Evidence map›Paper›PMID 30761560›Full record

ArticleThe International journal of eating disorders2019

Results of disseminating an online screen for eating disorders across the U.S.: Reach, respondent characteristics, and unmet treatment need.

Ellen E Fitzsimmons-Craft, Katherine N Balantekin, Andrea K Graham, Lauren Smolar, Dan Park, Claire Mysko, Burkhardt Funk, C Barr Taylor, Denise E Wilfley

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
12.2field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
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  4. Leveraging Technology to Enhance Eating Disorder Treatment Outcomes.The Psychiatric clinics of North America · 2026
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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

9 authors at 6 institutions in 3 countries.

Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-7064-3835
Katherine N BalantekinDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York.
Andrea K GrahamDepartment of Medical Social Sciences, Northwestern University, Chicago, Illinois.
Lauren SmolarNational Eating Disorders Association, New York, New York.
Dan ParkNational Eating Disorders Association, New York, New York.
Claire MyskoNational Eating Disorders Association, New York, New York.
Burkhardt FunkInstitute of Information Systems, Leuphana University, Lüneburg, Germany.
C Barr TaylorDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
National Eating Disorders Association · USWashington University in St. Louis · USLeuphana University of Lüneburg · DENorthwestern University · USNutrition Sciences (Belgium) · BEPalo Alto University · US

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
WUSTL Transdisciplinary Pre- and Postdoctoral Training Program in Obesity and Cardiovascular DiseaseT32HL130357 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2016 to 2025
$4.3M
Using Technology to Improve Eating Disorders TreatmentR01MH100455 · NIMH · WASHINGTON UNIVERSITY · PI TAYLOR, CRAIG BARR, WILFLEY, DENISE ELLA · 2013 to 2017
$3.4M
NUTRITION-BEHAVIORAL CARDIOVASCULAR DISEASE PREVENTIONT32HL007456 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1985 to 2014
$2.9M
Testing Intervention Strategies for Addressing Obesity and Binge EatingK01DK116925 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GRAHAM, ANDREA KASS · 2018 to 2022
$799k
Analysis of Behavioral Interventions for Pediatric ObesityF32HD089586 · NICHD · UNIVERSITY OF CHICAGO · PI GRAHAM, ANDREA KASS · 2016 to 2017
$106k
NHLBI NIH HHS T32 HL007456NHLBI NIH HHS T32 HL130357NICHD NIH HHS F32 HD089586NIDDK NIH HHS K01 DK116925NIDDK NIH HHS P30 DK092950NIMH NIH HHS R01 MH100455
6 · The paper itself

Abstract

objectiveThe treatment gap between those who need and those who receive care for eating disorders is wide. Scaling a validated, online screener that makes individuals aware of the significance of their symptoms/behaviors is a crucial first step for increasing access to care. The objective of the current study was to determine the reach of disseminating an online eating disorder screener in partnership with the National Eating Disorders Association (NEDA), as well to examine the probable eating disorder diagnostic and risk breakdown of adult respondents. We also assessed receipt of any treatment.

methodParticipants completed a validated eating disorder screen on the NEDA website over 6 months in 2017.

resultsOf 71,362 respondents, 91.0% were female, 57.7% 18-24 years, 89.6% non-Hispanic, and 84.7% White. Most (86.3%) screened positive for an eating disorder. In addition, 10.2% screened as high risk for the development of an eating disorder, and only 3.4% as not at risk. Of those screening positive for an eating disorder, 85.9% had never received treatment and only 3.0% were currently in treatment. DISCUSSION: The NEDA online screen may represent an important eating disorder detection tool, as it was completed by >71,000 adult respondents over just 6 months, the majority of whom screened positive for a clinical/subclinical eating disorder. The extremely high percentage of individuals screening positive for an eating disorder who reported not being in treatment suggests a wide treatment gap and the need to offer accessible, affordable, evidence-based intervention options, directly linked with screening.

Indexed as

AdolescentAdultAgedEducation, DistanceFeeding and Eating DisordersFemaleHumansMaleMass ScreeningMiddle AgedUnited StatesYoung Adulteating disordersreferralscreening

Identifiers

PMID30761560
PMCPMC6555644
OpenAlexW2912402714

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.