on most outcome measures. However, there was a significantly greater decline in binge days in the two active groups relative to WL. CD-ROM appears to be an acceptable and at least initially preferred method of CBT delivery for overweight individuals with BED.

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

“…The majority of interventions sought to reduce fat intake 44,45,[49][50][51]54,55,[58][59][60][61][62]64,65,[67][68][69][72][73][74][76][77][78][79][80][81][82][83] (28 interventions) and/or to increase fruit and vegetable intake 43,44,[47][48][49][50][51]55,56,58,59,62,67,68,[71][72][73]75,[80][81][82] (21 interventions). Other interventions sought to increase fibre intake, 44,45,55,59,…”

“…Three studies 47,55,58 used attention controls, whereby participants in the control group received non-adaptive information on a similar topic, or received a similarly interactive intervention, but on an unrelated health topic. Thirteen studies 48,50,[62][63][64]71,72,75,76,78,82,84 used a wait-list control group that received the intervention after the data collection period. Two studies tested their intervention against a therapist-conducted intervention, 42,74 or the e-learning intervention plus a therapist-conducted intervention.…”

“…All e-learning interventions were delivered in high-income countries, and the majority of interventions were delivered in the USA [42][43][44][45][47][48][49][50][51][52][53]55,56,58,59,62,64,66,[70][71][72][73][74][75][80][81][82][83][84] research groups dedicated to e-learning and diet research; hence, the geographic clustering of studies. For example, a single large e-learning research group produced all eight RCTs set in the Netherlands and Belgium.…”

“…Twenty-four studies reported on actual use of intervention programs, either making use of automated logon or usage features within programs (16 studies 42,48,53,59,[62][63][64]66,69,71,74,77,79,80,82,84 ) or obtaining self-reported usage data from participants (three studies 52,58,60 ). Five studies 44,55,57,70,80 reported collecting usage data, but did not state how.…”

“…A majority of interventions involved the presentation of nutrition, health and lifestyle information (32 studies 43,44,[46][47][48][49][50][51][52][53][54]57,58,60,62,[65][66][67][68][69][70][71][72][73][75][76][77][79][80][81][82][83] ), the entering of food consumption data (25 studies 42,[45][46][47]49,50,[52][53][54][55]57,58,65,[67][68][69][72][73][74][75][76]…”