Binge-Eating Disorder
Conditions
Brief summary
Binge-eating behavior is a central feature of eating disorders (e.g., binge-eating disorder, bulimia nervosa, anorexia nervosa-binge-eating/purging subtype) and is associated with higher rates of psychopathology, psychosocial impairment, medical comorbidity, and more severe obesity, all of which pose significant public health problems. Passive detection of binge eating episodes combined with a context-based reminder intervention could assist a patient in resuming healthy eating patterns. This study will test a smartwatch app that identifies binge eating behavior and provides CBT strategies to the patient after the episode.
Interventions
Participants will receive a smartwatch with a pre-loaded app that will alert the participant to relevant binge-eating strategies based on their previous detected behavior.
Participants will receive a smartwatch that vibrates randomly, and will be instructed the vibration is a cue not to binge eat.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adults ≥18 years of age 2. EDE diagnosis of bulimia nervosa or binge eating disorder, with binge-eating episodes occurring at least 2x/week
Exclusion criteria
1. Pregnancy or lactation 2. Acute medical or psychiatric risk 3. Psychosis or bipolar disorder (lifetime history) 4. Current substance use disorder within the past six months 5. BMI less than 18.5 kg/m2 6. Acute suicidality requiring hospitalization 7. Food allergies 8. Receiving current psychotherapy 9. On psychotropic medications that have not been on a stable dose for at least six weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients in the HabitAware condition that report the treatment is acceptable. | 8 weeks | Measured via post-treatment survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients report that the binge episode detection is accurate | 8 weeks | Measured via post-treatment survey |