Development of a Guided Self-help Mobile App to Improve Treatment Outcomes for Individuals with Eating Disorders
Led by University of Palermo · Updated on 2024-12-13
242
Participants Needed
1
Research Sites
13 weeks
Total Duration
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Sponsors
U
University of Palermo
Lead Sponsor
U
University of Catanzaro
Collaborating Sponsor
AI-Summary
What this Trial Is About
Eating disorders are psychiatric illnesses involving harmful eating behaviors, from prolonged undereating to repeated loss of control over eating. These disorders are often triggered and maintained by interpersonal distress and difficulties managing negative emotions. This research aims to evaluate an online personalized guided self-help program delivered via a mobile app to improve treatment adherence and outcomes for individuals with eating disorders, by testing its effectiveness in both community and outpatient settings.
The study includes two randomized controlled trials with 242 participants aged 18 and older who have eating disorder symptoms or diagnoses. The intervention lasts eight weeks and features self-help materials, including written workbooks and video clips, weekly online forum chats with peer mentors, and online interpersonal group sessions led by experienced clinicians. Participants in the outpatient setting receive guided self-help plus interpersonal therapy in addition to their usual treatment, while those in the community setting receive guided self-help without group sessions or treatment as usual.
Participants will complete assessments at the start, end of treatment (8 weeks), and three-month follow-up. These include measures of psychological distress, eating disorder symptoms, interpersonal problems, motivation for treatment, emotion regulation, and satisfaction with treatment. The study also tracks if community participants begin clinical treatment during or after the trial. Researchers will analyze how the quality of the relationship with mentors relates to clinical changes during the intervention.
CONDITIONS
Brief Title
INTERconNEcT-Eds: a Guided Self-help Mobile App to Improve Outcome in Eating Disorders
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Participants must be 18 years or older
For study 1: Have a clinician-formulated diagnosis of an eating disorder (anorexia nervosa, bulimia nervosa, binge eating disorder, or other specified feeding or eating disorder) based on DSM-5-TR
For study 1: Have started treatment as usual within the past 12 months
For study 2: Have a score greater than 2.77 on the Eating Disorders Examination Questionnaire
For study 2: Not currently receiving treatment for eating disorder symptoms but regularly monitored by a primary care physician
Have access to internet via a mobile device
Must speak Italian
You will not qualify if you...
Acute psychosis
Clinical depression or suicidal ideation
Pregnancy
Use of medication that might influence eating behavior
Neurological impairment
Visual impairment
Intellectual disability
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) for eligibility assessment and baseline questionnaires
Outpatient Treatment with Guided Self-help plus Interpersonal Therapy
Duration - 8 weeks
Participants with a diagnosed eating disorder receive access to self-help materials via a mobile app, including workbooks and video clips, weekly online forum groups with peer mentors, and weekly 90-minute online interpersonal group sessions led by clinicians for 8 weeks.
Weekly online group sessions and forum participation
Outpatient Treatment with Guided Self-help
Duration - 8 weeks
Participants have access to self-help materials through a mobile app, including workbooks and video clips, and participate in weekly online forum groups with peer mentors for 8 weeks, without interpersonal group sessions.
Weekly online forum sessions
Outpatient Treatment as Usual
Duration - 8 weeks
Participants receive routine care for eating disorders as provided by their treatment center, which may vary between centers.
Visits as per routine care at treatment centers
Community Setting Guided Self-help
Duration - 8 weeks
Participants with symptoms of eating disorders not currently receiving treatment access self-help materials via a mobile app, including workbooks and video clips, and participate in weekly online forum groups with peer mentors for 8 weeks.
Weekly online forum sessions
Community Setting No Treatment
Duration - 8 weeks
Participants with sub-threshold eating disorder symptoms attend regular visits with their primary care physician without receiving additional treatment through the study.
Regular visits with primary care physician as usual
Follow-up
Duration - 3 months
Participants are followed up to assess outcomes including psychological distress, eating disorder symptoms, and quality of life after the 8-week intervention period.
1 follow-up visit or remote assessment
Trial Site Locations
Total: 1 location
1
Outpatient Unit for Clinical research and Treatment of Eating Disorders. University Hospital Mater Domini
The feasibility, acceptability and clinical impact of a guided self-help mobile intervention (INTERconNEcT-EDs) for individuals with eating disorders: protocol for two multicenter randomized controlled trials.