Pruessner Luise, Hartmann Steffen, Rubel Julian A, Lalk Christopher, Barnow Sven, Timm Christina
Department of Psychology, Heidelberg University, Hauptstr. 47-51, 69117 Heidelberg, Germany.
Psychotherapy Research Unit, University of Giessen, Otto-Behaghel-Straße 10, 35394 Giessen, Germany.
Internet Interv. 2022 Feb 21;28:100514. doi: 10.1016/j.invent.2022.100514. eCollection 2022 Apr.
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.
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 ( = 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.
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.
, Identifier: NCT04876183 (registered on May 6th, 2021).
尽管暴饮暴食症（BED）是最常见的饮食障碍，且带来了沉重的身心负担，但由于患者相关障碍和医疗资源不足，获得专业治疗的机会有限。将基于网络的自助项目纳入BED的临床护理中，可能会通过使基于证据的饮食障碍干预措施更容易获得来弥补这一治疗差距。
将进行一项双臂随机对照试验，以评估在常规护理环境中基于网络的BED自助干预措施的有效性。年龄在18至65岁、符合BED诊断标准（n = 152）的患者将被随机分配到：（1）接受为期12周基于网络的自助项目的干预组；或（2）延迟获得干预的等待名单对照组。主要结局将是暴饮暴食发作的次数。次要结局包括整体饮食障碍、功能损害、工作能力、幸福感、共病精神病理学、自尊和情绪调节能力。测量将在基线（研究入组）、基线后6周（治疗中期）和基线后12周（治疗后）进行。为了实时捕捉结局和治疗机制，传统的自我报告将与每周症状监测和生态瞬时评估相结合。
评估基于网络的干预措施的有效性对于弥补BED患者的治疗差距至关重要。当充分整合到标准护理中时，这些项目有可能减轻BED给个人、其家庭和社会带来的沉重负担。
，标识符：NCT04876183（于2021年5月6日注册）。
