Randomized controlled trial comparing smartphone assisted versus traditional guided self-help for adults with binge eating.
Randomized controlled trial comparing smartphone assisted versus traditional guided self-help for adults with binge eating.
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DOI：
10.1002/eat.22781
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发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Sysko R
中科院分区：
文献类型：
--
作者：
Hildebrandt T;Michaelides A;Mackinnon D;Greif R;DeBar L;Sysko R
基于认知行为疗法的指导性自助疗法(CBT-GSH)对暴饮暴食有效。由于社区中CBT-GSH的可获得性有限，移动技术提供了一种增加这些干预措施使用的手段。这项研究的目的是测试Noom Monitor，一个旨在促进CBT-GSH(CBT-GSH+Noom)的智能手机应用程序，与传统的CBT-GSH相比，在学习保持、坚持和进食障碍症状方面的初步疗效。66名患有DSM-5暴食障碍(BED)或神经性暴食症(BN)的男性和女性被随机分为CBT-GSH+Noom(n=33)和CBT-GSH(n=33)治疗12周。主要症状结果是进食障碍检查客观暴食发作(OBE)、主观暴食发作(SBE)和代偿行为。分别在0、4、8、12、24和36周收集评估结果。采用具有治疗意向的零膨胀负二项潜伏期增长曲线模型对行为结果进行建模。治疗对OBEs的改变有显著影响(β=−为0.84，95%CI=−1.49，−为0.19)。两种治疗方法的缓解率差异无统计学意义(βLogit=−0.73，95%CI=−1.86，3.27；CBT-GSH+NOOM=17/27，63.0%vs.CBT-GSH11/27，40.7%，NNT=4.5)，但CBT-GSH+NOOM参与者报告了更多的膳食和零食依从性以及定期膳食依从性介导的治疗效果。在6个月的随访中，治疗方法没有不同。用于治疗暴饮暴食的智能手机应用程序似乎在坚持方面具有优势，这是治疗传播的关键组成部分。
Guided self-help treatments based on cognitive-behavior therapy (CBT-GSH) are efficacious for binge eating. With limited availability of CBT-GSH in the community, mobile technology offers a means to increase use of these interventions. The purpose of this study was to test the initial efficacy of Noom Monitor, a smartphone application designed to facilitate CBT-GSH (CBT-GSH+Noom), on study retention, adherence, and eating disorder symptoms compared to traditional CBT-GSH. Sixty-six men and women with DSM-5 binge eating disorder (BED) or bulimia nervosa (BN) were randomized to receive 8 sessions of CBT-GSH + Noom (n = 33) or CBT-GSH (n = 33) over 12 weeks. Primary symptom outcomes were Eating Disorder Examination objective bulimic episodes (OBEs), subjective bulimic episodes (SBEs), and compensatory behaviors. Assessments were collected at 0, 4, 8, 12, 24, and 36 weeks. Behavioral outcomes were modeled using zero-inflated negative-binomial latent growth curve models with intent-to-treat. There was a significant effect of treatment on change in OBEs (β =−0.84, 95%CI = −1.49, −0.19) favoring CBT-GSH + Noom. Remission rates were not statistically different between treatments for OBEs (βlogit =−0.73, 95%CI = −1.86, 3.27; CBT-GSH + Noom = 17/27, 63.0% vs. CBT-GSH 11/27, 40.7%, NNT = 4.5), but CBT-GSH + Noom participants reported greater meal and snack adherence and regular meal adherence mediated treatment effects on OBEs. The treatments did not differ at the 6-month follow-up. Smartphone applications for the treatment binge eating appear to have advantages for adherence, a critical component of treatment dissemination.
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DOI：
10.1002/14651858.cd000562.pub3
发表时间：
2009-10-07
期刊：
The Cochrane database of systematic reviews
影响因子：
--
作者：
Hay, Phillipa Pj;Bacaltchuk, Josue;Kashyap, Priyanka
通讯作者：
Kashyap, Priyanka
影响因子：
5.9
作者：
Lynch, Frances L.;Striegel-Moore, Ruth H.;Kraemer, Helena C.
通讯作者：
Kraemer, Helena C.
影响因子：
7.4
作者：
Aguilera A;Bruehlman-Senecal E;Demasi O;Avila P
通讯作者：
Avila P
影响因子：
4.1
作者：
Grilo, CM;Masheb, RM
通讯作者：
Masheb, RM
影响因子：
2.9
作者：
Mitchell, JE;Fletcher, L;Al-Banna, M
通讯作者：
Al-Banna, M