Evidence map›Paper›PMID 39754365›Full record

ArticleThe International journal of eating disorders2025

Ecological Momentary Assessment for Adolescents With Anorexia Nervosa and Their Parents/Caregivers in Family-Based Treatment.

Manya Singh, Amelia Austin, David Lindenbach, Heidi Vander Steen, Courtney Habina, Gisele Marcoux-Louie, Katharine L Loeb, Scott Engel, Daniel Le Grange, Gina Dimitropoulos

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

10 authors.

Manya SinghDepartment of Psychiatry, University of Calgary, Calgary, Canada.ORCID 0009-0003-1058-6615
Amelia AustinThe Mathison Centre for Mental Health Research & Education, Cumming School of Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0002-4979-4847
David LindenbachDepartment of Psychiatry, University of Calgary, Calgary, Canada.ORCID 0000-0002-9422-697X
Heidi Vander SteenDepartment of Psychiatry, University of Calgary, Calgary, Canada.
Courtney HabinaDepartment of Psychiatry, University of Calgary, Calgary, Canada.
Gisele Marcoux-LouieDepartment of Psychiatry, University of Calgary, Calgary, Canada.
Katharine L LoebChicago Center for Evidence-Based Treatment, Chicago, Illinois, USA.ORCID 0000-0002-1534-1700
Scott EngelSanford Research, Fargo, North Dakota, USA.
Daniel Le GrangeDepartment of Psychiatry and Behavioural Sciences, Weill Institute for Neurosciences, University of California, San Francisco, California, USA.ORCID 0000-0001-7293-9496
Gina DimitropoulosFaculty of Social Work, University of Calgary, Calgary, Canada.ORCID 0000-0001-9487-0290

Funding

Alberta Children's Hospital Foundation
6 · The paper itself

Abstract

introductionStudies have shown that early weight gain in family-based treatment (FBT) predicts treatment response in adolescents with anorexia nervosa (AN); however, research examining factors associated with early weight gain in FBT is limited. This study tested the feasibility and acceptability of ecological momentary assessment (EMA) in early FBT, particularly to capture momentary data on family climate during mealtimes.

methodsUsing multiple methods, quantitative (EMA) and qualitative (interviews) data were collected in the first 4 weeks of FBT. Participants (11 families; 9 adolescents, 19 parents/caregivers) completed EMA assessments daily on the emotional climate during meals, parental strategies and confidence/agreement in renourishment. Qualitative interviews obtained technological and procedural data using EMA. Completion rates and markers of change were explored using repeated measures ANOVA. Interviews were analyzed using reflexive thematic analysis.

resultsThe EMA completion rate for all family members was 78%: 84% for adolescents, 83% for mothers, 64% for fathers. Results demonstrated changes in caregivers' use of renourishment strategies and in the emotional climate (decreased anger) at mealtimes. No changes were observed in caregiver confidence/agreement in renourishment. Qualitative analyses revealed factors interfering with and facilitating the use of EMA. DISCUSSION: EMA is an acceptable and feasible tool for use with adolescents and their families in early FBT, particularly to capture momentary data on family climate during mealtimes. Future research is needed with larger sample sizes to examine the mechanisms of change in early FBT, and the utility of EMA as a clinical tool in FBT.

Indexed as

Anorexia NervosaCaregiversEcological Momentary AssessmentFamily TherapyParentsAdolescentAdultFeasibility StudiesFemaleHumansMaleanorexia nervosaecological momentary assessmentfamily‐based treatmentmealtimesparental self‐efficacy

Identifiers

PMID39754365
PMCPMC11891628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.