ArticleJournal of medical Internet research2013
Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study.
Article in Journal of medical Internet research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Biomarkers of Response to Internet-Based Psychological Interventions: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Pooled it
- Technology-delivered adaptations of motivational interviewing for health-related behaviors: A systematic review of the current research.Patient education and counseling · 2016Pooled it
- Web-Based Cognitive Behavioral Therapy for Female Patients With Eating Disorders: Randomized Controlled Trial.Journal of medical Internet research · 2015Trial
- Trial
- Factors influencing attrition in a multisite, randomized, clinical trial following traumatic brain injury in adolescence.The Journal of head trauma rehabilitationTrial
- Design, Implement, Sustain: Advancing Program-Led Interventions for Binge Eating, a Narrative Review.European eating disorders review : the journal of the Eating Disorders Association · 2026Review
- Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review.Journal of medical Internet research · 2021Review
- The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature.JMIR medical informatics · 2016Article
- Internet-based motivation program for women with eating disorders: eating disorder pathology and depressive mood predict dropout.Journal of medical Internet research · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough eating disorders are common in the Netherlands, only a few patients are treated by mental health care professionals. To reach and treat more patients with eating disorders, Tactus Addiction Treatment developed a web-based treatment program with asynchronous and intensive personalized communication between the patient and the therapist.
objectiveThis pilot study evaluated the web-based treatment program using intensive therapeutic contact in a population of 165 patients with an eating disorder.
methodsIn a pre-post design with 6-week and 6-month follow-ups, eating disorder psychopathology, body dissatisfaction, Body Mass Index, physical and mental health, and quality of life were measured. The participant's satisfaction with the web-based treatment program was also studied. Attrition data were collected, and participants were classified as noncompleters if they did not complete all 10 assignments of the web-based treatment program. Differences in baseline characteristics between completers and noncompleters were studied, as well as reasons for noncompletion. Furthermore, differences in treatment effectiveness, treatment adherence, and baseline characteristics between participants of the three major eating disorder diagnostic groups EDNOS (n=115), BN purging (n=24), and BN nonpurging (n=24) were measured.
resultsOf the 165 participants who started the web-based treatment program, 89 participants (54%) completed all of the program assignments (completers) and 76 participants (46%) ended the program prematurely (noncompleters). Severe body dissatisfaction and physical and mental health problems seemed to have a negative impact on the completion of the web-based treatment program. Among the participants who completed the treatment program, significant improvements were found in eating disorder psychopathology (F=54.6, df = 68, P<.001, d=1.14). Body dissatisfaction, quality of life, and physical and mental health also significantly improved, and almost all of these positive effects were sustained up to 6 months after the participants had completed the web-based treatment program. Body Mass Index improved only within the group of participants suffering from obesity. The improvement in eating disorder psychopathology occurred in all three eating disorder diagnostic groups, and the percentage of completers did not differ significantly between these groups. Participants' satisfaction with the treatment program, as well as with their therapist, was high, and participants indicated that they would recommend the program to other patients with eating disorders.
conclusionsThe results of this study suggest that the web-based treatment program has the potential to improve eating disorder psychopathology in patients with different types of eating disorders.
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