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A Survey of Attitudes towards Computerized Self-Help for Eating Disorders within a Community-Based Sample

Published online by Cambridge University Press:  28 November 2014

Carrie-Anne McClay ,
Louise Waters ,
Ulrike Schmidt  and
Christopher Williams
Carrie-Anne McClay
Affiliation:
University of Glasgow, Scotland
Louise Waters
Affiliation:
University of Glasgow, Scotland
Ulrike Schmidt
Affiliation:
Institute of Psychiatry, London, UK
Christopher Williams*
Affiliation:
University of Glasgow, Scotland
*
Reprint requests to Christopher Williams, College of Medical, Veterinary and Life Sciences, University of Glasgow, Mental Health and Wellbeing, 1st Floor Admin. Building, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH, Scotland. E-mail: chris.williams@glasgow.ac.uk
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Abstract

Background: Bulimia nervosa (BN) is an eating disorder with many physical, psychological and social consequences. Guided self-help (GSH) is recommended in the treatment of BN (NICE, 2004). One of the ways in which to provide GSH is via the internet using evidence-based packages with regular support from a clinician or trained support worker. Aims: The aim of this community-based survey was to investigate attitudes towards online self-help for eating disorders and the support required whilst using such an approach. Method: Two-hundred and fifty-three participants with bulimic symptoms completed the survey. The sample was recruited primarily online. The mean age was 29.11 years (SD = 8.67; min = 16, max = 64). Results: Attitudes towards online self-help (SH) for eating disorders were very positive. The inclusion of some form of support to accompany such an intervention was important to the majority of participants. Remote mediums of support such as e-mail, a forum and text messaging were most often selected as helpful. Most participants expressed a preference for weekly support contacts and for flexible support lengths that could respond to support needs as required. Conclusions: Online self-help for eating disorders is a desirable treatment option for many individuals. The information gathered regarding preferences in the type, medium, duration and frequency of support could be used in the development of future self-help strategies in order to maximize uptake, retention and outcomes.

