Evidence map›Paper›PMID 40069853›Full record

ArticleJournal of eating disorders2025

Co-design of a single session intervention chatbot for people on waitlists for eating disorder treatment: a qualitative interview and workshop study.

Gemma Sharp, Bronwyn Dwyer, Jue Xie, Roisin McNaney, Pranita Shrestha, Christopher Prawira, Anne Nileshni Fernando, Kathleen de Boer, Hao Hu

Abstract read
In one paragraph

Article in 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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.

Gemma SharpDepartment of Neuroscience, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia. gemma.sharp@monash.edu.
Bronwyn DwyerDepartment of Neuroscience, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Jue XieDepartment of Human Centred Computing, Monash University, Melbourne, Australia.
Roisin McNaneyDepartment of Human Centred Computing, Monash University, Melbourne, Australia.
Pranita ShresthaDepartment of Human Centred Computing, Monash University, Melbourne, Australia.
Christopher PrawiraDepartment of Human Centred Computing, Monash University, Melbourne, Australia.
Anne Nileshni FernandoDepartment of Neuroscience, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Kathleen de BoerDepartment of Neuroscience, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Hao HuDepartment of Neuroscience, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.

Funding

National Health and Medical Research Council GNT2016629
6 · The paper itself

Abstract

backgroundEarly treatment is critical to improve eating disorder prognosis. Single session interventions have been proposed as a strategy to provide short term support to people on waitlists for eating disorder treatment, however, it is not always possible to access this early intervention. Conversational artificial intelligence agents or "chatbots" reflect a unique opportunity to attempt to fill this gap in service provision. The aim of this research was to co-design a novel chatbot capable of delivering a single session intervention for adults on the waitlist for eating disorder treatment across the diagnostic spectrum and ascertain its preliminary acceptability and feasibility.

methodsA Double Diamond co-design approach was employed which included four phases: discover, define, develop, and deliver. There were 17 participants in total in Australia; ten adults with a lived experience of an eating disorder and seven registered psychologists working in the field of eating disorders, who participated in online interviews and workshops. Thematic and content analyses were undertaken with interview/workshop transcriptions with findings from the previous phase informing the ideas and development of the next phase. A final prototype of a single session intervention chatbot was presented to the participants in the deliver phase.

resultsThematic and content analyses identified four main themes that were present across the four phases of interviews/workshops: conversational tone, safety and risk management, user journey and session structure, and content.

conclusionsOverall, the feedback on the single session intervention chatbot was positive throughout the Double Diamond process from both people with a lived experience of an eating disorder and psychologists. Incorporating the feedback across the four themes and four co-design phases allowed for refinement of the chatbot. Further research is required to evaluate the chatbot's efficacy in early treatment settings.

Indexed as

Artificial intelligenceChatbotConversational agentDigital healthEating disorderMental healthSingle session intervention

Identifiers

PMID40069853
PMCPMC11899673

What OpenQuestion holds

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LicenceCC BY
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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.