A randomized controlled trial of an Internet-based intervention for eating disorders and the added value of expert-patient support: study protocol

被引：9

作者：

Rohrbach, Pieter J. ^{[1
]}

Dingemans, Alexandra E. ^{[1
,2
]}

Spinhoven, Philip ^{[2
,3
]}

Van den Akker-Van Marle, Elske ^{[4
]}

Van Ginkel, Joost R. ^{[2
]}

Fokkema, Marjolein ^{[2
]}

Moessner, Markus ^{[5
]}

Bauer, Stephanie ^{[5
]}

Van Furth, Eric F. ^{[1
,3
]}

机构：

[1] GGZ Rivierduinen Eetstoornissen Ursula, Postbox 405,Sandifortdreef 19, NL-2300 AK Leiden, Netherlands

[2] Leiden Univ, Inst Psychol, Leiden, Netherlands

[3] Leiden Univ, Dept Psychiat, Med Ctr, Leiden, Netherlands

[4] Leiden Univ, Sect Med Decis Making, Dept Biomed Data Sci, Med Ctr, Leiden, Netherlands

[5] Heidelberg Univ, Ctr Psychotherapy Res, Heidelberg, Germany

来源：

TRIALS | 2019年 / 20卷 / 01期

关键词：

Eating disorders; Internet; Internet-based; E-mental health; Intervention; Treatment; Prevention; Expert patient; Peer support; Cost-effectiveness; SELF-MANAGEMENT PROGRAM; PSYCHOMETRIC PROPERTIES; PEER SUPPORT; THERAPIST SUPPORT; PREVENTION; SCALE; ATTRACTION; METAANALYSIS; SIMILARITY; SYMPTOMS;

D O I：

10.1186/s13063-019-3574-2

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background E-mental health has become increasingly popular in interventions for individuals with eating disorders (EDs). It has the potential to offer low-threshold interventions and guide individuals to the needed care more promptly. Featback is such an Internet-based intervention and consists of psychoeducation and a fully automated monitoring and feedback system. Preliminary findings suggest Featback to be (cost-)effective in reducing ED symptomatology. Additionally, e-mail or chat support by a psychologist did not enhance the effectiveness of Featback. Support by an expert patient (someone with a lived experience of an ED) might be more effective, since that person can effectively model healthy behavior and enhance self-efficacy in individuals struggling with an ED. The present study aims to replicate and build on earlier findings by further investigating the (cost-)effectiveness of Featback and the added value of expert-patient support. Methods The study will be a randomized controlled trial with a two-by-two factorial design with repeated measures. The four conditions will be (1) Featback, in which participants receive automated feedback on a short monitoring questionnaire weekly, (2) Featback with weekly e-mail or chat support from an expert patient, (3) weekly support from an expert patient, and (4) a waiting list. Participants who are 16 years or older and have at least mild self-reported ED symptoms receive a baseline measure. Subsequently, they are randomized to one of the four conditions for 8 weeks. Participants will be assessed again post-intervention and at 3, 6, 9, and 12 months follow-up. The primary outcome measure will be ED psychopathology. Secondary outcome measures are experienced social support, self-efficacy, symptoms of anxiety and depression, user satisfaction, intervention usage, and help-seeking attitudes and behaviors. Discussion The current study is the first to investigate e-mental health in combination with expert-patient support for EDs and will add to the optimization of the delivery of Internet-based interventions and expert-patient support.

引用

页数：17

共 96 条

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