Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101876
Dylan K. Richards, Matthew R. Pearson, Protective Strategies Study Team
{"title":"Factor structure, group invariance, and concurrent validity of scores from the college eating and drinking behavior scale among U.S. college students","authors":"Dylan K. Richards, Matthew R. Pearson, Protective Strategies Study Team","doi":"10.1016/j.eatbeh.2024.101876","DOIUrl":"10.1016/j.eatbeh.2024.101876","url":null,"abstract":"<div><p>Food and alcohol disturbance (FAD) refers to the intersection of alcohol- and eating-related motives and behaviors, such as restricting food intake before or during alcohol use to offset caloric intake or to enhance intoxication. Valid assessment is critical for advancing research on FAD. We tested the factor structure, group invariance, and concurrent validity of the College Eating and Drinking Behavior Scale (CEDBS) in a large college student sample (<em>n</em> = 2610; Mage = 20.95, SD = 4.65; 71.8% female; 77% White; 86% non-Hispanic). Participants completed measures assessing antecedents of alcohol use (i.e., protective behavioral strategies and drinking motives), negative alcohol-related consequences, alcohol use severity, and risk for eating disorder. The 3-factor model of the 21-item CEDBS provided an adequate fit to the data (e.g., CFI = 0.916). These factors include Alternative Methods (4 items; “Use laxative prior to drinking alcohol”), Offset Calories (7 items; “Restrict calories prior to drinking to help maintain your figure”), and Quicker Intoxication (10 items; “Not eating before drinking alcohol because it gives you the best buzz”). The CEDBS was scalar invariant across subgroups of participants based on age, sex, race/ethnicity, socioeconomic status, sexual orientation, and political orientation. Quicker Intoxication was most strongly related to risk factors and negative consequences for alcohol (<em>r</em> = 0.204–0.379, all <em>p</em>s < 0.01), and Offset Calories was most strongly related to risk for eating disorders (<em>r</em> = 0.349, <em>p</em> < .01). These findings further support the CEDBS to assess FAD among college students.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101876"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101879
William D. Murley, Crystal D. Oberle, Krista J. Howard, Jessica K. Perrotte
{"title":"Anxiety connects social media use to food and alcohol disturbance and disordered eating when social support is low","authors":"William D. Murley, Crystal D. Oberle, Krista J. Howard, Jessica K. Perrotte","doi":"10.1016/j.eatbeh.2024.101879","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101879","url":null,"abstract":"<div><p>Food and alcohol disturbance (FAD) is an understudied form of disordered eating, in which the consumption of calories is restricted in preparation for drinking alcohol. Guided by previous literature, the present study examined the direct, indirect, and interactive relationships between social media use, anxiety, social support, FAD, and disordered eating among young adults. Recruited from a large southwestern public university, the sample included 679 undergraduate students who completed an online survey in spring of 2022 and who indicated that they consume alcohol and are 18 to 29 years old. Two moderated mediation analyses assessed the indirect effects of anxiety on the relationships between social media use with FAD and disordered eating, and the conditional contribution of social support. Results indicated that social media use was related to disordered eating both directly and indirectly through anxiety, but it was <em>only</em> related to FAD through anxiety. Furthermore, indirect effects connecting social media use to FAD and disordered eating were conditional upon social support. Our findings suggest FAD and disordered eating may be coping mechanisms for anxiety stemming from social media exposure, though these associations appear to be attenuated when social support is high. As such, these findings may be relevant for shaping future intervention and prevention efforts for emerging adults experiencing FAD and disordered eating.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101879"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140641172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101883
Cara M. Murphy , Kelli Scott , Suzanne M. Colby , Julia Yermash , E. Whitney Evans , Rena R. Wing , Liza A. Kolbasov , Damaris J. Rohsenow
