Reducing eating disorder symptoms and risk factors using the internet: A meta‐analytic review

Melioli, Tiffany; Bauer, Stephanie; Franko, Debra L.; Moessner, Markus; Ozer, Fikret; Chabrol, Henri; Rodgers, Rachel F.

doi:10.1002/eat.22477

Cited by 147Eating Disorders and BehaviorsNutrition, Health and Food BehaviorBody Image and Dysmorphia Studies

Reducing eating disorder symptoms and risk factors using the internet: A meta‐analytic review

Melioli, Tiffany, Bauer, Stephanie, Franko, Debra L., Moessner, Markus, Ozer, Fikret, Chabrol, Henri, Rodgers, Rachel F.·2016·International Journal of Eating Disorders

DOI 10.1002/eat.22477

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Abstract

Objective: The purpose of this meta‐analytic review was, first, to evaluate the efficacy of Internet‐based programs in decreasing eating disorder (ED) symptoms, and, second, to identify moderator variables these effects. Method: Twenty studies were identified and between‐group effect sizes were calculated for ED symptoms and risk factors. Results: Compared with control conditions, Internet‐based programs successfully decreased body dissatisfaction (d = 0.28, 95% CI [0.15–0.41], p < .001), internalization of the thin ideal (d = 0.36, 95% CI [0.07–0.65], p < .05), shape and weight concern (d = 0.42, 95% CI [0.13–0.71], p < .05), dietary restriction (d = 0.36, 95% CI [0.23–0.49], p < .001), drive for thinness (d = 0.47, 95% CI [0.33–0.60], p < .001), bulimic symptoms (d = 0.31, 95% CI [0.20–0.41], p < .001), purging frequency (d = 0.30, 95% CI [0.02–0.57], p < .05), and negative affect (d = 0.32, 95% CI [0.12–0.52], p < .001). Moderator analyses revealed no impact of data analytic strategy on intervention effects. Similarly, participant risk status was not a moderator for most outcomes. Discussion: Internet‐based programs are successful in decreasing ED symptoms and risk factors with small to moderate between‐group effect sizes.

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Supported online self-help programs (eTherapies) are effective in transdiagnostic eating disorder samples and may improve access to treatment.
“Studies in transdiagnostic eating disorder (ED) samples suggest supported online self-help programs (eTherapies) are effective and may improve access to treatment”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [27]
eTherapies' efficacy in reducing ED and binge-eating symptomatology in transdiagnostic ED samples has growing evidence across multiple meta-analyses, with small to medium average effect sizes.
“Moreover, their efficacy in reducing ED and binge-eating symptomatology in transdiagnostic ED samples has growing evidence across multiple meta-analyses, with small to medium average effect sizes reported (22, 25–27).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [27]
A variety of Internet-based programs for eating disorders have been developed with overall evidence suggesting that they offer a promising approach to preventing and treating eating disorders.
“A variety of Internet-based programs for eating disorders have been developed with overall evidence suggesting that they offer a promising approach to preventing and treating eating disorders [19–24].”
From Recruitment, adherence and attrition challenges in internet-based indicated prevention programs for eating disorders: lessons learned from a randomised controlled trial of ProYouth OZ (2022) · cites this paper as [23]

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van Strien (1986) · doi:10.1002/1098-108x(198602)5:2

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Authors: Melioli, T., Bauer, S., Franko, D. L., Moessner, M., Ozer, F., Chabrol, H., & Rodgers, R. F.
Affiliations: Université de Toulouse (FR)
Center for Psychotherapy Research University Hospital Heidelberg Bergheimerstr. 54 Heidelberg 69115 Germany
Northeastern University (US)
University Hospital Heidelberg (DE)
Corresponding author: Melioli, Tiffany
ORCID: Franko, Debra L.
Moessner, Markus
Chabrol, Henri
Rodgers, Rachel F.
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2015-11-26
Volume: 49
Issue: 1
Pages: 19-31
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22477
OpenAlex: W2174951980
Cited by: 147
References: 87
Citations by year: 2026: 6 · 2025: 12 · 2024: 11 · 2023: 11 · 2022: 17 · 2021: 17 · 2020: 18 · 2019: 21 · 2018: 11 · 2017: 12 · 2016: 11
FWCI: 1.63
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords: eating disorders, online intervention, body dissatisfaction, thin-ideal internalization, drive for thinness, bulimic symptoms, purging behavior, dietary restriction, weight concern, negative affect, eating disorder risk factors, treatment efficacy
MeSH terms: Feeding and Eating Disorders, Body Image, Humans, Risk Factors, Internet

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Reducing eating disorder symptoms and risk factors using the internet: A meta‐analytic review

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