Evidence map›Paper›PMID 40351297›Full record

ArticleThe International journal of eating disorders2025

Open Pilot Trial of a Coached Digital Program for Lower-Income Adults With Eating Disorders.

Erin C Accurso, Catherine R Drury, Kimberly Yu, Siena Vendlinski, Nancy Jacquelyn Pérez-Flores, Carli P Howe, Denise E Wilfley, Ellen E Fitzsimmons-Craft

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Erin C AccursoDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-5521-6381
Catherine R DruryDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-3177-0433
Kimberly YuDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Siena VendlinskiDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0009-0008-0577-727X
Nancy Jacquelyn Pérez-FloresDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-0209-0674
Carli P HoweDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID 0009-0003-1472-7374
Denise E WilfleyDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-3599-8689
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-7064-3835

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Adapting and Implementing Family-Based Treatment for Youth with Anorexia Nervosa in Publicly-Funded SettingsK23MH120347 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ACCURSO, ERIN CECILIA · 2019 to 2023
$846k
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
National Eating Disorders Association A139040NIDDK NIH HHS P30 DK092950NIMH NIH HHS K08 MH120341NIMH NIH HHS K23 MH120347
6 · The paper itself

Abstract

objectiveThis study evaluated the feasibility, acceptability, and preliminary effectiveness of the first digital intervention tailored for lower-income adults with eating disorders, who are poorly served by the public health care system.

methodAdults (N = 30) with public insurance or without insurance coverage who endorsed ≥ 6 binge eating episodes, ≥ 6 vomiting episodes, and/or ≥ 6 laxative/diuretic episodes in the past three months with a body mass index ≥ 18.5 kg/m

resultsAlmost all participants (93.3%, n = 28) accessed the program after enrollment, completing about half (M = 4.15, SD = 2.68) of the 8 sessions and sending an average of 32.5 (SD = 35.2) texts to their coach over three months. From pre- to post-intervention, there were large improvements in eating disorder psychopathology (d = 0.79, p < 0.001) and moderate decreases in binge eating (d = 0.62, p = 0.003) and self-induced vomiting episodes (d = 0.43, p = 0.031). There were also large improvements in clinical impairment (d = 0.83, p < 0.001) and moderate to large reductions in anxiety (d = 0.47, p = 0.019) and depression (d = 0.84, p < 0.001). Most participants indicated that they were somewhat to very satisfied with the program (67.9%, n = 19). DISCUSSION: The results from this pilot trial testing a brief online guided self-help intervention are promising, with relatively high treatment engagement, indicating good feasibility and acceptability and signals of preliminary effectiveness. Future research is needed to examine longer-term effectiveness relative to other active treatments or waitlist control.

Indexed as

Cognitive Behavioral TherapyFeeding and Eating DisordersPovertyAdultFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsYoung Adultadultsbinge eating disorderbulimia nervosaeating disordershealth disparitieslower‐incomeMedicaidoutcomesocioeconomic statustreatment

Identifiers

PMID40351297
PMCPMC12336791

What OpenQuestion holds

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Registered trials

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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.