Optimizing Digital Health Technology Interventions to Increase Skill Acquisition and Utilization

Description

The purpose of this study is to identify the independent and combined effects of two types of self-monitoring and two types of micro-interventions when combined with standard cognitive behavioral treatment for bulimia nervosa (BN) and binge eating disorder (BED). The primary aims of this study are (1) to evaluate the optimal complexity of Self-Monitoring and Micro-Interventions on eating pathology (at post-treatment and at 6 and 12-month follow-ups and (2) to test the hypotheses that the optimal complexity level of each component is moderated by baseline deficits in self-regulation. The secondary aim will be to test target engagement for each level of complexity for each component, i.e., to test whether higher complexity of each technological components is associated with better rates of therapeutic skill use and acquisition and that improvements in skill use and acquisition are associated with improvements in outcomes. A final exploratory aim will be to quantify the component interaction effects, which may be partially additive (because components overlap and/or there is diminishing return), fully additive, or synergistic (in that component complexities may partially depend on each other).

Conditions

Bulimia Nervosa, Bulimia, Binge Eating, Binge-Eating Disorder

Study Overview

Study Details

Study overview

The purpose of this study is to identify the independent and combined effects of two types of self-monitoring and two types of micro-interventions when combined with standard cognitive behavioral treatment for bulimia nervosa (BN) and binge eating disorder (BED). The primary aims of this study are (1) to evaluate the optimal complexity of Self-Monitoring and Micro-Interventions on eating pathology (at post-treatment and at 6 and 12-month follow-ups and (2) to test the hypotheses that the optimal complexity level of each component is moderated by baseline deficits in self-regulation. The secondary aim will be to test target engagement for each level of complexity for each component, i.e., to test whether higher complexity of each technological components is associated with better rates of therapeutic skill use and acquisition and that improvements in skill use and acquisition are associated with improvements in outcomes. A final exploratory aim will be to quantify the component interaction effects, which may be partially additive (because components overlap and/or there is diminishing return), fully additive, or synergistic (in that component complexities may partially depend on each other).

Optimizing Digital Health Technologies to Improve Therapeutic Skill Use and Acquisition

Optimizing Digital Health Technology Interventions to Increase Skill Acquisition and Utilization

Condition
Bulimia Nervosa
Intervention / Treatment

-

Contacts and Locations

Philadelphia

Drexel University, Stratton Hall, Philadelphia, Pennsylvania, United States, 19104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Have experienced 12 or more loss of control episodes within the previous 3 months
  • 2. Have a BMI at or above 18.5
  • 3. Are located in the US and willing/able to participate in treatment and assessments
  • 4. Are able to give consent
  • 1. Are unable to fluently speak, write and read English
  • 2. Have a BMI below 18.5
  • 3. Are already receiving treatment for an eating disorder
  • 4. Require immediate treatment for medical complications as a result of eating disorder symptoms
  • 5. Have a mental handicap, or are experiencing other severe psychopathology that would limit the participants' ability to comply with the demands of the current study (e.g. severe depression with suicidal intent, active psychotic disorder, severe substance use)
  • 6. Are pregnant or are planning to become pregnant

Ages Eligible for Study

18 Years to 70 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Drexel University,

Adrienne S Juarascio, Ph.D., PRINCIPAL_INVESTIGATOR, Drexel University

Study Record Dates

2026-03