ArticleThe International journal of eating disorders2026
Understanding Engagement Experiences in an Adapted Digital Cognitive Behavioral Intervention for Lower-Income Adults With Eating Disorders With Binge Eating and/or Purging: A Qualitative Analysis of Barriers and Facilitators.
Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Understanding Engagement Experiences in an Adapted Digital Cognitive Behavioral Intervention for Lower-Income Adults With Eating Disorders With Binge Eating and/or Purging: A Qualitative Analysis of Barriers and Facilitators.The International journal of eating disorders · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study explored the experiences of lower-income adults in accessing and engaging with an adapted digital guided self-help cognitive behavioral intervention for binge and/or purge-type eating disorders. This study sought to inform future adaptation of evidence-based eating disorder interventions to improve accessibility, acceptability, and engagement among this population.
methodParticipants (N = 9) were adults with public insurance or no insurance coverage who endorsed ≥ 6 binge eating episodes, ≥ 6 vomiting episodes, and/or ≥ 6 laxative/diuretic episodes in the past 3 months, had a BMI ≥ 18.5 kg/m
resultsParticipants identified barriers and facilitators related to intervention accessibility, acceptability, and engagement. Barriers included psychosocial and structural stressors, treatment readiness, and concerns about representation and intervention fit. Facilitators included feeling understood and supported, perceived symptom improvement, and hopefulness. Participants emphasized the importance of tailoring interventions to individual identity and lived experience. DISCUSSION: Findings highlighted the need for continued adaptation of digital interventions to better meet the specific needs of lower-income individuals with eating disorders. Incorporating flexibility, representation, and personalization may enhance engagement and support more equitable access to care. This study increased representation of the lived experiences of this underrepresented population and contributed to ongoing efforts to reduce disparities in eating disorder treatment through expanded access to evidence-based care.
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