The Use of Guided Self‐help Incorporating a Mobile Component in People with Eating Disorders: A Pilot Study

Cardi, Valentina; Clarke, Ariana; Treasure, Janet

doi:10.1002/erv.2235

Cited by 20 publications

(23 citation statements)

References 25 publications

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“…Nineteen studies (83%) examined programs which the authors reported to be CBT‐based. Five studies did not use CBT as their primary intervention and described using a mix of psychoeducation, self‐monitoring and motivational interviewing (Aardoom et al, ; Cardi et al, ; Hötzel et al, ; Leung et al, ; Strandskov et al, ).…”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 99%

“…The number of sessions varied from one session (Barakat et al, ) to 16 sessions (Jones et al, ). The length of the interventions also varied greatly across the studies from 3 weeks (Cardi et al, ) to 28 weeks (Wagner et al, ), with a mean duration of 13.78 weeks ( SD = 6.88).…”

Section: Resultsmentioning

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

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“…Mobile apps can enhance psychoeducation by delivering clear and concise psychoeducational information linked to the topics being covered in therapy. As psychoeducation is seen as a major component of mobile intervention [50], it has been incorporated into several mobile apps, some of which have been shown to be efficacious in treating various psychiatric conditions, including stress [51], anxiety and depression [52], eating disorders [53], PTSD [54], and obsessive compulsive disorder (OCD) [55]. For example, Mayo Clinic Anxiety Coach is a mobile phone app “designed to deliver CBT for anxiety disorders, including OCD” [55].…”

Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Tang

Kreindler

2017

JMIR Ment Health

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Cognitive behavioral therapy (CBT) is one of the most effective psychotherapy modalities used to treat depression and anxiety disorders. Homework is an integral component of CBT, but homework compliance in CBT remains problematic in real-life practice. The popularization of the mobile phone with app capabilities (smartphone) presents a unique opportunity to enhance CBT homework compliance; however, there are no guidelines for designing mobile phone apps created for this purpose. Existing literature suggests 6 essential features of an optimal mobile app for maximizing CBT homework compliance: (1) therapy congruency, (2) fostering learning, (3) guiding therapy, (4) connection building, (5) emphasis on completion, and (6) population specificity. We expect that a well-designed mobile app incorporating these features should result in improved homework compliance and better outcomes for its users.

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“…It also focuses exclusively on palatable food intake and not on the consumption of all foods in general (Steptoe, Pollard, & Wardle, 1995). Individuals are not always aware of the motives behind their behavior and being aware of their motives is often the first step in changing behavior (Bandura, 1977; Cardi, Clarke, & Treasure, 2013). The PEMS is a tool that brings awareness to both the person being tested and the tester regarding the person’s motives behind consuming highly palatable foods or drinks.…”

Section: Introductionmentioning

confidence: 99%

Motives for eating tasty foods associated with binge-eating. Results from a student and a weight-loss seeking population

et al. 2014

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The aim of this study was to use the Palatable Eating Motives Scale (PEMS) to determine if and what motives for eating tasty foods (e.g., junk food, fast food, and desserts) are associated with binge-eating in two diverse populations. BMI and scores on the PEMS, Yale Food Addiction Scale (YFAS), and Binge-eating Scale (BES) were obtained from 247 undergraduates at the University of Alabama at Birmingham (UAB) and 249 weight-loss seeking patients at the UAB EatRight program. Regression analyses revealed that eating tasty foods to forget worries and problems and help alleviate negative feelings (i.e., the 4-item Coping motive) was associated with binge-eating independently of any variance in BES scores due to sex, age, ethnicity, BMI, other PEMS motives, and YFAS scores in both students (R2 = .57) and patients (R2 = .55). Coping also was associated with higher BMI in students (p < 0.01), and in patients despite their truncated BMI range (p < 0.05). Among students, the motives Conformity and Reward Enhancement were also independently associated with binge-eating. For this younger sample with a greater range of BES scores, eating for these motives, but not for Social ones, may indicate early maladaptive eating habits that could later develop into disorders characterized by binge-eating if predisposing factors are present. Thus, identifying one’s tasty food motive or motives can potentially be used to thwart the development of BED and obesity, especially if the motive is Coping. Identifying one’s PEMS motives should also help personalize conventional treatments for binge-eating and obesity toward improved outcomes.

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The Use of Guided Self‐help Incorporating a Mobile Component in People with Eating Disorders: A Pilot Study

Abstract: A guided self-help intervention incorporating a mobile component was both acceptable and associated with symptom change in people with EDs.

Cited by 20 publications

References 25 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

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Motives for eating tasty foods associated with binge-eating. Results from a student and a weight-loss seeking population

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