{"title":"“Healthier health in more ways than one”: Perspectives on a program for changing both smoking and obesity-related health behaviors","authors":"Cara M. Murphy , Kelli Scott , Suzanne M. Colby , Julia Yermash , E. Whitney Evans , Rena R. Wing , Liza A. Kolbasov , Damaris J. Rohsenow","doi":"10.1016/j.eatbeh.2024.101883","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101883","url":null,"abstract":"<div><h3>Introduction</h3><p>Individuals with obesity who smoke cigarettes have increased risk of morbidity and mortality. The goal of the current study was to inform the development of a multiple health behavior change intervention designed to facilitate smoking cessation while also targeting weight gain.</p></div><div><h3>Methods</h3><p>Four qualitative focus groups were conducted with individuals who smoked cigarettes and had overweight or obesity (<em>n</em> = 16) to explore the combined effects of smoking and obesity, past attempts to quit smoking or lose weight, and preferences for a combined health intervention.</p></div><div><h3>Results</h3><p>Focus groups converged on five themes including: the interactive effects of weight and smoking; lack of experience with evidence-based weight loss approaches; a desire and expectation to lose weight quickly; rapid weight gain during past attempts at smoking cessation; and interest in a multiple health behavior change intervention with weight management preceding smoking cessation and an emphasis on planning for the future and receiving encouragement and support.</p></div><div><h3>Conclusions</h3><p>Groups provided insight into key topics to highlight in a combined intervention and key issues that have interfered with success in both domains.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101883"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Body weight change during a smoking cessation intervention for individuals with overweight or obesity","authors":"Andrea Krotter , Ángel García-Pérez , Gema Aonso-Diego , Gloria García-Fernández","doi":"10.1016/j.eatbeh.2024.101882","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101882","url":null,"abstract":"<div><h3>Introduction</h3><p>A more comprehensive understanding of the factors regarding weight control in individuals with overweight or obesity after quitting smoking is needed. The study aimed to analyze the changes of in-treatment variables during a smoking cessation intervention and examine their impact on weight.</p></div><div><h3>Methods</h3><p>A total of 120 individuals who smoke with overweight or obesity (<em>M</em><sub>BMI</sub> = 31.75 ± 4.31; 54.16 % female) participated in a cognitive-behavioral therapy for smoking cessation and weight control or the same treatment plus contingency management. Weight, smoking variables (cotinine and continuous abstinence), eating behaviors (appetite, grazing), exercise, and sleep were assessed weekly throughout the treatment.</p></div><div><h3>Results</h3><p>More participants gained weight over time with reduced nicotine use or abstinence. There was a tendency during treatment to increase appetite and exercise time, while grazing episodes and sleeping hours remained stable. Higher baseline weight (<em>p</em> < .001), greater cotinine reduction (<em>p</em> = .021) and time (<em>p</em> = .009) were associated with greater weight gain, while more hours of exercise (<em>p</em> = .003), no appetite changes (<em>p</em> = .003) and diminished appetite (<em>p</em> < .001) were associated with less gain over the treatment. Both treatment conditions showed similar results in all in-treatment variables.</p></div><div><h3>Discussion</h3><p>Individuals with overweight and obesity with higher baseline weight and higher baseline cotinine levels during smoking cessation interventions may require special attention to improve weight outcomes. Exercise and appetite regulation may be useful for mitigating weight gain in smoking cessation interventions for individuals with overweight or obesity.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101882"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000412/pdfft?md5=9e4f338aa079e21e0dd8bc1540a0fe41&pid=1-s2.0-S1471015324000412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101881
Rachel H. Burgon, Glenn Waller
