Evidence map›Paper›PMID 41960673›Full record

SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2026

Associations Between Baseline Severity and Treatment Effects in Digital Interventions for Eating Disorders: A Meta-Regression.

Claudia Liu, Cleo Anderson, Mariel Messer, Jake Linardon

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Associations Between Baseline Severity and Treatment Effects in Digital Interventions for Eating Disorders: A Meta-Regression.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Pooled it
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

4 authors.

Claudia LiuSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0003-1359-2394
Cleo AndersonSchool of Psychology, Deakin University, Geelong, Victoria, Australia.
Mariel MesserSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-7186-7264
Jake LinardonSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0003-4475-7139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhile it is assumed that digital interventions are more suitable for milder eating disorder presentations, the evidence supporting this assumption remains unclear. We conducted meta-regressions testing whether baseline severity at the study level was associated with treatment effects from digital interventions for eating disorders.

methodDatabases were searched to identify RCTs of digital interventions compared to controls in individuals with diagnostic, subthreshold, or self-reported eating disorders. Baseline severity was operationalised as global levels of eating disorder psychopathology and objective binge eating. We conducted bivariable and multivariable meta-regressions to test whether baseline severity was associated with treatment versus control effect sizes and dropout.

resultsThirty-one trials were included. Bivariable meta-regressions showed that higher average objective binge eating was associated with greater treatment effect sizes and lower dropout rates. These associations remained significant in most sensitivity analyses, but not in the multivariable meta-regressions. Average global eating disorder psychopathology levels at baseline were not associated with treatment effects in bivariable meta-regressions, but was significantly and positively associated with effects in the multivariable model that adjusted for other characteristics.

conclusionHigher baseline severity may not limit the effectiveness or acceptability of digital interventions and in some contexts be associated with larger effects.

trial registrationhttps://osf.io/j9chm/overview.

Indexed as

Feeding and Eating DisordersDigital MediaHumansRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment Outcomedigital interventionseating disordersmeta‐analysisrandomised controlled trials

Identifiers

PMID41960673
PMCPMC13432512

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.