Keywords

Bulimia nervosaself-helpcCBTtreatmentattitudesCBTpsychotherapy

Information

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 1 , January 2016 , pp. 65 - 78
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Andrewes, H., Kenicer, D., McClay, C.-A. and Williams, C. (2013). A national survey of the infrastructure and IT policies required to deliver computerized cognitive behavioural therapy in the English NHS. BMJ Open, 3 (2). e002277. ISSN . doi:10.1136/bmjopen-2012-002277P CrossRefGoogle ScholarPubMed
Bower, P. and Gilbody, S. (2005). Stepped care in psychological therapies: access, effectiveness and efficiency (Narrative literature review). British Journal of Psychiatry, 186, 11–17. doi: 10.1192/bjp.186.1.11 CrossRefGoogle ScholarPubMed
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa CrossRefGoogle Scholar
Carlbring, P. and Smit, F. (2008). Randomized trial of internet-delivered self-help with telephone support for pathological gamblers. Journal of Consulting and Clinical Psychology, 76, 1090–1094. doi: 10.1037/a0013603.CrossRefGoogle ScholarPubMed
Carrard, I., Rouget, P., Fernandez-Aranda, F., Volkart, A., Damoiseau, M. and Lam, T. (2006). Evaluation and deployment of evidence-based patient self-management support program for bulimia nervosa. International Journal of Medical Informatics, 75, 101–109. doi: 10.1016/j.ijmedinf.2005.07.031 CrossRefGoogle ScholarPubMed
Carrard, I., Fernandez-Aranda, F., Lam, T., Nevonen, L., Liwowsky, I., Volkart, A. C., et al. (2010). Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries. European Eating Disorders Review, 19, 138–149. doi: 10.1002/erv.1043 CrossRefGoogle ScholarPubMed
Christensen, H. and Mackinnon, A. (2006). The law of attrition revisited. Journal of Medical Internet Research, 8:e20. doi:10.2196/jmir.8.3.e20.CrossRefGoogle ScholarPubMed
Christensen, H., Griffiths, K. M. and Farrer, L. (2009). Adherence in internet interventions for anxiety and depression. Journal of Medical Internet Research, 11:e13. doi:10.2196/jmir.1194 CrossRefGoogle ScholarPubMed
Evans, E. J., Hay, P. J., Mond, J., Paxton, S. J., Quirk, F., Rodgers, B., et al. (2011). Barriers to help-seeking in young women with eating disorders: a qualitative exploration in a longitudinal community survey. Eating Disorders, 19, 270–85. doi: 10.1080/10640266.2011.566152 CrossRefGoogle Scholar
Eysenbach, G. (2005). The law of attrition. Journal Medical Internet Research, 7, e11. doi:10.2196/jmir.7.1.e11 CrossRefGoogle ScholarPubMed
Fairburn, C. G. and Beglin, S. J. (2008). Eating Disorder Examination Questionnaire. In Fairburn, C. G. (Ed), Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press.Google ScholarPubMed
Fairburn, C. G. and Cooper, Z. (1993). The Eating Disorder Examination (12th ed.). In Fairburn, C. G. and Wilson, G. T. (Eds.), Binge Eating: nature, assessment and treatment (pp. 317–360). New York: Guilford Press.Google Scholar
Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S. and Lovell, A. (2007). What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine, 37, 1217–1228. doi: 10.1017/S0033291707000062 CrossRefGoogle ScholarPubMed
Griffiths, K. M. and Christensen, H. (2007). Internet-based mental health programs: a powerful tool in the rural medical kit. Australian Journal of Rural Health. 15, 81–87. doi: 10.1111/j.1440-1584.2007.00859.x CrossRefGoogle ScholarPubMed
Hepworth, N. and Paxton, S. J. (2007). Pathways to help-seeking in bulimia nervosa and binge eating problems: a concept mapping approach. International Journal of Eating Disorders, 40, 493–504. doi: 10.1002/eat.20402 CrossRefGoogle ScholarPubMed
James, A. A. C. J., Soler, A. and Weatherall, R. R. W. (2005). Cognitive Behavioural Therapy for Anxiety Disorders in Children and Adolescents. Cochrane Library Editorial Group: Cochrane Depression, Anxiety and Neurosis Group.CrossRefGoogle ScholarPubMed
Jorm, A. F. (2000). Mental health literacy: public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177, 396–401. doi: 10.1192/bjp.177.5.396 CrossRefGoogle ScholarPubMed
Kenicer, D., McClay, C.-A. and Williams, C. J. (2012). A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. BMC Medical Informatics and Decision Making, 12 (102). doi:10.1186/1472-6947-12-102 CrossRefGoogle ScholarPubMed
McClay, C.-A., Waters, L., McHale, C., Schmidt, U. and Williams, C. (2013). Online cognitive behavioral therapy for bulimic type disorders, delivered in the community by a nonclinician: qualitative study. Journal of Medical Internet Research, 15 (3). doi:10.2196/jmir.2083 CrossRefGoogle ScholarPubMed
Mond, J. M., Marks, P., Hay, P. J., Rodgers, B., Kelly, C., Owen, C., et al. (2007). Mental health literacy and eating disordered behaviour: beliefs of adolescent girls concerning the treatment of and treatment-seeking for bulimia nervosa. Journal of Youth and Adolescents, 36, 753–762. 10.1007/s10964-006-9087-9 CrossRefGoogle Scholar
Murray, K., Schmidt, U., Pombo-Carril, M. G., Grover, M., Alenya, J., Treasure, J., et al. (2007). Does therapist guidance improve uptake, adherence and outcome from a CD-ROM based cognitive-behavioural intervention for the treatment of bulimia nervosa? Computers in Human Behavior, 23, 850–859. doi: 10.1016/j.chb.2004.11.014 CrossRefGoogle Scholar
National Collaborating Centre for Mental Health (NICE) (2004). Eating Disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa, and related eating disorders. London: National Institute for Clinical Excellence.Google Scholar
Oh, E., Jorm, A. F. and Wright, A. (2009). Perceived helpfulness of websites for mental health information. Social Psychiatry, 44, 293–299. 10.1007/s00127-008-0443-9 Google ScholarPubMed
Peterson, C. B., Crosby, R. D., Wonderlich, S. A., Joiner, T., Crow, S. J., Mitchell, J. E., et al. (2007). Psychometric properties of the eating disorder examination-questionnaire: factor structure and internal consistency. International Journal of Eating Disorders. 40, 386–389. doi:10.1002/eat.20373 CrossRefGoogle ScholarPubMed
Pretorius, N., Arcelus, J., Beecham, J., Dawson, H., Doherty, F., Eisler, I., et al. (2009). Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of an internet-based delivery. Research Behaviour and Therapy, 4, 729–736. doi: 10.1016/j.brat.2009.05.006 CrossRefGoogle Scholar
Pretorius, N., Rowlands, L., Ringwood, S. and Schmidt, U. (2010). Young people's perceptions of and reasons for accessing a web-based cognitive behavioural intervention for bulimia nervosa. European Eating Disorders Review, 18, 197–206. doi: 10.1002/erv.985 CrossRefGoogle ScholarPubMed
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., et al. (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185, 46–54. doi: 10.1192/bjp.185.1.46 CrossRefGoogle ScholarPubMed
Sanchez-Ortiz, V., Munro, C., Stahl, D., House, J., Startup, H., Treasure, J., et al. (2011). A randomised controlled trial of Internet-based CBT for bulimia nervosa in a student population: identifying and treating the “iceberg” of unmet need. Psychological Medicine, 41, 407–417. doi: 10.1176/appi.ajp.164.4.591 CrossRefGoogle Scholar
Sanchez-Ortiz, V. C., Munro, C., Startup, H., Treasure, J. and Schmidt, U. (2011). The role of e-mail guidance in internet-based cognitive behavioural self-care treatment for bulimia nervosa. European Eating Disorders Review, 19, 342–348, doi: 10.1002/erv.1074 CrossRefGoogle ScholarPubMed
Sánchez-Ortiz, V. C., House, J., Munro, C., Treasure, J., Startup, H., Williams, C., and Schmidt, U. (2011). “A computer isn't gonna judge you”: a qualitative study of users’ views of an internet-based cognitive behavioural guided self-care treatment package for bulimia nervosa and related disorders. Eating and Weight Disorders, 16, doi: 10.1007/BF03325314 CrossRefGoogle ScholarPubMed
Sysko, R., Walsh, B. T. and Fairburn, C. G. (2005). EDE-Q as a measure of change in patients with bulimia nervosa. International Journal of Eating Disorders, 37, 100–106. doi: 10.1002/eat.20078 CrossRefGoogle ScholarPubMed
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