{"title":"Body image concerns among individuals with different levels of sporting engagement and exercise: A longitudinal study","authors":"Rachel H. Burgon, Glenn Waller","doi":"10.1016/j.eatbeh.2024.101881","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101881","url":null,"abstract":"<div><p>This longitudinal study examined whether body image concerns (general; sporting) predicted eating disorder psychopathology, and whether the link differed according to nature of sport engagement. Participants were competitive sports engagers, non-competitive sports engagers, or sports non-engagers. At baseline, 510 adults completed online measures of sports demographics, eating psychopathology and body image. Eating psychopathology and body image measures were taken at follow-up (6 months later). Competitive sports engagers had better body image than the other two groups. Poorer body appreciation and better appearance-related body image predicted higher eating disorder psychopathology. Engaging in sports competitively may be beneficial for body image. However, positive appearance-related sporting body image may pose a risk for later eating psychopathology.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101881"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000400/pdfft?md5=80007cbd0e15f6e5989d4391316640a6&pid=1-s2.0-S1471015324000400-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101873
Anna Gabrielle G. Patarinski , Gregory T. Smith , Heather A. Davis
{"title":"Eating disorder-related functional impairment predicts greater depressive symptoms across one semester of college","authors":"Anna Gabrielle G. Patarinski , Gregory T. Smith , Heather A. Davis","doi":"10.1016/j.eatbeh.2024.101873","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101873","url":null,"abstract":"<div><p>Eating disorder (ED) behaviors and depression are associated with numerous negative outcomes, including lower quality of life and functional impairment. College women are at elevated risk for both. Prior research indicates ED behaviors, including binge eating, self-induced vomiting, and fasting, predict increases in future depressive symptoms. However, symptom heterogeneity in EDs is common, and all disordered eating, or its associated distress, cannot be captured by the endorsement of behaviors. Impairment that results from ED behaviors may be a comparable, or stronger, predictor of depressive symptoms. We sought to characterize the longitudinal relationship between ED-related functional impairment, ED behaviors, and depressive symptoms. College-aged women [<em>N</em> = 304; 72 % white, mean (SD) age = 18.45 (0.88)] completed an online survey in August (baseline), and then three months later in November (follow-up). Baseline ED-related functional impairment, but not baseline ED behaviors, significantly predicted depressive symptoms at follow-up, controlling for baseline depressive symptoms, negative affect, and body mass index. Findings indicate ED-related functional impairment is a risk factor for increases in depressive symptoms across one semester of college, irrespective of ED behavior engagement, weight status, and dispositional negative affect. Intervening upon ED-related functional impairment may reduce or prevent future depressive symptoms among college-aged women.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101873"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140344480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-04-01DOI: 10.1016/j.eatbeh.2024.101877
Megan N. Parker , Nasreen A. Moursi , Praise E. Adekola , Bess F. Bloomer , Jennifer Te-Vazquez , Ejike E. Nwosu , Julia Lazareva , Jeremiah L. Jones , Shanna B. Yang , Sara A. Turner , Sheila M. Brady , Kong Y. Chen , Marian Tanofsky-Kraff , Jack A. Yanovski
{"title":"Youth's energy intake during a laboratory-based loss-of-control eating paradigm: Associations with reported current dieting","authors":"Megan N. Parker , Nasreen A. Moursi , Praise E. Adekola , Bess F. Bloomer , Jennifer Te-Vazquez , Ejike E. Nwosu , Julia Lazareva , Jeremiah L. Jones , Shanna B. Yang , Sara A. Turner , Sheila M. Brady , Kong Y. Chen , Marian Tanofsky-Kraff , Jack A. Yanovski","doi":"10.1016/j.eatbeh.2024.101877","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101877","url":null,"abstract":"<div><p>Dieting is theorized as a risk factor for loss-of-control (LOC)-eating (i.e., feeling a sense of lack of control while eating). Support for this association has largely relied on retrospective self-report data, which does not always correlate with objectively assessed eating behavior in youth. We hypothesized that during a laboratory-based LOC-eating paradigm, children and adolescents who reported current (at the time of the visit) dieting would consume meals consistent with LOC-eating (greater caloric intake, and intake of carbohydrates and fats, but less intake of protein). Participants were presented with a buffet-style meal and instructed to “Let yourself go and eat as much as you want.” Current dieting (i.e., any deliberate change to the amount or type of food eaten to influence shape or weight, regardless of how effective the changes are) was assessed via interview. General linear models were adjusted for fat mass (%), lean mass (kg), height, sex, protocol, race and ethnicity, pre-meal hunger and minutes since consumption of a breakfast shake. Of 337 participants (M<sub>age</sub> 12.8 ± 2.7y; 62.3 % female; 45.7 % non- Hispanic White and 26.1 % non-Hispanic Black; M<sub>BMIz</sub> 0.78 ± 1.11), only 33 (9.8 %) reported current dieting. Current dieting was not significantly associated with total energy intake (<em>F</em> <span>=</span> 1.63, <em>p</em> = .20, η<sub>p</sub><sup>2</sup> = 0.005), or intake from carbohydrates (<em>F</em> = 2.45, <em>p</em> = .12, η<sub>p</sub><sup>2</sup> = 0.007), fat (<em>F</em> = 2.65, <em>p</em> = .10, η<sub>p</sub><sup>2</sup> = 0.008), or protein (<em>F</em> = 0.39, <em>p</em> = .53, η<sub>p</sub><sup>2</sup> = 0.001). Contrary to theories that dieting promotes LOC-eating, current dieting was not associated with youth's eating behavior in a laboratory setting. Experimental approaches for investigating dieting are needed to test theories that implicate dieting in pediatric LOC-eating.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101877"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-03-22DOI: 10.1016/j.eatbeh.2024.101872
Katie L. Edwards , Jason M. Thomas , Suzanne Higgs , Jacqueline Blissett
{"title":"Repeated exposure to models' positive facial expressions whilst eating a raw vegetable increases children's consumption of the modelled vegetable","authors":"Katie L. Edwards , Jason M. Thomas , Suzanne Higgs , Jacqueline Blissett","doi":"10.1016/j.eatbeh.2024.101872","DOIUrl":"10.1016/j.eatbeh.2024.101872","url":null,"abstract":"<div><p>Exposing children to adults eating a raw vegetable with positive facial expressions (‘positive modelling’) increases children's consumption of the modelled vegetable. However, whether repeated versus a single exposure to positive modelling enhances this effect, and whether it generalises to a non-modelled vegetable, remains to be examined. Hence, this study examined the effect of a single exposure, versus repeated, exposure to positive modelling on children's acceptance and intake of a modelled and non-modelled vegetable. Children aged 5–6 years (<em>N</em> = 153; 81 males, 72 females) were randomised to one of three conditions in which they had i) a single or ii) repeated exposure to a video of adults eating raw broccoli with positive facial expressions or iii) were exposed to a no-food control video. Children's acceptance (measured as willingness to try and number of tastes), intake and liking of a modelled (raw broccoli) and non-modelled vegetable (raw mangetout) were measured. Children had greater raw broccoli consumption and liking if they had received repeated exposure to positive modelling, compared to children who had received a single exposure, but not compared to children in the control condition. Children's mangetout intake was greater in the single (versus repeated) positive condition, but this effect was not dependent on time. There was no effect on children's vegetable acceptance. Repeatedly exposing children to adults enjoying a vegetable encourages children's intake of the modelled vegetable in comparison to a single exposure. Thus, repeated exposure to others' food enjoyment may be a practical and useful strategy to encourage children's vegetable consumption.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101872"},"PeriodicalIF":2.8,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S147101532400031X/pdfft?md5=04aec380dc5a3667bc77cc415d91a806&pid=1-s2.0-S147101532400031X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-03-15DOI: 10.1016/j.eatbeh.2024.101871
Ellen K. Pasquale , David R. Strong , Michael A. Manzano , Dawn M. Eichen , Carol B. Peterson , Kerri N. Boutelle
