An mHealth intervention for the treatment of patients with an eating disorder: A multicenter randomized controlled trial

Objective: The current multicentre randomized controlled trial assessed the clinicalefficacy of a combined mHealth intervention for eating disorders (EDs) based on cog-nitive behavioral therapy (CBT).Method: A total of 106 ED patients from eight different public and private mentalhealth services in...

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Bibliographic Details
Authors: Anastasiadou, Dimitra, Folkvord, Frans, Brugnera, Agostino, Cusidó Roura, Jordi|||0000-0002-1951-1498, Arcal Cunillera, Jordina
Format: article
Publication Date:2020
Country:España
Institution:Universitat Politècnica de Catalunya (UPC)
Repository:UPCommons. Portal del coneixement obert de la UPC
Language:English
OAI Identifier:oai:upcommons.upc.edu:2117/192913
Online Access:https://hdl.handle.net/2117/192913
https://dx.doi.org/10.1002/eat.23286
Access Level:Open access
Keyword:Eating disorders
Mobile apps
Medical telematics
Mental health
mHealth
Randomized controlled trial
Trastorns de la conducta alimentària
Aplicacions mòbils
Telemedicina
Àrees temàtiques de la UPC::Informàtica::Aplicacions de la informàtica
Description
Summary:Objective: The current multicentre randomized controlled trial assessed the clinicalefficacy of a combined mHealth intervention for eating disorders (EDs) based on cog-nitive behavioral therapy (CBT).Method: A total of 106 ED patients from eight different public and private mentalhealth services in Spain were randomly assigned to two parallel groups. Patients ofthe experimental group (N = 53) received standard face-to-face CBT plus a mobileintervention through an application called “TCApp,” which provides self-monitoringand an online chat with the therapist. The control group (N = 53) received standard face-to-face CBT only. Patients completed self-report questionnaires on ED symp-tomatology, anxiety, depression, and quality of life, before and after treatment.Results: Significant reductions in primary and secondary outcomes were observedfor participants of both groups, with no differences between groups. Results alsosuggested that the frequency with which patients attended their referral mentalhealth institution after the intervention was lower for patients in the experimentalgroup than for those in the control group.Discussion: The current study showed that CBT can help to reduce symptoms relat-ing to ED, regardless of whether its delivery includes online components in additionto traditional face-to-face treatment. Besides, the additional component offered bythe TCApp does not appear to be promising from a purely therapeutic perspectivebut perhaps as a cost-effective tool, reducing thus the costs and time burden associ-ated with weekly visits to health professionals.