Department of Child & Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Division of Medicine, University College London, London, United Kingdom.
JMIR Res Protoc. 2024 Nov 4;13:e60165. doi: 10.2196/60165.
Access to psychological health care is extremely difficult, especially for individuals with severely stigmatized disorders such as eating disorders (EDs). There has been an increase in children, adolescents, and adults with ED symptoms and ED, especially following the COVID-19 pandemic. Computer-based self-help platforms (± associated apps) allow people to bridge the treatment gap and receive support when in-person treatment is unavailable or not preferred.
The aim of this systematic review is to evaluate the effectiveness of computer-based self-help platforms for EDs, some of which may have associated apps.
The proposed systematic review will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. This review will report and evaluate the literature concerning the efficacy of self-help platforms for EDs. Articles were obtained from the Ovid MEDLINE, Embase, Global Health, and APA PsycInfo. The inclusion criteria included research with original data and gray literature; research evaluating the efficacy of web-based psychoeducational self-help platforms for EDs; people with an ED diagnosis, ED symptoms, at risk of developing EDs, or from the general population without ED-related behaviors; pre- and post-computer-based ± associated apps intervention clinical outcome of ED symptoms; pre- and post-computer-based ± associated apps intervention associated mental health difficulties; and literature in English. The exclusion criteria were solely guided self-help platforms, only in-person interventions with no computer-based ± associated apps comparison group, only in-person-delivered CBT, self-help platforms for conditions other than eating disorders, systematic reviews, meta-analyses, posters, leaflets, books, reviews, and research that only reported physical outcomes. Two independent authors used the search terms to conduct the initial search. The collated articles then were screened by their titles and abstracts, and finally, full-text screenings were conducted. The Cochrane Risk of Bias 2 tool will be used to assess the risks of bias in the included studies. Data extraction will be conducted, included studies will undergo narrative synthesis, and results will be presented in tables. The systematic review will be submitted to a peer-reviewed journal.
The authors conducted a database search for articles published by May 31, 2024. In total, 14 studies were included in the systematic review. Data charting, synthesis, and analysis were completed in Microsoft Excel by the end of July 2024. Results will be grouped based on the intervention stages. The results are expected to be published by the end of 2024. Overall, the systematic review found that computer-based self-help platforms are effective in reducing global ED psychopathology and ED-related behaviors.
Self-help platforms are helpful first-stage resource in a tiered health care system.
PROSPERO CRD42024520866; https://tinyurl.com/5ys2unsw.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60165.
获得心理健康护理极其困难，尤其是对于那些患有严重污名化障碍（如饮食障碍）的个体而言。自 COVID-19 大流行以来，患有饮食障碍症状和饮食障碍的儿童、青少年和成年人数量有所增加。基于计算机的自助平台（±相关应用程序）允许人们在无法获得或不倾向于获得面对面治疗时，弥补治疗差距并获得支持。
本系统评价旨在评估针对饮食障碍的基于计算机的自助平台的有效性，其中一些可能具有相关应用程序。
拟议的系统评价将遵循 PRISMA（系统评价和荟萃分析的首选报告项目）指南。本综述将报告和评估有关饮食障碍自助平台功效的文献。文章从 Ovid MEDLINE、Embase、全球健康和 APA PsycInfo 中获得。纳入标准包括具有原始数据和灰色文献的研究；评估基于网络的心理教育自助平台对饮食障碍疗效的研究；有饮食障碍诊断、饮食障碍症状、有发展为饮食障碍风险或来自无饮食障碍相关行为的一般人群的人群；基于计算机的±相关应用程序干预前后饮食障碍症状的临床结局；基于计算机的±相关应用程序干预前后相关心理健康困难；以及英语文献。排除标准为仅指导自助平台、仅有无基于计算机的±相关应用程序比较组的面对面干预、仅提供面对面 CBT、用于除饮食障碍以外的其他疾病的自助平台、系统评价、荟萃分析、海报、传单、书籍、综述以及仅报告身体结果的研究。两位独立作者使用搜索词进行初步搜索。然后，根据标题和摘要筛选整理后的文章，最后进行全文筛选。将使用 Cochrane 风险偏倚 2 工具评估纳入研究的偏倚风险。将进行数据提取，纳入的研究将进行叙述性综合，结果将以表格形式呈现。该系统评价将提交给同行评议期刊。
作者于 2024 年 5 月 31 日之前进行了数据库搜索，以搜索已发表的文章。共有 14 项研究被纳入系统评价。到 2024 年 7 月底完成数据图表、综合和分析。结果将根据干预阶段进行分组。预计结果将于 2024 年底公布。总的来说，系统评价发现，基于计算机的自助平台在减少全球饮食障碍心理病理学和与饮食障碍相关的行为方面是有效的。
自助平台是分层医疗保健系统中有用的第一阶段资源。
PROSPERO CRD42024520866；https://tinyurl.com/5ys2unsw。
国际注册报告标识符（IRRID）：DERR1-10.2196/60165。
