Young people's perceptions of and reasons for accessing a web‐based cognitive behavioural intervention for bulimia nervosa

Abstract

Web-based interventions have the potential to provide accessible, effective treatment to young people with bulimia nervosa (BN). More research is needed to determine which components are effective and for whom.

E-mental health – a land of unlimited possibilities

“…Many of these availed themselves of face-to-face treatment services for their eating disorder after using the email counselling, suggesting that a low-intensity service that is easily accessible and is perceived as helpful and non-stigmatising can be a stepping stone for more intensive treatment. This echoes earlier findings by Pretorius et al (2009Pretorius et al ( , 2010 in eating disordered adolescents the UK.…”

Pediatric eMental healthcare technologies: a systematic review of implementation foci in research studies, and government and organizational documents

“…Fourteen studies were from the USA [45–58], three from the United Kingdom [59–61], and one each from Australia [62], Canada [63], and New Zealand [64]. Across the studies, fourteen examined eMental healthcare technologies to be used by children and adolescents [45, 46, 48–51, 54–56, 59–62, 64], three examined technologies to be used by healthcare professionals when interacting with pediatric patients [47, 53, 63], and three examined technologies to be used by parents on behalf of their child [52, 57, 58].…”

“…Fourteen studies were from the USA [45–58], three from the United Kingdom [59–61], and one each from Australia [62], Canada [63], and New Zealand [64]. Across the studies, fourteen examined eMental healthcare technologies to be used by children and adolescents [45, 46, 48–51, 54–56, 59–62, 64], three examined technologies to be used by healthcare professionals when interacting with pediatric patients [47, 53, 63], and three examined technologies to be used by parents on behalf of their child [52, 57, 58]. One study was assessed as being of extremely poor quality, receiving a MMAT score of 0 [50], two studies were of poor quality and received a score of 50 [48, 49], six were of good quality and received a score of 75 [47, 51, 53, 56, 58, 61], and the remaining 11 were of excellent quality with a score of 100 [45, 46, 52, 54, 55, 57, 59, 60, 62–64].…”

“…Nurses or medical technicians logged the patient onto the website and registered them with a password and medical record number. The BHS-ED began with a slide and audio show that explained the rationale for the screening and the standard limits of confidentialityAdolescents, aged 14–18 years, without acute or critical injuries or illness, presenting with non-psychiatric symptomsEmergency department of an urban tertiary care children’s hospital✓Stallard et al(2010, UK) [61]cCBTFocus was whether mental health professionals would consider the delivery of CBT via computer technologyMental health professionalsNational conference, British Association of Behavioral and Cognitive Psychotherapy✓Pretorious et al(2010, UK) [59]Web-based CBT for bulimic disorders8 interactive, multimedia sessions, electronic message board for participants and parents, and email support provided by therapist (flexible weekly support and advice via email)Young women, aged 16–20 years, with bulimia nervosa or atypical bulimia nervosaClinic✓Horwitz et al(2008, USA) [58]CHADIS (Child Health and Development Interactive System)CHADIS provides access to 23 different questionnaires and asks parents prioritize their concerns so clinicians can plan agenda for the upcoming appointmentParents of children <8 years presenting for a well-child visit and pediatriciansPrimary care and community-based mental healthcare settings✓✓John et al(2007, USA) [47]Personal digital assistant (PDA) decision support system (DSS)Screening questions supporting the PDA application: Short Mood and Feeling Questionnaire (SMFQ) and four additional questions, two related to family history of depression and two related to suicidePediatric Advanced Practice Nursing students treating children aged 8 to 18 yearsUniversity-based medical centre✓Hanley et al(2006, UK) [60]Online counseling services for youth a CounselorsOnline forum✓ BPRS-C Brief Psychiatric Rating Scale for Children, CBT cognitive behavioral therapy, CGAS Children’s Global Assessment Scale, PHQ-9 Patient Health Questionnaire, SPARX Smart, Positive, Active, Realistic, X-factor thoughts, cCBT computerized cognitive behavioral therapy, NR Not reported a Intervention features are not reported as the study focused on identifying features to develop the intervention …”

Enhancing Self-Efficacy for Help-Seeking Among Transition-Aged Youth in Postsecondary Settings With Mental Health and/or Substance Use Concerns, Using Crowd-Sourced Online and Mobile Technologies: The Thought Spot Protocol

“…Transition-aged youth living with a mental illness are more likely than those not living with a mental illness to report engaging in various social networking activities that promote connectivity, anonymity, and making online friends, and activities that enable independent living skills and overcoming social isolation [87,88]. A recent scoping review of youth mental mHealth interventions found that the “flexibility, interactivity, and spontaneous nature” of mHealth interventions encouraged “persistent and continual access to care outside of clinical settings” for transition-aged youth [89].…”