Smartphone apps for eating disorders: A systematic review of evidence-based content and application of user-adjusted analyses

被引:21
作者
Wasil, Akash R. [1 ]
Patel, Raveena [1 ]
Cho, Jin Young [1 ]
Shingleton, Rebecca M. [2 ]
Weisz, John R. [2 ]
DeRubeis, Robert J. [1 ]
机构
[1] Univ Penn, Dept Psychol, 425 S Univ Ave, Philadelphia, PA 19104 USA
[2] Harvard Univ, Dept Psychol, 33 Kirkland St, Cambridge, MA 02138 USA
基金
美国国家科学基金会;
关键词
active users; digital health; digital mental health; dissemination; eating disorders; empirically supported treatments; evidence‐ based practice; mHealth; smartphone apps; treatment;
D O I
10.1002/eat.23478
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective To examine the frequency of evidence-based treatment elements in popular smartphone apps for eating disorders (EDs), and to characterize the extent to which real-world users encounter different elements. Method We searched the Apple App Store and Google Play Store for apps offering treatment or support to individuals with EDs. Then, we created a codebook of 47 elements found in evidence-based treatments for EDs. We examined the presence or absence of each element within each ED app. We also acquired estimates of the monthly active users (MAU) of each app. Results The ED apps (n = 28) included a median of nine elements of empirically supported treatments (mean = 9.46, SD = 6.28). Four apps accounted for 96% of all MAU. MAU-adjusted analyses revealed that several elements are reaching more users than raw frequency tallies would suggest. For example, assessments were included in 32% of apps, but 84% of users used an app with assessments. Similar trends were found for cognitive restructuring (21% of apps, 56% of MAU), activity scheduling (39%, 57%), and self-monitoring (14%, 46%). Problem solving, exposure, and relapse prevention strategies, elements that are prominent in face-to-face empirically supported treatments, were rarely included in the apps. Discussion Evidence-based content is commonly included in ED apps, with certain elements reaching more users than others. Additionally, the top four apps are responsible for nearly all active users. We recommend that ED clinicians and researchers familiarize themselves with these apps-those that patients are most likely to encounter.
引用
收藏
页码:690 / 700
页数:11
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