Evidence map›Paper›PMID 40209224›Full record

ArticleJMIR research protocols2025

Mobile App-Delivered Motivational Interviewing for Women on Eating Disorder Treatment Waitlists (MI-Coach: ED): Protocol for an App Development and Pilot Evaluation.

Amané Halicki-Asakawa, Julia Mocci, Maya Libben

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Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Amané Halicki-AsakawaDepartment of Psychology, University of British Columbia, Irving K. Barber Faculty of Arts and Social Sciences, Kelowna, BC, Canada.ORCID 0000-0003-0959-0927
Julia MocciDepartment of Psychology, University of British Columbia, Irving K. Barber Faculty of Arts and Social Sciences, Kelowna, BC, Canada.ORCID 0009-0005-0129-2927
Maya LibbenDepartment of Psychology, University of British Columbia, Irving K. Barber Faculty of Arts and Social Sciences, Kelowna, BC, Canada.ORCID 0000-0001-6331-2392

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA significant increase in eating disorder (ED) service waitlists has been observed in the past several years, exacerbating existing barriers to care (eg, long waitlists, scarcity of treatment centers, and positive beliefs surrounding pathology). Given that treatment delays have important clinical correlates (eg, entrenchment of ED pathology), exploring new methods of mental health service delivery for this population is of critical concern. App-based motivational interviewing (MI) delivered prior to the start of treatment has the potential to improve accessibility by simultaneously addressing structural (eg, travel costs) and individual (eg, low motivation) barriers to care. Despite the potential benefits, there remains a lack of empirically validated, ED-specific MI-based mobile apps. Evaluating the feasibility and acceptability of such interventions is a crucial first step before progressing to full-scale efficacy trials.

objectiveThis multiphasic mixed methods study aims to develop and assess the feasibility and acceptability of MI-Coach: ED, a novel app designed to increase motivation among women waitlisted for ED treatment. Specifically, this study seeks to determine participant engagement levels, user satisfaction, and perceived usability of the app, as well as to explore preliminary trends in motivation and ED-related symptoms following app use.

methodsPhase I adapted the content and interface of an existing app based on evidence-based principles (MI-Coach) for an ED population. Phase II pilot tested the app through a pre-post evaluation. Participants (n=30) aged 18 years and older were recruited from ED treatment waitlists in British Columbia, Canada. After completing baseline assessments evaluating demographic and clinical variables (eg, motivation, eating pathology, depression, and anxiety symptoms), participants were provided access to MI-Coach: ED for 1 month. Participants completed postintervention assessments and provided both quantitative and qualitative feedback on the app. Feasibility will be evaluated through the total number of participants recruited, study dropout rates, and engagement indicators (eg, modules completed) within the app. Acceptability will be assessed through self-report measures and semistructured exit interviews, which will explore user experiences, perceived benefits, and barriers to app engagement. Additionally, exploratory analyses will examine changes in motivation and ED symptoms before and after the intervention.

resultsThe MI-Coach: ED app has been developed, and recruitment was initiated in November 2022 and terminated in May 2024. Results are being analyzed and will be submitted for publication in May 2025.

conclusionsThis study has the potential to transform ED service delivery and mitigate the impacts of existing treatment barriers for this population. By leveraging a digital MI-based intervention, MI-Coach: ED could serve as a scalable and accessible pretreatment tool, helping to bridge the gap between initial help-seeking and formal ED treatment. Findings from this study will inform the refinement of the intervention and recruitment strategies for future large-scale efficacy trials. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/66298.

Indexed as

Feeding and Eating DisordersMobile ApplicationsMotivational InterviewingAdultFeasibility StudiesFemaleHumansMotivationPatient Acceptance of Health CarePilot ProjectsWaiting Listsacceptabilityapp-basedapp developmentCanadaCanadiandigital interventionseatingeating disordereating disordersfeasibilityfemalemental healthmHealthmixed methodsmobile appsmobile healthmotivational interviewingpilot evaluationpilot testprotocolservice deliverytreatment barrierswaitlistswomanwomen

Identifiers

PMID40209224
PMCPMC12022520

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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.