Innovative Use of the Noom Monitor Mobile Application for CBT-GSH in Binge Eaters

描述（由申请人提供）：神经性贪食症和暴食症的特征是显著的损害和精神合并症，影响了大约5-7%的美国人口。引导自助认知行为（CBT-GSH）疗法已被证明是减少两种疾病患者暴食的有效治疗方法。然而，客户和治疗师对这种疗法的接受程度有限。一个重要的因素是自我监控，这是认知行为治疗的核心组成部分，对于客户来说，传统的书面形式既费时又麻烦，而且很难在有限的时间内对治疗师进行全面的解决。这项拨款建议利用新兴的移动应用技术，作为提高指导自助的效力、可及性和功效的工具。这将通过将WorkSmart Lab目前用于健康饮食和锻炼的商业移动产品Noom Monitor改编为一款自我监测应用程序来实现，该应用程序集成了针对暴饮暴食者的CBT-GSH工具。此外，该应用程序将用于促进治疗师对患者进展的实时反馈。治疗师将通过预先设置的警报，实时通知客户饮食模式的任何剧烈变化，这些警报旨在为治疗师分配一个等级，代表每个客户的健康。在西奈山医学院的饮食和体重失调项目中，将通过一项比较CBT-GSH + APP和CBT-GSH的随机对照试验来检验改编的Noom Monitor应用程序的可行性和有效性。创新性地利用技术协助心理健康干预具有本提案之外的广泛影响，将用于制定进一步开发和商业化该产品的战略。

DESCRIPTION (provided by applicant): Bulimia nervosa and binge eating disorder are marked by significant levels of impairment and psychiatric comorbidity, affecting approximately 5-7% of the US population. Guided self-help cognitive behavioral (CBT-GSH) therapy has been show to be an effective treatment to reduce binge eating for patient with both disorders. However, there is limited uptake among both clients and therapists. One significant factor is self-monitoring, the central component of cognitive- behavioral therapy, which is both time-intensive and cumbersome in its traditional paper format for clients, as well as difficult to comprehensively address in a time-limited session for the therapist. This grant proposes to utilize emerging mobile application technology, as a tool for increasing the potency, accessibility, and efficacy of guided self-help. This will be accomplished by adapting WorkSmart Lab's current commercial mobile product for healthy eating and exercise, Noom Monitor, into a self-monitoring application integrating CBT-GSH tools for binge eaters. Additionally, the application will be used to facilitate real-time feedback to therapists about their patient progres. Therapists will be notified in real-time about any drastic changes in client eating patterns through pre-set alerts designed to assign a grade to therapists, representing each client's well-being. The feasibility and efficacy of the adapted Noom Monitor application will be examined through a randomized control trial comparing CBT-GSH + APP with CBT-GSH conducted at the Mount Sinai School of Medicine's Eating and Weight Disorders Program. The innovative utilization of technology to assist in mental health interventions has widespread implications outside of this proposal, which will be used to strategize the further development and commercialization of this product.