Co-design of a single session intervention chatbot for people on waitlists for eating disorder treatment: a qualitative interview and workshop study
Journal of Eating Disorders,
Journal Year:
2025,
Volume and Issue:
13(1)
Published: March 11, 2025
Abstract
Background
Early
treatment
is
critical
to
improve
eating
disorder
prognosis.
Single
session
interventions
have
been
proposed
as
a
strategy
provide
short
term
support
people
on
waitlists
for
treatment,
however,
it
not
always
possible
access
this
early
intervention.
Conversational
artificial
intelligence
agents
or
“chatbots”
reflect
unique
opportunity
attempt
fill
gap
in
service
provision.
The
aim
of
research
was
co-design
novel
chatbot
capable
delivering
single
intervention
adults
the
waitlist
across
diagnostic
spectrum
and
ascertain
its
preliminary
acceptability
feasibility.
Methods
A
Double
Diamond
approach
employed
which
included
four
phases:
discover,
define,
develop,
deliver.
There
were
17
participants
total
Australia;
ten
with
lived
experience
an
seven
registered
psychologists
working
field
disorders,
who
participated
online
interviews
workshops.
Thematic
content
analyses
undertaken
interview/workshop
transcriptions
findings
from
previous
phase
informing
ideas
development
next
phase.
final
prototype
presented
deliver
Results
identified
main
themes
that
present
phases
interviews/workshops:
conversational
tone,
safety
risk
management,
user
journey
structure,
content.
Conclusions
Overall,
feedback
positive
throughout
process
both
psychologists.
Incorporating
allowed
refinement
chatbot.
Further
required
evaluate
chatbot’s
efficacy
settings.
Language: Английский
A Pilot Study of “Help for Overcoming Problem Eating” (HOPE): A Single Session Intervention for College Students With Binge‐Spectrum Eating Disorders
International Journal of Eating Disorders,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 27, 2025
ABSTRACT
Introduction
Eating
disorders
(EDs)
are
common
among
university
students,
yet
most
students
with
EDs
do
not
have
access
to
ED‐related
care
on
their
campuses.
Objective
The
goal
of
this
study
was
test
the
initial
acceptability
and
feasibility
H
elp
for
O
vercoming
P
roblem
E
ating
(HOPE),
first
digital
single‐session
intervention
designed
reduce
binge
eating
college
non‐low‐weight
binge‐spectrum
EDs.
Method
Seventy‐five
completed
HOPE
answered
questions
about
user
perceptions
program
following
completion.
They
also
baseline,
1‐week,
4‐week
follow‐up
questionnaires
assessing
ED
symptoms.
Results
Of
eligible
participants
(
N
=
190),
70.52%
n
134)
consented
study,
42.63%
81)
started
HOPE,
39.47%
75)
HOPE.
Descriptive
statistics
showed
that
highly
acceptable,
a
scaled
mean
overall
score
4.35
out
5.
Paired
Sample
t
‐tests
there
were
significant
reductions
in
p
<
0.001,
1‐week
d
0.86,
0.98),
restricting
0.52,
0.41),
cognitive
restraint
0.63,
0.87)
Discussion
demonstrated
preliminary
efficacy
those
who
intervention.
Further
testing
randomized
controlled
trial
design
is
warranted.
Although
current
findings
provided
promising
pilot
data,
additional
research
needed
identify
reasons
attrition/nonparticipation
barriers
Language: Английский
Mental Health Impacts of Self‐Help Interventions for the Treatment and Prevention of Eating Disorders. A Meta‐Analysis
International Journal of Eating Disorders,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 3, 2025
ABSTRACT
Objective
Self‐help
programs
are
recommended
as
a
first
step
in
the
management
of
eating
disorders.
Yet,
whether
self‐help
interventions
have
broader
mental
health
benefits
beyond
symptom
and
risk
reduction
remains
unclear.
As
randomized
controlled
trials
(RCTs)
also
assess
general
secondary
to
disorder
symptoms,
we
conducted
meta‐analysis
investigate
what
extent
pure
for
disorders
produce
improvements
these
outcomes.
Method
Twenty‐seven
RCTs
prevention
or
treatment
were
included.
Mean
age
ranged
from
16
46
years.
Most
based
on
cognitive‐behavioral
therapy.
delivered
via
digital
means
(Internet,
apps,
etc.).
Random
effects
meta‐analyses
six
outcomes:
depression,
anxiety,
distress,
quality
life,
self‐esteem,
psychosocial
impairment.
Analyses
stratified
pre‐selected
(at
risk/symptomatic)
clinical
samples.
Results
For
samples
(
k
=
18),
significant
pooled
favoring
over
controls
observed
depression
g
0.24),
anxiety
0.23),
distress
0.23)
self‐esteem
0.18).
Effects
remained
robust
when
adjusting
bias.
Non‐significant
life
Crucially,
>
80%
waitlist
control.
9),
found
0.39),
impairment
0.29),
although
results
should
be
interpreted
with
caution
number
studies
was
low.
