GGZ Rivierduinen Eetstoornissen Ursula, Postbox 405, Sandifortdreef 19, 2300 AK, Leiden, the Netherlands.
Institute of Psychology, Leiden University, Leiden, the Netherlands.
Trials. 2019 Aug 16;20(1):509. doi: 10.1186/s13063-019-3574-2.
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.
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.
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.
Netherlands Trial Register, NTR7065 . Registered on 7 June 2018.
电子心理健康在饮食障碍（ED）患者的干预措施中变得越来越受欢迎。它有潜力提供低门槛的干预措施，并更迅速地引导个人获得所需的护理。Featback 就是这样一种基于互联网的干预措施，它包括心理教育和一个完全自动化的监测和反馈系统。初步研究结果表明，Featback 在减少 ED 症状方面具有（成本）效益。此外，心理学家提供电子邮件或聊天支持并没有增强 Featback 的效果。由专家患者（即有 ED 生活经历的人）提供支持可能更有效，因为该人可以有效地模拟健康行为，并增强与 ED 作斗争的个体的自我效能感。本研究旨在通过进一步研究 Featback 的（成本）效益和专家患者支持的附加值，复制和扩展早期研究结果。
该研究将是一项随机对照试验，采用两因素两水平重复测量设计。四个条件将是（1）Featback，其中参与者每周收到关于简短监测问卷的自动反馈，（2）Featback 每周收到专家患者的电子邮件或聊天支持，（3）每周收到专家患者的支持，（4）等待名单。年龄在 16 岁或以上且至少有轻度自我报告 ED 症状的参与者接受基线测量。随后，他们被随机分配到四个条件中的一个进行 8 周的干预。参与者将在干预后再次进行评估，并在 3、6、9 和 12 个月进行随访。主要结局指标将是 ED 心理病理学。次要结局指标是体验到的社会支持、自我效能感、焦虑和抑郁症状、用户满意度、干预使用情况以及寻求帮助的态度和行为。
本研究是首次调查电子心理健康与专家患者支持相结合在 ED 中的应用，并将有助于优化基于互联网的干预措施和专家患者支持的实施。
荷兰试验注册中心，NTR7065。于 2018 年 6 月 7 日注册。
