Efficacy and acceptability of self-monitoring via a smartphone application versus traditional paper records in an intensive outpatient eating disorder treatment setting
Efficacy and acceptability of self-monitoring via a smartphone application versus traditional paper records in an intensive outpatient eating disorder treatment setting
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DOI：
10.1002/erv.2727
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发表时间：
2020-02-12
影响因子：
5.3
通讯作者：
Town, Joel
中科院分区：
文献类型：
--
作者：
Keshen, Aaron;Helson, Thomas;Town, Joel
目的自我监测是进食障碍治疗的重要组成部分，但在被要求保留纸质食物记录的患者中，经常观察到不遵守的情况。本研究旨在比较康复记录电子自我监控与传统纸质自我监控在成人强化门诊进食障碍治疗中的有效性和可接受性。那些处于控制状态的患者接受IOP方案提供的标准治疗，包括使用纸质记录进行自我监测。结果两组患者在进食障碍症状上无统计学差异，在可接受性和依从性方面也无统计学差异。结论在眼压环境下，我们的试点疗效数据不支持APP优于纸质记录，因此没有必要进行更大规模的疗效试验。未来的研究应该旨在确定APP作为非密集治疗的辅助手段是否有效，或者进一步探索在更大样本量的研究中的依从性和可接受性结果。临床试验注册标识：NCT02484794。
Objective Although self-monitoring is an important part of eating disorder treatment, non-adherence is commonly observed among patients asked to maintain paper food records. This study aims to compare the efficacy and acceptability of electronic self-monitoring via Recovery Record to self-monitoring via traditional paper records, in an intensive outpatient (IOP) eating disorder treatment for adults.Method Ninety patients were recruited from an IOP eating disorder clinic and randomly assigned to the experimental or control condition. Those in the control condition received the standard treatment delivered by the IOP programme, including the use of paper records for self-monitoring. Those in the experimental condition received the same treatment but used Recovery Record for self-monitoring.Results The results did not demonstrate statistically significant group differences over time on eating disorder symptomatology, and there were no statistically significant group differences on acceptability or adherence.Conclusions Our pilot efficacy data do not support superiority of the app over paper records in an IOP setting, so proceeding to a larger efficacy trial is not warranted. Future studies should aim to determine whether the app is efficacious as an adjunct to less intensive treatment or to further explore adherence and acceptability outcomes in studies with larger sample sizes.Clinical trial registration Identifier: NCT02484794.