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Digital mental health interventions for recurrent binge eating

Efficacy of internet- and app-based interventions for recurrent binge eating. A three-armed randomized controlled trial.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000914864
Enrollment
420
Registered
2021-07-14
Start date
2021-08-02
Completion date
2021-08-09
Last updated
2021-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The present study will evaluate the relative efficacy of two digital interventions for recurrent binge eating: a smartphone app and an Internet-based program. The relative efficacy of different technology mediums has yet to be explored. Findings will shed light towards possible technologies that afford an added benefit. The following hypotheses are derived: 1. Participants randomized to the two digital intervention groups will experience greater reductions in primary and secondary outcomes than participants randomized to the waitlist. 2. There will be no differences in outcome variables between those randomized to one of the two digital interventions (app versus web program).

Interventions

There will be two digital interventions delivered in this trial. The first will be a internet-based intervention designed to primarily target extreme dietary restraint as the mechanism to reduce binge eating. The internet intervention is composed of 4 sessions. 1. Psycho-education: information on what dieting means, when it can become harmful, and why it can promote binge eating. 2. Self-monitoring: the importance of monitoring behaviors, thoughts, and emotions related to food, eating, and di

There will be two digital interventions delivered in this trial. The first will be a internet-based intervention designed to primarily target extreme dietary restraint as the mechanism to reduce binge eating. The internet intervention is composed of 4 sessions. 1. Psycho-education: information on what dieting means, when it can become harmful, and why it can promote binge eating. 2. Self-monitoring: the importance of monitoring behaviors, thoughts, and emotions related to food, eating, and dieting 3. Regular eating: participants taught how to adopt a pattern of regular, flexible eating approach. 4. Food exposure: participants are taught how to overcome fear and anxiety around "forbidden" foods. The second digital intervention will be delivered only via a smartphone app. The app is based on transdiagnostic CBT (Fairburn, 2008) in that it is designed to target a range of factors implicated in the maintenance of binge eating (e.g., overvaluation with weight/shape, extreme dietary restraint & mood intolerance). There are also 4 modules to this app: 1. Psychoeducation about binge eating and its cycle 2. Implementing self-monitoring and regular eating 3. Learning healthy coping strategies through acceptance, mindfulness, and problem solving 4. Building a better body image Each session/module of the two interventions will take around 30-60 minutes to complete, and participants will be encouraged to practice the strategies taught in each session on a daily basis. Therefore, total time commitment will vary from person to person. Participants will be encouraged to stay on each session for around 7 days prior to moving to the next session, although they will be instructed that they can go at a pace that suits themselves. The total duration of the interventions will be 4 weeks, though participants have the opportunity to continue using the interventions after this period. Each session/module will include: written text, quizzes/ interactive video or audio recordings discussing the content of the session and how to implement the prescribed strategies; downloadable handouts to complete the prescribed activities; and quizzes designed to consolidate learning. Adherence will be monitored by assessing whether participants complete each of the sessions/modules, including how much of the session/module will be completed.

Sponsors

Deakin University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Participants must: 1) Be aged 18 years or over 2) Have access to the internet or smartphone 3) Experience the presence of recurrent binge eating, defined as binge eating at least once per fortnight, on average, over the past 3 months via self-report.

Exclusion criteria

No other exclusion criteria will be employed.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026