Evidence map›Paper›PMID 38502605›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2024

Rates and correlates of study enrolment and use of a chatbot aimed to promote mental health services use for eating disorders following online screening.

Laura D'Adamo, Anne Claire Grammer, Gavin N Rackoff, Jillian Shah, Marie-Laure Firebaugh, C Barr Taylor, Denise E Wilfley, Ellen E Fitzsimmons-Craft

Open access · greenAbstract read
In one paragraph

Article in European eating disorders review : the journal of the Eating Disorders Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Laura D'AdamoDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Anne Claire GrammerDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Gavin N RackoffDepartment of Psychology, The Pennsylvania State University, University Park, PA, USA.
Jillian ShahDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Marie-Laure FirebaughDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
C Barr TaylorCenter for m2Health, Palo Alto University, Palo Alto, CA, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-7064-3835
Washington University in St. Louis · USPalo Alto University · USPennsylvania State University · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
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
Harnessing Mobile Technology to Reduce Mental Health Disorders in College PopulationsR01MH115128 · NIMH · WASHINGTON UNIVERSITY · PI EISENBERG, DANIEL, NEWMAN, MICHELLE G · 2018 to 2022
$4.1M
Developing an Optimized Conversational Agent or "Chatbot" to Facilitate Mental Health Services Use in Individuals with Eating DisordersK08MH120341 · NIMH · WASHINGTON UNIVERSITY · PI FITZSIMMONS-CRAFT, ELLEN E. · 2019 to 2023
$824k
A Naturalistic Examination of Dietary Lapses in Low-Income, Treatment-Seeking Families with ObesityF31HL158000 · NHLBI · WASHINGTON UNIVERSITY · PI GRAMMER, ANNE CLAIRE · 2021 to 2022
$92k
National Eating Disorders AssociationNHLBI NIH HHS F31 HL158000NHLBI NIH HHS T32 HL130357NHLBI NIH HHS T32 HL130357 and F31 HL158000NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950NIH HHS K08 MH120341 and R01 MH115128-04S1NIMH NIH HHS K08 MH120341NIMH NIH HHS R01 MH115128
6 · The paper itself

Abstract

objectiveWe developed a chatbot aimed to facilitate mental health services use for eating disorders (EDs) and offered the opportunity to enrol in a research study and use the chatbot to all adult respondents to a publicly available online ED screen who screened positive for clinical/subclinical EDs and reported not currently being in treatment. We examined the rates and correlates of enrolment in the study and uptake of the chatbot.

methodFollowing screening, eligible respondents (≥18 years, screened positive for a clinical/subclinical ED, not in treatment for an ED) were shown the study opportunity. Chi-square tests and logistic regressions explored differences in demographics, ED symptoms, suicidality, weight, and probable ED diagnoses between those who enroled and engaged with the chatbot versus those who did not.

results6747 respondents were shown the opportunity (80.0% of all adult screens). 3.0% enroled, of whom 90.2% subsequently used the chatbot. Enrolment and chatbot uptake were more common among respondents aged ≥25 years old versus those aged 18-24 and less common among respondents who reported engaging in regular dietary restriction.

conclusionsOverall enrolment was low, yet uptake was high among those that enroled and did not differ across most demographics and symptom presentations. Future directions include evaluating respondents' attitudes towards treatment-promoting tools and removing barriers to uptake.

Indexed as

Feeding and Eating DisordersMental Health ServicesAdolescentAdultFemaleHumansInternetMaleMass ScreeningMiddle AgedPatient Acceptance of Health CareYoung Adultchatbotdigital interventioneating disordersmental health services utilizationmental health treatmentscreening

Identifiers

PMID38502605
PMCPMC11144085
OpenAlexW4392946874

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.