Virtually delivered guided self-help for binge eating disorder and bulimia nervosa: Findings from a service evaluation conducted during the COVID-19 pandemic Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.31234/osf.io/xuyv8
Background: Timely intervention is beneficial to the effectiveness of eating disorder (ED) treatment, but limited capacity within ED services means that these disorders are often not treated with sufficient speed. This service evaluation extends previous research into guided self-help (GSH) for adults with bulimic spectrum EDs by assessing uptake, completion, and clinical outcomes when using an innovative delivery method, i.e., videoconferencing.Methods: Patients with bulimia nervosa (BN), binge eating disorder (BED) and other specified feeding and eating disorders (OSFED) waiting for treatment in a large specialist adult eating disorder outpatient service were offered virtually-delivered GSH. The programme used an evidence-based cognitive-behavioural self-help book. Individuals were supported by non-expert coaches, who delivered the programme virtually via video call.Results: Of 130 patients allocated to a GSH coach, 106 (81.5%) started and 75 (57.7%) completed treatment. Amongst completers, there were large reductions in ED behaviours and attitudinal symptoms measured by the ED-15. The largest effect sizes were seen in the frequency of binge eating behaviour (-0.93) and concerns around eating (-1.59). Patients from minoritised ethnic groups were overrepresented in the non-completers group.Conclusions: This service evaluation provides encouraging preliminary evidence for virtually-delivered GSH as a treatment for BN, BED, and OSFED. It appears effective as a simple, short-term, focused intervention against the backdrop of long waiting lists for ED treatment in the wake of the COVID-19 pandemic. Further research is needed to compare GSH to other brief therapies and investigate barriers for patients from culturally diverse groups.
Related Topics
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.31234/osf.io/xuyv8
- OA Status
- gold
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321459216
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321459216Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.31234/osf.io/xuyv8Digital Object Identifier
- Title
-
Virtually delivered guided self-help for binge eating disorder and bulimia nervosa: Findings from a service evaluation conducted during the COVID-19 pandemicWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-20Full publication date if available
- Authors
-
Bethan Dalton, Molly R. Davies, Chloe Hutchings-Hay, Rachel Potterton, Eleanor Breen O’Byrne, Charmaine Kilonzo, Michaela Flynn, Stefano R. Belli, Lucy Gallop, Gemma Gordon, Johanna Louise Keeler, Imelda Minnock, Matthew R. Phillips, Lauren Robinson, Emma Snashall, Cindy Toloza, Luiza Walo, Jason C. Cole, Ulrike SchmidtList of authors in order
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https://doi.org/10.31234/osf.io/xuyv8Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.31234/osf.io/xuyv8Direct OA link when available
- Concepts
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Bulimia nervosa, Binge-eating disorder, Binge eating, Eating disorders, Intervention (counseling), Psychiatry, Psychology, Clinical psychology, MedicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2023: 1Per-year citation counts (last 5 years)
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(81.5%) | 125 |
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| institutions_distinct_count | 19 |
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