Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder
ObjectiveLack of motivation is widely acknowledged as a significant factor in treatment discontinuity and poor treatment outcomes in eating disorders. Treatment adherence is lower in internet-based treatment. The current study aimed to assess the relationship between treatment motivation and treatme...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.969338/full |
| _version_ | 1817982347251810304 |
|---|---|
| author | Eik Runge Esben Kjems Jensen Esben Kjems Jensen Kim Mathiasen Kim Mathiasen Pia Veldt Larsen Søren Peter Thygesen Hertz Trine Theresa Holmberg Kristine Tarp Kristine Tarp Jakob Linnet Jakob Linnet Mia Beck Lichtenstein Mia Beck Lichtenstein |
| author_facet | Eik Runge Esben Kjems Jensen Esben Kjems Jensen Kim Mathiasen Kim Mathiasen Pia Veldt Larsen Søren Peter Thygesen Hertz Trine Theresa Holmberg Kristine Tarp Kristine Tarp Jakob Linnet Jakob Linnet Mia Beck Lichtenstein Mia Beck Lichtenstein |
| author_sort | Eik Runge |
| collection | DOAJ |
| description | ObjectiveLack of motivation is widely acknowledged as a significant factor in treatment discontinuity and poor treatment outcomes in eating disorders. Treatment adherence is lower in internet-based treatment. The current study aimed to assess the relationship between treatment motivation and treatment outcomes in an internet-based therapist-guided intervention for Binge Eating Disorder (BED).MethodAdults (N = 153) with mild to moderate symptoms of BED participated in a 10-session internet-based treatment program. Baseline and between-session scores of “Readiness to change” and “Belief in change” were used to predict treatment completion and eating disorder symptom reduction (EDE-Q Global, BED-Q, and weekly number of binge eating episodes) at post-treatment.ResultsBaseline treatment motivation could not predict treatment completion or symptom reduction. Early measures of treatment motivation (regression slope from sessions 1–5) significantly predicted both treatment completion and post-treatment symptom reduction. “Belief in change” was the strongest predictor for completing treatment (OR = 2.18, 95%-CI: 1.06, 4.46) and reducing symptoms (EDE-Q Global: B = −0.53, p = 0.001; number of weekly binge eating episodes: B = 0.81, p < 0.01).DiscussionThe results indicated that patients entering online treatment for BED feel highly motivated. However, baseline treatment motivation could not significantly predict treatment completion, which contradicts previous research. The significant predictive ability of early measures of treatment motivation supports the clinical relevance of monitoring the development of early changes to tailor and optimize individual patient care. Further research is needed to examine treatment motivation in regard to internet-based treatment for BED with more validated measures. |
| first_indexed | 2024-04-13T23:19:50Z |
| format | Article |
| id | doaj.art-b6129138ee6840af94a7cb857ddb4da5 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T23:19:50Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-b6129138ee6840af94a7cb857ddb4da52022-12-22T02:25:17ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-10-011310.3389/fpsyt.2022.969338969338Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorderEik Runge0Esben Kjems Jensen1Esben Kjems Jensen2Kim Mathiasen3Kim Mathiasen4Pia Veldt Larsen5Søren Peter Thygesen Hertz6Trine Theresa Holmberg7Kristine Tarp8Kristine Tarp9Jakob Linnet10Jakob Linnet11Mia Beck Lichtenstein12Mia Beck Lichtenstein13Mental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Vejle, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkClinic on Gambling- and Binge Eating Disorder, Department of Occupational and Environmental Medicine, Odense University Hospital, Odense, DenmarkMental Health Services in the Region of Southern Denmark, Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Odense, DenmarkDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, DenmarkObjectiveLack of motivation is widely acknowledged as a significant factor in treatment discontinuity and poor treatment outcomes in eating disorders. Treatment adherence is lower in internet-based treatment. The current study aimed to assess the relationship between treatment motivation and treatment outcomes in an internet-based therapist-guided intervention for Binge Eating Disorder (BED).MethodAdults (N = 153) with mild to moderate symptoms of BED participated in a 10-session internet-based treatment program. Baseline and between-session scores of “Readiness to change” and “Belief in change” were used to predict treatment completion and eating disorder symptom reduction (EDE-Q Global, BED-Q, and weekly number of binge eating episodes) at post-treatment.ResultsBaseline treatment motivation could not predict treatment completion or symptom reduction. Early measures of treatment motivation (regression slope from sessions 1–5) significantly predicted both treatment completion and post-treatment symptom reduction. “Belief in change” was the strongest predictor for completing treatment (OR = 2.18, 95%-CI: 1.06, 4.46) and reducing symptoms (EDE-Q Global: B = −0.53, p = 0.001; number of weekly binge eating episodes: B = 0.81, p < 0.01).DiscussionThe results indicated that patients entering online treatment for BED feel highly motivated. However, baseline treatment motivation could not significantly predict treatment completion, which contradicts previous research. The significant predictive ability of early measures of treatment motivation supports the clinical relevance of monitoring the development of early changes to tailor and optimize individual patient care. Further research is needed to examine treatment motivation in regard to internet-based treatment for BED with more validated measures.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.969338/fulliCBTmotivationadherence – compliance – persistencebinge eating disorder (BED)early measurements |
| spellingShingle | Eik Runge Esben Kjems Jensen Esben Kjems Jensen Kim Mathiasen Kim Mathiasen Pia Veldt Larsen Søren Peter Thygesen Hertz Trine Theresa Holmberg Kristine Tarp Kristine Tarp Jakob Linnet Jakob Linnet Mia Beck Lichtenstein Mia Beck Lichtenstein Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder Frontiers in Psychiatry iCBT motivation adherence – compliance – persistence binge eating disorder (BED) early measurements |
| title | Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder |
| title_full | Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder |
| title_fullStr | Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder |
| title_full_unstemmed | Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder |
| title_short | Early development of treatment motivation predicts adherence and symptom reduction in an internet-based guided self-help program for binge eating disorder |
| title_sort | early development of treatment motivation predicts adherence and symptom reduction in an internet based guided self help program for binge eating disorder |
| topic | iCBT motivation adherence – compliance – persistence binge eating disorder (BED) early measurements |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.969338/full |
| work_keys_str_mv | AT eikrunge earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT esbenkjemsjensen earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT esbenkjemsjensen earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT kimmathiasen earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT kimmathiasen earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT piaveldtlarsen earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT sørenpeterthygesenhertz earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT trinetheresaholmberg earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT kristinetarp earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT kristinetarp earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT jakoblinnet earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT jakoblinnet earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT miabecklichtenstein earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder AT miabecklichtenstein earlydevelopmentoftreatmentmotivationpredictsadherenceandsymptomreductioninaninternetbasedguidedselfhelpprogramforbingeeatingdisorder |