scholarly journals Web-Based Fully Automated Self-Help With Different Levels of Therapist Support for Individuals With Eating Disorder Symptoms: A Randomized Controlled Trial

2016 ◽  
Vol 18 (6) ◽  
pp. e159 ◽  
Author(s):  
Jiska J Aardoom ◽  
Alexandra E Dingemans ◽  
Philip Spinhoven ◽  
Joost R van Ginkel ◽  
Mark de Rooij ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Eating Disorder ◽  
Controlled Trial ◽  
Web Based ◽  
Eating Disorder Symptoms ◽  
Randomized Controlled ◽  
Self Help ◽  
Different Levels ◽  
Therapist Support

scholarly journals Comparing a Tailored Self-Help Mobile App With a Standard Self-Monitoring App for the Treatment of Eating Disorder Symptoms: Randomized Controlled Trial

10.2196/14972 ◽  
2019 ◽  
Vol 6 (11) ◽  
pp. e14972 ◽  
Author(s):  
Jenna Tregarthen ◽  
Jane Paik Kim ◽  
Shiri Sadeh-Sharvit ◽  
Eric Neri ◽  
Hannah Welch ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Eating Disorder ◽  
Controlled Trial ◽  
Mobile App ◽  
Traditional Treatment ◽  
Eating Disorder Symptoms ◽  
Randomized Controlled ◽  
Self Help ◽  
Disorder Symptom

Background Eating disorders severely impact psychological, physical, and social functioning, and yet, the majority of individuals with eating disorders do not receive treatment. Mobile health apps have the potential to decrease access barriers to care and reach individuals who have been underserved by traditional treatment modalities. Objective The objective of this study was to evaluate the effectiveness of a tailored, fully automated self-help version of Recovery Record, an app developed for eating disorders management. We examined differences in eastin disorder symptom change in app users that were randomized to receive either a standard, cognitive behavioral therapy–based version of the app or a tailored version that included algorithmically determined clinical content aligned with baseline and evolving user eating disorder symptom profiles. Methods Participants were people with eating disorder symptoms who did not have access to traditional treatment options and were recruited via the open-access Recovery Record app to participate in this randomized controlled trial. We examined both continuous and categorical clinical improvement outcomes (measured with the self-report Eating Disorder Examination Questionnaire [EDE-Q]) in both intervention groups. Results Between December 2016 and August 2018, 3294 Recovery Record app users were recruited into the study, out of which 959 were considered engaged, completed follow-up assessments, and were included in the analyses. Both study groups achieved significant overall outcome improvement, with 61.6% (180/292) of the tailored group and 55.4% (158/285) of the standard group achieving a clinically meaningful change in the EDE-Q, on average. There were no statistically significant differences between randomized groups for continuous outcomes, but a pattern of improvement being greater in the tailored group was evident. The rate of remission on the EDE-Q at 8 weeks was significantly greater in the group receiving the tailored version (d=0.22; P≤.001). Conclusions This is the first report to compare the relative efficacy of two versions of a mobile app for eating disorders. The data suggest that underserved individuals with eating disorder symptoms may benefit clinically from a self-help app and that personalizing app content to specific clinical presentations may be more effective in promoting symptomatic remission on the EDE-Q than content that offers a generic approach. Trial Registration ClinicalTrials.gov NCT02503098; https://clinicaltrials.gov/ct2/show/NCT02503098.

scholarly journals Comparing a Tailored Self-Help Mobile App With a Standard Self-Monitoring App for the Treatment of Eating Disorder Symptoms: Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Jenna Tregarthen ◽  
Jane Paik Kim ◽  
Shiri Sadeh-Sharvit ◽  
Eric Neri ◽  
Hannah Welch ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Eating Disorder ◽  
Controlled Trial ◽  
Mobile App ◽  
Traditional Treatment ◽  
Eating Disorder Symptoms ◽  
Randomized Controlled ◽  
Self Help ◽  
Disorder Symptom

BACKGROUND Eating disorders severely impact psychological, physical, and social functioning, and yet, the majority of individuals with eating disorders do not receive treatment. Mobile health apps have the potential to decrease access barriers to care and reach individuals who have been underserved by traditional treatment modalities. OBJECTIVE The objective of this study was to evaluate the effectiveness of a tailored, fully automated self-help version of <italic>Recovery Record</italic>, an app developed for eating disorders management. We examined differences in eastin disorder symptom change in app users that were randomized to receive either a standard, cognitive behavioral therapy–based version of the app or a tailored version that included algorithmically determined clinical content aligned with baseline and evolving user eating disorder symptom profiles. METHODS Participants were people with eating disorder symptoms who did not have access to traditional treatment options and were recruited via the open-access <italic>Recovery Record</italic> app to participate in this randomized controlled trial. We examined both continuous and categorical clinical improvement outcomes (measured with the self-report Eating Disorder Examination Questionnaire [EDE-Q]) in both intervention groups. RESULTS Between December 2016 and August 2018, 3294 <italic>Recovery Record</italic> app users were recruited into the study, out of which 959 were considered engaged, completed follow-up assessments, and were included in the analyses. Both study groups achieved significant overall outcome improvement, with 61.6% (180/292) of the tailored group and 55.4% (158/285) of the standard group achieving a clinically meaningful change in the EDE-Q, on average. There were no statistically significant differences between randomized groups for continuous outcomes, but a pattern of improvement being greater in the tailored group was evident. The rate of remission on the EDE-Q at 8 weeks was significantly greater in the group receiving the tailored version (<italic>d</italic>=0.22; <italic>P</italic>≤.001). CONCLUSIONS This is the first report to compare the relative efficacy of two versions of a mobile app for eating disorders. The data suggest that underserved individuals with eating disorder symptoms may benefit clinically from a self-help app and that personalizing app content to specific clinical presentations may be more effective in promoting symptomatic remission on the EDE-Q than content that offers a generic approach. CLINICALTRIAL ClinicalTrials.gov NCT02503098; https://clinicaltrials.gov/ct2/show/NCT02503098.

scholarly journals Effectiveness of a Web-Based Self-Help Program for Suicidal Thinking in an Australian Community Sample: Randomized Controlled Trial

2018 ◽  
Vol 20 (2) ◽  
pp. e15 ◽  
Author(s):  
Bregje AJ van Spijker ◽  
Aliza Werner-Seidler ◽  
Philip J Batterham ◽  
Andrew Mackinnon ◽  
Alison L Calear ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Community Sample ◽  
Web Based ◽  
Suicidal Thinking ◽  
Randomized Controlled ◽  
Self Help ◽  
Australian Community
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