Evidence map›Paper›PMID 25461787›Full record

SynthesisBehaviour research and therapy2014

E-therapy in the treatment and prevention of eating disorders: A systematic review and meta-analysis.

Christina E Loucas, Christopher G Fairburn, Craig Whittington, Mary E Pennant, Sarah Stockton, Tim Kendall

3 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Behaviour research and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 70 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 11 pooled it
16.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03197519 nacompletednot on this mapstarted 2017, after this paper: background citation

Evaluation of a Treatment Program for Eating Disorders That Combines Face-to-face Cognitive Behavioural Treatment With an Online Intervention Using the TCapp Application, Within the Framework of Broader Research Project Entitled mHealth: Challenges and Opportunities for Health Systems

TypeinterventionalSponsorUniversitat Oberta de CatalunyaRan2017 to 2018Enrolled108ConditionsmHealth, Eating DisorderArmsTCApp, TAU
NCT04562948 completednot on this mapstarted 2020, after this paper: background citation

Community Applications of the MindShift App

TypeobservationalSponsorUniversity of WindsorRan2020 to 2022Enrolled380ConditionsAnxiety, Depression, Anxiety Generalized, Anxiety Disorders and Symptoms
NCT07247955 nacompletednot on this mapstarted 2023, after this paper: background citation

Effectiveness of the Guided and Traditional Cognitive Behavioral Therapy Protocol in a Patient With Treatment-resistant Panic Disorder

TypeinterventionalSponsorUniversidade Federal do Rio de JaneiroRan2023 to 2025Enrolled46ConditionsPanic DisorderArmsThe group intervention used the sessions described in traditional form, The group intervention used the sessions described in a self-guided format using an application
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 11 syntheses or guidelines pooled it, 183 citations in OpenAlex.

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  11. Bulimia nervosa: online interventions.BMJ clinical evidence · 2015
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christina E LoucasNational Collaborating Centre for Mental Health (NCCMH), 21 Prescot Street, London, E1 8BB, United Kingdom. Electronic address: c.e.loucas@gmail.com.
Christopher G FairburnCentre for Research on Eating Disorders at Oxford (CREDO), University Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, United Kingdom.
Craig WhittingtonNational Collaborating Centre for Mental Health (NCCMH), 21 Prescot Street, London, E1 8BB, United Kingdom.
Mary E PennantNational Collaborating Centre for Mental Health (NCCMH), 21 Prescot Street, London, E1 8BB, United Kingdom.
Sarah StocktonNational Collaborating Centre for Mental Health (NCCMH), 21 Prescot Street, London, E1 8BB, United Kingdom.
Tim KendallNational Collaborating Centre for Mental Health (NCCMH), 21 Prescot Street, London, E1 8BB, United Kingdom.
Centre for Mental Health · GBWarneford Hospital · GB

Funding

Wellcome Trust 046386Wellcome Trust 094585
6 · The paper itself

Abstract

The widespread availability of the Internet and mobile-device applications (apps) is changing the treatment of mental health problems. The aim of the present study was to review the research on the effectiveness of e-therapy for eating disorders, using the methodology employed by the UK's National Institute for Health and Care Excellence (NICE). Electronic databases were searched for published randomised controlled trials of e-therapies, designed to prevent or treat any eating disorder in all age groups. Studies were meta-analysed where possible, and effect sizes with confidence intervals were calculated. The GRADE approach was used to determine the confidence in the effect estimates. Twenty trials met the inclusion criteria. For prevention, a CBT-based e-intervention was associated with small reductions in eating disorder psychopathology, weight concern and drive for thinness, with moderate confidence in the effect estimates. For treatment and relapse prevention, various e-therapies showed some beneficial effects, but for most outcomes, evidence came from single studies and confidence in the effect estimates was low. Overall, although some positive findings were identified, the value of e-therapy for eating disorders must be viewed as uncertain. Further research, with improved methods, is needed to establish the effectiveness of e-therapy for people with eating disorders.

Indexed as

InternetAdolescentAdultCognitive Behavioral TherapyFeeding and Eating DisordersFemaleHumansMaleRandomized Controlled Trials as TopicSecondary PreventionTelemedicineYoung AdultCognitive behavior therapyEating disordersInternetLiterature reviewMeta-analysisOnline therapy

Identifiers

PMID25461787
PMCPMC4271736
OpenAlexW2134148030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.