{"title":"Exploring relationships among appetitive traits, negative affect, and binge eating in adults with overweight or obesity","authors":"Ellen K. Pasquale , David R. Strong , Michael A. Manzano , Dawn M. Eichen , Carol B. Peterson , Kerri N. Boutelle","doi":"10.1016/j.eatbeh.2024.101871","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101871","url":null,"abstract":"<div><p>Binge eating (BE) is a significant public health concern due to its prevalence and impact on mental and physical health. While research has suggested both negative affect and appetitive traits are associated with BE, few studies have investigated these constructs concurrently. Structural equation modeling (SEM) evaluated relationships between negative affect, reward-related appetitive traits, and BE among 293 adults with overweight or obesity (OW/OB) seeking treatment for BE, overeating, and weight management (m age = 46.6; m body mass index[BMI] = 34.5; 81.2 % female; 20.1 % Latinx, 60.8 % White non-Latinx). BE was related to negative affect (<em>β</em> = 0.53; <em>p</em> < 0.01) and appetitive traits (<em>β</em> = 1.53; <em>p</em> < 0.001). Negative affect and appetitive traits were related to one another (<em>r</em> = 0.42; <em>p</em> < 0.001), and the full model accounted for 77 % of the variance in BE. In an exploratory follow-up analysis, multigroup SEM evaluated the above relationships in models stratified by sex. Exploratory findings demonstrated both negative affect and appetitive traits were related to BE across sex, particularly when examining BE cognitions and behaviors. However, relationships in men depended upon BE assessment tool. These findings highlight that both negative affect and appetitive traits are related to BE, and jointly may represent significant risk and maintenance factors, particularly in adults with OW/OB. Our findings also highlight the importance of future investigation of sex differences in BE and the potential impact of assessment method.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101871"},"PeriodicalIF":2.8,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000308/pdfft?md5=5a4b15c5197a6a06b6cd569c2aa513f5&pid=1-s2.0-S1471015324000308-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-03-07DOI: 10.1016/j.eatbeh.2024.101865
Agatha A. Laboe , Claire G. McGinnis , Molly Fennig , Kianna Zucker , Ellis Wu , Jillian Shah , Julie Levitan , Marie-Laure Firebaugh , Anna M. Bardone-Cone , Kathleen M. Pike , C. Barr Taylor , Denise E. Wilfley , Ellen E. Fitzsimmons-Craft
{"title":"Development and usability testing of a cognitive-behavioral therapy-guided self-help mobile app and social media group for the post-acute treatment of anorexia nervosa","authors":"Agatha A. Laboe , Claire G. McGinnis , Molly Fennig , Kianna Zucker , Ellis Wu , Jillian Shah , Julie Levitan , Marie-Laure Firebaugh , Anna M. Bardone-Cone , Kathleen M. Pike , C. Barr Taylor , Denise E. Wilfley , Ellen E. Fitzsimmons-Craft","doi":"10.1016/j.eatbeh.2024.101865","DOIUrl":"10.1016/j.eatbeh.2024.101865","url":null,"abstract":"<div><h3>Objective</h3><p>Anorexia nervosa (AN) is often treated in the acute setting, but relapse after treatment is common. Cognitive-behavioral therapy (CBT) is useful in the post-acute period, but access to trained providers is limited. Social support is also critical during this period. This study utilized a user-centered design approach to develop and evaluate the usability of a CBT-based mobile app and social networking component for post-acute AN support.</p></div><div><h3>Method</h3><p>Participants (<em>N</em> = 19) were recently discharged from acute treatment for AN. Usability testing of the intervention was conducted over three cycles; assessments included the System Usability Scale (SUS), the Usefulness, Satisfaction, and Ease of Use Questionnaire (USE), the Mobile Application Rating Scale (MARS), a social media questionnaire, and a semi-structured interview.</p></div><div><h3>Results</h3><p>Interview feedback detailed aspects of the app that participants enjoyed and those needing improvement. Feedback converged on three themes: Logistical App Feedback, boosting recovery, and Real-World App/Social Media Use. USE and MARS scores were above average and SUS scores were “good” to “excellent” across cycles.</p></div><div><h3>Conclusion</h3><p>This study provides evidence of feasibility and acceptability of an app and social networking feature for post-acute care of AN. The intervention has potential for offering scalable support for individuals with AN in the high-risk period following discharge from acute care.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101865"},"PeriodicalIF":2.8,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}