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.

Journal: Eating behaviors

Volume: 53

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Departments of Psychiatry, Epidemiology and Psychology, Columbia University, New York City, NY, USA. Center for mHealth, Palo Alto University, Palo Alto, CA, USA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: fitzsimmonse@wustl.edu.

Abstract summary 

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.Participants (N = 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.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.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.

Authors & Co-authors:  Laboe McGinnis Fennig Zucker Wu Shah Levitan Firebaugh Bardone-Cone Pike Taylor Wilfley Fitzsimmons-Craft

Study Outcome 

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Statistics
Citations : 
Authors :  13
Identifiers
Doi : 10.1016/j.eatbeh.2024.101865
SSN : 1873-7358
Study Population
Male,Female
Mesh Terms
Other Terms
Anorexia nervosa;Digital intervention;Mental health treatment;Mobile app;mHealth
Study Design
Study Approach
Country of Study
Publication Country
United States