Evidence map›Paper›PMID 40519052›Full record

Trial reportThe International journal of eating disorders2025

Smartphone-Supported Cognitive-Behavioral Therapy in Binge-Eating Disorder: An Exploratory Randomized Trial.

Anja Hilbert, Ulrike Klotz, Sina Sadeghi, Adrienne S Juarascio, Toralf Kirsten

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Trial
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

5 authors.

Anja HilbertIntegrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Leipzig University Medical, Leipzig, Germany.ORCID 0000-0003-2775-1296
Ulrike KlotzInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.ORCID 0009-0007-0838-6277
Sina SadeghiInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.ORCID 0000-0001-9914-1775
Adrienne S JuarascioDepartment of Psychological and Brain Sciences; Weight, Eating, and Lifestyle Sciences Center, Drexel University, Philadelphia, USA.ORCID 0000-0001-6377-4212
Toralf KirstenInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.ORCID 0000-0001-7117-4268

Funding

Roland Ernst Foundation for Healthcare 3/2019
6 · The paper itself

Abstract

objectiveTo assess the feasibility of a smartphone app delivering just-in-time adaptive interventions as an adjunct to cognitive-behavioral therapy (CBT) adapted to binge-eating disorder (BED), estimate its effects assuming superiority over CBT alone, and document safety and target engagement.

methodA single-center, assessor-blinded, parallel feasibility study randomized adults aged 18-65 years with full-syndrome or subthreshold BED to smartphone-supported CBT (SmartCBT) or standard CBT (DRKS00024597). Both arms received 16 individual 50-min CBT sessions over 4 months. Assessments were conducted at baseline (T0), midtreatment (T1), posttreatment (T2), and 3-month follow-up (T3). Feasibility was determined regarding recruitment, attrition, dropout, adherence, assessment completion, app use, and acceptance. Further, eating disorder symptoms, mental and physical health, weight management behavior, safety, and target engagement (i.e., skill use) were assessed.

resultsOver a 7-month recruitment period, 28 of 50 eligible volunteers were included and randomized 1:1 to SmartCBT or CBT. In the modified intent-to-treat sample (N = 25; SmartCBT: 13, CBT: 12), the feasibility of SmartCBT was further supported regarding attrition, dropout, adherence, treatment completion, app use, and acceptance; however, assessment completion was moderate. Clinical improvements were found in both arms, but differential results were affected by baseline differences and moderate assessment completion in the SmartCBT arm. Safety was documented, and support for target engagement was found.

conclusionsThis exploratory study provides evidence for the feasibility of app-supported CBT for BED. With few procedural refinements, the protocol can be used in a confirmatory randomized-controlled trial with long-term follow-up to evaluate efficacy and determine treatment mechanisms.

trial registrationGerman Clinical Trials Register, https://www.drks.de, DRKS00024597.

Indexed as

Binge-Eating DisorderCognitive Behavioral TherapyMobile ApplicationsSmartphoneAdolescentAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedTreatment OutcomeYoung Adultadaptive interventionbinge‐eating disordercognitive‐behavioral therapyecological momentary interventionjust‐in‐time adaptive interventionmHealthmobile healthsmartphone application

Identifiers

PMID40519052
PMCPMC12423581

What OpenQuestion holds

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LicenceCC BY
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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.