ArticleThe International journal of eating disorders2022
Eating disorders early app use mediates treatment effect on clinical improvement.
Article in The International journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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
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Who cites it
8 citing papers in PubMed.
- Combining Digital Cognitive Behavioral Therapy With Mindfulness Training for Binge Eating Disorder: Protocol for a Feasibility Trial.JMIR research protocols · 2026Article
- How Engagement Changes Over Time in a Digital Eating Disorder App: Observational Study.JMIR mHealth and uHealth · 2025Observational
- Understanding Patients' Preferences for a Digital Intervention to Prevent Posttreatment Deterioration for Bulimia-Spectrum Eating Disorders: User-Centered Design Study.JMIR formative research · 2024Article
- Patients' perceptions of post-treatment factors that influenced skill use after cognitive-behavioral therapy for bulimia nervosa spectrum disorders.The International journal of eating disorders · 2024Article
- Improving Access to Evidence-Based Treatments for Eating Disorders Among Youths: Where We are as a Field.Focus (American Psychiatric Publishing) · 2024Article
- Cognitive training via mobile app for addressing eating disorders' cognitions in adolescents: a randomized control trial protocol.BMC psychology · 2024Article
- Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care.European eating disorders review : the journal of the Eating Disorders Association · 2024Article
- Retention, engagement, and binge-eating outcomes: Evaluating feasibility of the Binge-Eating Genetics Initiative study.The International journal of eating disorders · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveEating disorders (EDs) contribute considerably to the global burden of disease. However, most affected individuals do not receive treatment. Mobile apps present an enormous opportunity to increase access to mental healthcare services. This study examined whether the degree of usage of a self-help app for EDs mediated the app's effects on the clinical response by individuals with EDs.
methodApp usage measures included the total number of cognitive-behavioral meal logs, total number of days spent using the app, and the last day the app was used during the study period. Mediation analysis was performed using the MacArthur framework.
resultsAll usage variables met the analytic requirements for testing mediation (group means (sd) for app and standard app, respectively: logs = 74 (108) vs. 51.4 (88.1), days spent = 14.3 (17.5) vs. 10.6 (15.0), p-values from Wilcox rank sum tests p < .01). Regression coefficients indicated mediation effects. The mediation effects demonstrated support that increased engagement (as measured by logs and time spent on the app) was related to an increased likelihood of achieving a significant clinical change by the end of the trial. DISCUSSION: Greater and longer engagement in an ED app mediates its efficacy in terms of ED remission.
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