ArticleThe International journal of eating disorders2017
The economic case for digital interventions for eating disorders among United States college students.
Article in The International journal of eating disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Modelling in economic evaluation of mental health prevention: current status and quality of studies.BMC health services research · 2022Pooled it
- Digital interventions in mental health: evidence syntheses and economic modelling.Health technology assessment (Winchester, England) · 2022Pooled it
- Cost-effectiveness evidence of mental health prevention and promotion interventions: A systematic review of economic evaluations.PLoS medicine · 2021Pooled it
- Systematic Review and Critique of Methods for Economic Evaluation of Digital Mental Health Interventions.Applied health economics and health policy · 2021Pooled it
- Digital Mental Health Interventions for Depression, Anxiety, and Enhancement of Psychological Well-Being Among College Students: Systematic Review.Journal of medical Internet research · 2019Pooled it
- Cost-effectiveness of three internet-based interventions for eating disorders: A randomized controlled trial.The International journal of eating disorders · 2022Trial
- How Engagement Changes Over Time in a Digital Eating Disorder App: Observational Study.JMIR mHealth and uHealth · 2025Observational
- Students' perceptions and experiences of an online well-being programme: a phenomenological study protocol.BMJ open · 2024Article
- What is needed for eating disorder prevention for transgender and gender diverse young adults? Findings from asynchronous online focus groups.Body image · 2024Article
- A pilot multiple-baseline study of a mobile cognitive behavioral therapy for the treatment of eating disorders in university students.The International journal of eating disorders · 2023Article
- Realizing the untapped promise of single-session interventions for eating disorders.The International journal of eating disorders · 2023Article
- Designing Digital Interventions for Eating Disorders.Current psychiatry reports · 2023Review
- Development and delivery cost of digital health technologies for mental health: Application to the Narrative Experiences Online Intervention.Frontiers in psychiatry · 2022Article
- COVID-19 and Youth Psychopathological Distress in Umbria, Central Italy: A 2-Year Observational Study in a Real-World Setting.Frontiers in psychiatry · 2022Article
- A Casual Video Game With Psychological Well-being Concepts for Young Adolescents: Protocol for an Acceptability and Feasibility Study.JMIR research protocols · 2021Article
- Estimated prevalence of eating disorders in Singapore.The International journal of eating disorders · 2021Article
- Cognitive-Behavioral Therapy in the Digital Age: Presidential Address.Behavior therapy · 2020Article
- User-centered design for technology-enabled services for eating disorders.The International journal of eating disorders · 2019Review
- Results of disseminating an online screen for eating disorders across the U.S.: Reach, respondent characteristics, and unmet treatment need.The International journal of eating disorders · 2019Article
- State-wide university implementation of an online platform for eating disorders screening and intervention.Psychological services · 2019Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveEating disorders (EDs) are serious health problems affecting college students. This article aimed to estimate the costs, in United States (US) dollars, of a stepped care model for online prevention and treatment among US college students to inform meaningful decisions regarding resource allocation and adoption of efficient care delivery models for EDs on college campuses.
methodsUsing a payer perspective, we estimated the costs of (1) delivering an online guided self-help (GSH) intervention to individuals with EDs, including the costs of "stepping up" the proportion expected to "fail"; (2) delivering an online preventive intervention compared to a "wait and treat" approach to individuals at ED risk; and (3) applying the stepped care model across a population of 1,000 students, compared to standard care.
resultsCombining results for online GSH and preventive interventions, we estimated a stepped care model would cost less and result in fewer individuals needing in-person psychotherapy (after receiving less-intensive intervention) compared to standard care, assuming everyone in need received intervention.
conclusionsA stepped care model was estimated to achieve modest cost savings compared to standard care, but these estimates need to be tested with sensitivity analyses. Model assumptions highlight the complexities of cost calculations to inform resource allocation, and considerations for a disseminable delivery model are presented. Efforts are needed to systematically measure the costs and benefits of a stepped care model for EDs on college campuses, improve the precision and efficacy of ED interventions, and apply these calculations to non-US care systems with different cost structures.
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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.