Effectiveness of an online self‐help program, expert‐patient support, and their combination for eating disorders

Autor: Pieter J. Rohrbach, Alexandra E. Dingemans, Philip Spinhoven, Joost R. Van Ginkel, Marjolein Fokkema, Tom F. Wilderjans, Stephanie Bauer, Eric F. Van Furth
Přispěvatelé: RS-Research Line Clinical psychology (part of UHC program), Department of Clinical Psychology
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Eating Disorders, 55(10), 1361-1373. WILEY
Rohrbach, P, Dingemans, A E, Spinhoven, P, Ginkel, J R V, Fokkema, M, Wilderjans, T F, Bauer, S & Furth, E F V 2022, ' Effectiveness of an online self-help program, expert-patient support, and their combination for eating disorders : Results from a randomized controlled trial ', International Journal of Eating Disorders, vol. 55, no. 10, pp. 1361–1373 . https://doi.org/10.1002/eat.23785
International Journal of Eating Disorders, 55(10). John Wiley and Sons Inc.
International Journal of Eating Disorders, 55(10), 1361-1373. Wiley
ISSN: 0276-3478
Popis: OBJECTIVE: Many individuals with an eating disorder do not receive appropriate care. Low-threshold interventions could help bridge this treatment gap. The study aim was to evaluate the effectiveness of Featback, a fully automated online self-help intervention, online expert-patient support and their combination. METHOD: A randomized controlled trial with a 12-month follow-up period was conducted. Participants aged 16 or older with at least mild eating disorder symptoms were randomized to four conditions: (1) Featback, a fully automated online self-help intervention, (2) chat or email support from a recovered expert patient, (3) Featback with expert-patient support and (4) a waiting list control condition. The intervention period was 8 weeks and there was a total of six online assessments. The main outcome constituted reduction of eating disorder symptoms over time. RESULTS: Three hundred fifty five participants, of whom 43% had never received eating disorder treatment, were randomized. The three active interventions were superior to a waitlist in reducing eating disorder symptoms (d = -0.38), with no significant difference in effectiveness between the three interventions. Participants in conditions with expert-patient support were more satisfied with the intervention. DISCUSSION: Internet-based self-help, expert-patient support and their combination were effective in reducing eating disorder symptoms compared to a waiting list control condition. Guidance improved satisfaction with the internet intervention but not its effectiveness. Low-threshold interventions such as Featback and expert-patient support can reduce eating disorder symptoms and reach the large group of underserved individuals, complementing existing forms of eating disorder treatment. PUBLIC SIGNIFICANCE STATEMENT: Individuals with eating-related problems who received (1) a fully automated internet-based intervention, (2) chat and e-mail support by a recovered individual or (3) their combination, experienced stronger reductions in eating disorder symptoms than those who received (4) usual care. Such brief and easy-access interventions play an important role in reaching individuals who are currently not reached by other forms of treatment. ispartof: INTERNATIONAL JOURNAL OF EATING DISORDERS vol:55 issue:10 pages:1361-1373 ispartof: location:United States status: published
Databáze: OpenAIRE
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