Evidence map›Paper›PMID 41992076›Full record

Trial reportThe International journal of eating disorders2026

Acceptability, Feasibility, and Preliminary Effectiveness of a Mobile App for Teens With or at High Risk for Eating Disorders: A Three-Arm Pilot Randomized Controlled Trial Comparing Self-Help, Guided Self-Help, and Guided Self-Help With a Social Networking Component.

Patricia A Cavazos-Rehg, Ellen E Fitzsimmons-Craft, Erin Kasson, Hannah S Szlyk, Xiao Li, Arielle C Smith, Laura D'Adamo, Daphne Lew, Denise E Wilfley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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

9 authors.

Patricia A Cavazos-RehgWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0003-3352-1198
Ellen E Fitzsimmons-CraftWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-7064-3835
Erin KassonWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0003-4888-3319
Hannah S SzlykWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-7337-8475
Xiao LiWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-3649-1820
Arielle C SmithNorthwestern University, Evanston, Illinois, USA.ORCID https://orcid.org/0000-0003-4679-1808
Laura D'AdamoDrexel University, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9963-7316
Daphne LewWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-5433-2367
Denise E WilfleyWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-3599-8689

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
PRomoting Excellence through Pain and Addiction Research Enhancement (PREPARE)T90NR021683 · NINR · WASHINGTON UNIVERSITY · PI Burel R. Goodin · 2024 to 2026
$854k
Developing an Optimized Conversational Agent or "Chatbot" to Facilitate Mental Health Services Use in Individuals with Eating DisordersK08MH120341 · NIMH · WASHINGTON UNIVERSITY · PI FITZSIMMONS-CRAFT, ELLEN E. · 2019 to 2023
$824k
Leveraging Social Media to Identify and Connect Teens with Eating Disorders to a Mobile Guided Self-Help Mobile InterventionR34MH119170 · NIMH · WASHINGTON UNIVERSITY · PI CAVAZOS-REHG, PATRICIA A, WILFLEY, DENISE ELLA · 2019 to 2021
$709k
Dynamic relations between interpersonal stressors, affective states, and binge eating in adolescent girlsF31MH138068 · NIMH · DREXEL UNIVERSITY · PI D'ADAMO, LAURA · 2024 to 2025
$99k
National Science FoundationNIDDK NIH HHS P30 DK056341NIMH NIH HHS F31 MH138068NIMH NIH HHS K08 MH120341NIMH NIH HHS R34 MH119170NINR NIH HHS T90 NR021683
6 · The paper itself

Abstract

objectiveGiven the wide treatment gap for eating disorders (EDs) and that these problems often emerge in adolescence, novel tools, such as app-based interventions, are needed to prevent and treat EDs in teens. However, questions remain about the optimal level of human support and features within these programs that could enhance outcomes (e.g., social networking). We conducted a pilot randomized controlled trial of a mobile app for teens with or at high risk for EDs, comparing self-help (control) to guided self-help (GSH) and GSH+ social networking (GSH+).

methodN = 148 teens with or at high risk for EDs recruited from social media and an online EDs screen were randomized. Participants had access to their assigned intervention for 3 months and completed surveys at baseline, 6 weeks, 3 months, and 6 months.

resultsTeen qualitative feedback illustrated positive perceptions about acceptability and feasibility of the tool and its impact on ED-related thoughts and behaviors. There were no significant differences across groups for the main outcome, global ED psychopathology, but there was a significant reduction for all groups over time (ps < 0.01; d = -0.93 from baseline to 6 months). While all intervention conditions had significant reductions in binge eating behaviors over time, the rate of reduction was greatest in the GSH condition (p < 0.001).

conclusionsOverall, our preliminary findings suggest that digital self-help interventions (both unguided and guided) may represent scalable interventions for teens with or at high risk for EDs, with coaching possibly augmenting outcomes for some subgroups.

Indexed as

Feeding and Eating DisordersMobile ApplicationsPatient Acceptance of Health CareSelf CareSocial NetworkingAdolescentFeasibility StudiesFemaleHumansMalePilot ProjectsTreatment Outcome

Identifiers

PMID41992076
PMCPMC13218351

What Socratic holds

Textmetadata
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.