Conclusion
small
those
symptoms
that
typically
comorbid
Language: Английский
Predicting Responsiveness to a Dialectical Behavioural Therapy Skills Training App for Recurrent Binge Eating: A Machine Learning Approach
Behaviour Research and Therapy,
Journal Year:
2025,
Volume and Issue:
190, P. 104755 - 104755
Published: April 22, 2025
Language: Английский
Engagement Patterns and User Feedback from a Dialectical Behavior Therapy App for Eating Disorders
Journal of Technology in Behavioral Science,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 7, 2025
Language: Английский
The effect of eHealth-based guided self help interventions for binge eating disorder : a meta-analysis of randomized controlled trials
Eating Disorders,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 23
Published: May 5, 2025
With
rapid
technological
advancements,
eHealth-based
guided
self-help
interventions
have
become
accessible,
flexible,
cost-effective,
and
stigma-reducing
treatment
options
for
binge
eating
disorder
(BED).
This
meta-analysis
evaluated
the
effectiveness
of
these
in
individuals
diagnosed
with
BED
or
showing
symptoms,
based
on
eight
randomized
controlled
trials
1,575
participants.
Intervention
length
varied
between
a
single
session
to
four
months.
Six
studies
focused
solely
web-based
interventions,
one
study
implemented
hybrid
approach
combining
face-to-face
online
components,
another
employed
two
distinct
methods.
The
included
psychoeducational
modules,
therapist
feedback,
behavior
monitoring,
self-assessments.
significantly
reduced
psychopathology
(SMD:
0.53;
95%
CI:
0.20-0.86)
objective
(OBE)
days
0.49;
0.12-0.85)
compared
controls.
These
offer
effective
solutions
facing
barriers
traditional
access.
Language: Английский
A dialectical behavior therapy skills training smartphone app for recurrent binge eating: a randomized clinical trial
Psychological Medicine,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 12
Published: Dec. 9, 2024
Abstract
Background
Dialectical
behavior
therapy
(DBT)
is
a
specialized
treatment
that
has
growing
evidence
base
for
binge-spectrum
eating
disorders.
However,
cost
and
workforce
capacity
limit
wide-scale
uptake
of
DBT
since
it
involves
over
20
in-person
sessions
with
trained
professional
(and
six
guided
self-help
format).
Interventions
translated
delivery
through
modern
technology
offer
solution
to
increase
the
accessibility
evidence-based
treatments.
We
developed
first
DBT-specific
skills
training
smartphone
application
(
Resilience
:
eDBT
)
disorders
evaluated
its
efficacy
in
randomized
clinical
trial.
Method
Participants
reporting
recurrent
binge
were
n
=
287)
or
waitlist
289).
Primary
outcomes
objective
episodes
global
levels
disorder
psychopathology.
Secondary
behavioral
cognitive
symptoms,
psychological
distress,
hypothesized
processes
change
(mindfulness,
emotion
regulation,
distress
tolerance).
Results
Intention-to-treat
analyses
showed
intervention
group
reported
greater
reductions
(incidence
rate
ratio
0.69)
psychopathology
d
−0.68)
than
at
6
weeks.
Significant
differences
favoring
also
observed
on
secondary
outcomes,
except
subjective
eating,
tolerance.
symptoms
further
improvements
from
12
dropout
was
high
(48%)
among
group,
engagement
decreased
study
period.
Conclusion
A
novel,
low-intensity
app
can
effectively
reduce
Scalable
apps
like
these
may
Language: Английский
We Have Spent Time, Money, and Effort Making Self-Help Digital Mental Health Interventions: Is Anyone Going to Come to the Party?
Journal of Medical Internet Research,
Journal Year:
2024,
Volume and Issue:
26, P. e58198 - e58198
Published: Sept. 19, 2024
Although
efficacious
psychotherapies
exist,
a
limited
number
of
mental
health
care
providers
and
significant
demand
make
their
accessibility
fundamental
problem.
Clinical
researchers,
funders,
investors
alike
have
converged
on
self-help
digital
interventions
(self-help
DMHIs)
as
low-cost,
low-burden,
broadly
scalable
solution
to
the
global
burden.
Consequently,
exorbitant
financial
time-based
resources
been
invested
in
developing,
testing,
disseminating
these
interventions.
However,
public’s
assumed
desirability
for
DMHIs
by
experts
has
largely
proceeded
without
question.
This
commentary
critically
evaluates
whether
can,
will,
reach
purported
potential
public
burden
illness,
with
an
emphasis
evaluating
real-world
desirability.
Our
review
finds
that
are
often
perceived
less
desirable
credible
than
in-person
treatments,
lower
usage
rates
and,
perhaps
accordingly,
clinical
trials
testing
suffering
from
widespread
recruitment
challenges.
We
highlight
two
challenges
may
be
interfering
of,
engagement
in,
DMHIs:
(1)
difficulty
competing
technology
companies
advantages
resources,
marketing,
user
experience
design
(but
not
delivering
evidence-based
interventions)
(2)
retaining
(vs
initially
attracting)
users.
discuss
range
solutions,
including
highlighting
awareness
campaigns;
education
about
can
guide
consumers
appropriate
DMHI
selection;
increased
expert
support
researchers
design,
development;
involvement
stakeholders
DMHIs;
investing
more
research
ways
improve
retention
(versus
initial
engagement).
suggest
that,
through
efforts,
fully
realize
promise
reducing
illness.
Language: Английский