Randomized Controlled Trial of an Internet-Based Cognitive-Behavioral Treatment Program for Binge-Eating Disorder

Wagner, Birgit; Nagl, Michaela; Dölemeyer, Ruth; Klinitzke, Grit; Steinig, Jana; Hilbert, Anja; Kersting, Anette

doi:10.1016/j.beth.2016.01.006

Cited by 46 publications

(49 citation statements)

References 46 publications

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“…In the field of eating disorders, the growing number of reviews on the use of technology, the Internet, and mobile applications (“apps”) for the treatment of eating disorders demonstrates the high level of interest in this area (Aardoom, Dingemans, & Van Furth, 2013; Aardoom, Dingemans, Spinhoven, & Van Furth, 2016; Agras, Fitzsimmons‐Craft, & Wilfley, , in press; Ambwani, Cardi, & Treasure, ; Bauer & Moessner, ; Dolemeyer, Tietjen, Kersting, & Wagner, ; Fairburn & Rothwell, ; Loucas et al, ; Schlegl, Burger, Schmidt, Herbst, & Voderholzer, ; Shingleton, Richards, & Thompson‐Brenner, ). Just considering randomized controlled trials that have utilized technology for CBT delivery for individuals with clinical eating disorders, great advances have been made—from the testing of unguided CD‐ROM‐based programs (Schmidt et al, ; Shapiro et al, ) to email as a vehicle for therapist input (Ljotsson et al, ; Robinson & Serfaty, ) to Internet‐based CBT (Aardoom et al, ; Agras et al, , in press; Carrard et al, ; Ruwaard et al, ; Sanchez‐Ortiz et al, ; ter Huurne et al, ; Wagner et al, ). This research is in its infancy, and additional studies with stronger methodology are needed, as the majority compared Internet‐based CBT for eating disorders to a waitlist control.…”

Section: Addressing Critical Gaps In Treatmentmentioning

confidence: 99%

Addressing critical gaps in the treatment of eating disorders

Kazdin

Fitzsimmons‐Craft

Wilfley

2017

Intl J Eating Disorders

242

234

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Remarkable progress has been made in developing psychosocial interventions for eating disorders and other mental disorders. Two priorities in providing treatment consist of addressing the research-practice gap and the treatment gap. The research-practice gap pertains to the dissemination of evidence-based treatments from controlled settings to routine clinical care. Closing the gap between what is known about effective treatment and what is actually provided to patients who receive care is crucial in improving mental health care, particularly for conditions such as eating disorders. The treatment gap pertains to extending treatments in ways that will reach the large number of people in need of clinical care who currently receive nothing. Currently, in the United States (and worldwide), the vast majority of individuals in need of mental health services for eating disorders and other mental health problems do not receive treatment. This article discusses the approaches required to better ensure: 1) that more people who are receiving treatment obtain high-quality, evidence-based care, using such strategies as train-the-trainer, web-centered training, best-buy interventions, electronic support tools, higher-level support and policy; and 2) that a higher proportion of those who are currently underserved receive treatment, using such strategies as task shifting and disruptive innovations, including treatment delivery via telemedicine, the Internet, and mobile apps.

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Section: Addressing Critical Gaps In Treatmentmentioning

confidence: 99%

Addressing critical gaps in the treatment of eating disorders

Kazdin

Fitzsimmons‐Craft

Wilfley

2017

Intl J Eating Disorders

242

234

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“…The authors concluded that Internet-based CBT may be associated with a slower trajectory of changes, but reasons for this observation remain to be elucidated (38). Wagner et al conducted a randomized controlled trial to determine the effectiveness of an Internet-based cognitivebehavioral intervention for adults with BED (39). This intervention also aimed to evaluate the stability of treatment results over a period of 12 months.…”

Section: E-health Interventions With Therapist Supportmentioning

confidence: 99%

Review of Randomized Controlled Trials Using e-Health Interventions for Patients With Eating Disorders

2020

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Background: In a world of technological advancements, electronic devices and services seem to be a promising way to increase patients' engagement in treatment and to help manage their symptoms. Here, we identified and analyzed the current evidence of RCTs to evaluate the effectiveness and acceptability of e-health interventions in the eating disorder (ED) field. Methods: We screened an initial cluster of 581 papers. In the end, 12 RCTs in clinical ED cohorts were included. Results: Some studies were conceived as stand-alone interventions, while others were presented as add-ons to ED-specific treatments. Studies varied in the type of EDs under investigation and in the e-health intervention applied (with vs. without therapist support vs. blended interventions; smartphone-vs. web-based). Only four studies reported explicit acceptability measures. Out of those, two reported high acceptability, one reported low acceptability, and one reported no significant difference in acceptability between groups. Four studies reported higher effectiveness of the e-health intervention compared to the control condition, e.g., reduction in maladaptive eating behaviors. Regarding control groups, three used a wait list design and nine had another kind of intervention (e.g., faceto-face CBT, or treatment as usual) as control. Discussion: So far, the evidence for acceptability and effectiveness of e-health interventions in EDs is very limited. There is also a lack of studies in older patients, adolescents, men, sexual and ethnic minorities. Shame/stigma is discussed in the context of e-health interventions for EDs. It remains unclear how severity of EDs affects the effectiveness of e-health interventions, how patients can channel the knowledge they acquire from e-health interventions into their actual behaviors, and how such interventions can better fit the needs of the individual patient to increase acceptability and effectiveness.

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“…Reductions in the number of binge-eating episodes could be maintained from posttreatment to 12-month follow-up. Furthermore, the intervention significantly reduced scores on all secondary eating psychopathology outcomes [48].…”

Section: Effectiveness Of Web-based Psychotherapy Inmentioning

confidence: 94%