Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial

Background: Although binge eating disorder (BED) is the most common eating pathology and carries a high mental and physical burden, access to specialized treatment is limited due to patient-related barriers and insufficient healthcare resources. Integrating web-based self-help programs into clinical...

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Main Authors: Luise Pruessner, Steffen Hartmann, Julian A. Rubel, Christopher Lalk, Sven Barnow, Christina Timm
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782922000215
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author Luise Pruessner
Steffen Hartmann
Julian A. Rubel
Christopher Lalk
Sven Barnow
Christina Timm
author_facet Luise Pruessner
Steffen Hartmann
Julian A. Rubel
Christopher Lalk
Sven Barnow
Christina Timm
author_sort Luise Pruessner
collection DOAJ
description Background: Although binge eating disorder (BED) is the most common eating pathology and carries a high mental and physical burden, access to specialized treatment is limited due to patient-related barriers and insufficient healthcare resources. Integrating web-based self-help programs into clinical care for BED may address this treatment gap by making evidence-based eating disorder interventions more accessible. Methods: A two-armed randomized controlled trial will be conducted to evaluate the effectiveness of a web-based self-help intervention for BED in routine care settings. Patients aged 18–65 years fulfilling the diagnostic criteria for BED (N = 152) will be randomly allocated to (1) an intervention group receiving a 12-week web-based self-help program or (2) a waitlist control group with delayed access to the intervention. The primary outcome will be the number of binge eating episodes. Secondary outcomes include global eating pathology, functional impairments, work capacity, well-being, comorbid psychopathology, self-esteem, and emotion regulation abilities. Measurements will be conducted at baseline (study entrance), 6 weeks after baseline (mid-treatment), and 12 weeks after baseline (post-treatment). To capture outcomes and treatment mechanisms in real-time, traditional self-reports will be combined with weekly symptom monitoring and ecological momentary assessment. Discussion: Evaluating the effectiveness of web-based interventions is essential to overcome the treatment gap for patients with BED. When adequately integrated into standard care, these programs have the potential to alleviate the high burden of BED for individuals, their families, and society. Trial registration: https://clinicaltrials.gov/ct2/show/NCT04876183, Identifier: NCT04876183 (registered on May 6th, 2021).
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spelling doaj.art-54824aeb29f04e1c87d140fe2359d3842022-12-22T02:26:04ZengElsevierInternet Interventions2214-78292022-04-0128100514Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trialLuise Pruessner0Steffen Hartmann1Julian A. Rubel2Christopher Lalk3Sven Barnow4Christina Timm5Department of Psychology, Heidelberg University, Hauptstr. 47-51, 69117 Heidelberg, Germany; Corresponding author.Department of Psychology, Heidelberg University, Hauptstr. 47-51, 69117 Heidelberg, GermanyPsychotherapy Research Unit, University of Giessen, Otto-Behaghel-Straße 10, 35394 Giessen, GermanyPsychotherapy Research Unit, University of Giessen, Otto-Behaghel-Straße 10, 35394 Giessen, GermanyDepartment of Psychology, Heidelberg University, Hauptstr. 47-51, 69117 Heidelberg, GermanyDepartment of Psychology, Heidelberg University, Hauptstr. 47-51, 69117 Heidelberg, GermanyBackground: Although binge eating disorder (BED) is the most common eating pathology and carries a high mental and physical burden, access to specialized treatment is limited due to patient-related barriers and insufficient healthcare resources. Integrating web-based self-help programs into clinical care for BED may address this treatment gap by making evidence-based eating disorder interventions more accessible. Methods: A two-armed randomized controlled trial will be conducted to evaluate the effectiveness of a web-based self-help intervention for BED in routine care settings. Patients aged 18–65 years fulfilling the diagnostic criteria for BED (N = 152) will be randomly allocated to (1) an intervention group receiving a 12-week web-based self-help program or (2) a waitlist control group with delayed access to the intervention. The primary outcome will be the number of binge eating episodes. Secondary outcomes include global eating pathology, functional impairments, work capacity, well-being, comorbid psychopathology, self-esteem, and emotion regulation abilities. Measurements will be conducted at baseline (study entrance), 6 weeks after baseline (mid-treatment), and 12 weeks after baseline (post-treatment). To capture outcomes and treatment mechanisms in real-time, traditional self-reports will be combined with weekly symptom monitoring and ecological momentary assessment. Discussion: Evaluating the effectiveness of web-based interventions is essential to overcome the treatment gap for patients with BED. When adequately integrated into standard care, these programs have the potential to alleviate the high burden of BED for individuals, their families, and society. Trial registration: https://clinicaltrials.gov/ct2/show/NCT04876183, Identifier: NCT04876183 (registered on May 6th, 2021).http://www.sciencedirect.com/science/article/pii/S2214782922000215Binge eating disorderWeb-based interventionsRandomized controlled trialEcological momentary assessmentEmotion regulationInternet-based self-help
spellingShingle Luise Pruessner
Steffen Hartmann
Julian A. Rubel
Christopher Lalk
Sven Barnow
Christina Timm
Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
Internet Interventions
Binge eating disorder
Web-based interventions
Randomized controlled trial
Ecological momentary assessment
Emotion regulation
Internet-based self-help
title Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
title_full Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
title_fullStr Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
title_full_unstemmed Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
title_short Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial
title_sort integrating a web based intervention into routine care of binge eating disorder study protocol for a randomized controlled trial
topic Binge eating disorder
Web-based interventions
Randomized controlled trial
Ecological momentary assessment
Emotion regulation
Internet-based self-help
url http://www.sciencedirect.com/science/article/pii/S2214782922000215
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