Evidence map›Paper›PMID 40597374›Full record

ArticleJournal of eating disorders2025

Ecological momentary interventions for eating disorders: a systematic review of the nascent science and recommendations for future research.

Macarena Kruger, Jianyi Liu, Haley Graver, Stephanie Manasse, Elizabeth A Velkoff

Abstract read
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Macarena KrugerDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-3451-0829
Jianyi LiuDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5065-1771
Haley GraverDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-4293-6926
Stephanie ManasseDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-4666-588X
Elizabeth A VelkoffCenter for Weight, Eating, and Lifestyle Sciences, Drexel University, Philadelphia, PA, USA. lv399@drexel.edu.ORCID http://orcid.org/0000-0003-0535-5620

Funding

Does aberrant decision-making prevent success in adolescent behavioral weight loss treatment?K23DK124514 · NIDDK · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2020 to 2024
$897k
National Institute of Diabetes, Digestive and Kidney Diseases K23DK124514NIDDK NIH HHS K23 DK124514
6 · The paper itself

Abstract

backgroundEcological momentary interventions (EMIs) deliver real-time, technology-based support in everyday settings. They have been used as standalone treatments or adjuncts to traditional care, with growing but still limited evidence supporting their effectiveness. EMIs offer a method for reducing barriers to care such as high costs, stigma, and limited access to providers - issues particularly relevant to eating disorder (ED) treatment, given the expense of inpatient care and the scarcity of specialized providers. This review examines existing research on EMIs for ED treatment, their design and content, and directions for future research.

methodsWe conducted a systematic review of EMI studies for EDs using PubMed, PsycINFO, Web of Science, and the Cochrane Library. Following screening for eligibility, we extracted data on study population, EMI design, and outcomes. Study quality was assessed using the Effective Public Health Practice Quality Assessment Tool (EPHPP).

resultsOur search identified 279 unique studies, of which eight met inclusion criteria. EMI notification content, timing, and delivery method varied across studies. Most studies included self-report or monitoring measures (7/8; 87.5%) to inform momentary delivery of tailored interventions. The effectiveness of EMIs showed mixed results. Of the two randomized-controlled trials included, both investigated EMIs as an adjunct to cognitive-behavioral therapy (CBT) and found that EMIs did not significantly enhance symptom reduction or skill acquisition beyond CBT alone. Studies testing EMI for maintaining treatment gains reported improvement in remission rates and symptom reduction, but poor adherence makes these results difficult to interpret. The average quality rating of the studies included was moderate.

conclusionsGiven the limited number of studies, we cannot draw broad conclusions about EMI effectiveness. We identified key gaps to address in future research, including examining moderators and mechanisms of EMI efficacy, refining EMI design to reduce participant burden, leveraging advanced technology for greater personalization of interventions, and recruiting larger and more diverse samples. Addressing these gaps will help clarify EMIs' potential role in improving ED treatment.

Indexed as

AcceptabilityAnorexia nervosaBinge eating disorderBulimia nervosaEating disordersEcological momentary interventionEffectivenessFeasibilitySystematic reviewTreatment

Identifiers

PMID40597374
PMCPMC12217200

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.