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Perspectives of e-health interventions for treating and preventing eating disorders: descriptive study of perceived advantages and barriers, help-seeking intentions, and preferred functionality
Open accessAbstract
Purpose Digital interventions that consider end-user needs, preferences, and concerns may address suboptimal rates of e-health uptake, usage, and engagement. We explored target-user perspectives of e-health treatment and prevention programs for eating disorders (EDs), with a focus on investigating (1) perceived advantages and barriers of e-health; (2) help-seeking intentions; and (3) preferences for different digital functionality, device types, and content-delivery formats.Methods Survey data were analysed from 722 community-based participants. Participants were categorized into one of four groups based on symptom presentation and severity, ranging from low risk to probable bulimia nervosa or binge-eating disorder.Results e-health advantages that received the highest endorsement (~ 84%) were "always there in times of need" and "travel not required". e-health barriers that received the highest endorsement (~ 50%) were concerns about data privacy and the accuracy of content presented. Nearly three-quarters reported an intention to use an e-health platform for preventing or treating EDs. Preference ratings were highest for programs to be available on all digital devices (relative to restricting the program to one type of device) and for content to be presented via graphics and video tutorials (rather than audio-based). e-health functionality that received highest preference ratings (~ 80%) were added clinician support, tailored feedback, strategies to change unhelpful ED thoughts, screening scales to assess symptoms, ED psychoeducation, and just-in-time intervention prompts. Preference and intention ratings were strikingly similar across all subgroups.Conclusion Findings may inform the development and design of e-health platforms that meet the needs of people at different stages of an ED.Level of evidence Level V, cross-sectional descriptive study.
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Guided self-help CBT-E reduces geographical and financial barriers to treatment.
“Furthermore, guided self-help CBT-E reduces geographical and financial barriers to treatment (Linardon et al., 2021)”
From Effectiveness of web-based guided self-help cognitive behavioral therapy-enhanced for binge-eating disorder: An implementation study (2024) · cites this paper as Linardon et al., 2021
Those with BED commonly experience treatment-seeking hesitancy due to self-stigma, waiting lists, and previous negative treatment experiences.
“or commonly experience treatment-seeking hesitancy due to self-stigma, waiting lists, and previous negative treatment experiences (16, 17).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [16]
This reflects the amenability of those with an ED to treatment via digital programs, particularly when there is a level of support provided by a clinician.
“This reflects the amenability of those with an ED to treatment via digital programs, particularly when there is a level of support provided by a clinician (16).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [16]
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Edwards, R., & Krause, N. (2025) · JMIR Formative Research · doi:10.2196/79770
Cruchet, L., Romo, L., Duriez, P., Laszcz, M. A., Poupon, D., & Gorwood, P. A. P. M. (2026) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-026-01836-6
Holgersen, G., Nordby, E. S., Espeset, E. M. S., & Nordgreen, T. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-026-01596-9
User experience and perceived impact of the Eating Disorder Support App: a mixed-methods evaluation
Rysinova, V., Ramsey‐Wade, C. E., Trippick, C., & Norweg, S. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-026-01655-1
Holgersen, G., Nordby, E. S., Elgen, I. B., Espeset, E. M. S., & Nordgreen, T. (2026) · JMIR Pediatrics and Parenting · doi:10.2196/93431 · Cited by 1
Digital screening tools for individuals at risk of mental disorders: a systematic review (Preprint)Preprint
Logeswaran, Y., La‐Torraca‐Vittori, P., Ahmed, M. W., Arribas, M., Wallman, P., Reilly, T. J., Capon, W., Aronica, R., Brodeur, S., Dusara, H., et al. (2026) · doi:10.2196/preprints.114283
Temporal Trends in the Outcomes of Digital Eating Disorder Interventions: A Meta-Regression
Anderson, C., McClure, Z., Messer, M., Liu, C., & Linardon, J. (2026) · Behavior Therapy · doi:10.1016/j.beth.2026.10.005
Metadata
- Authors
- Linardon, J., Messer, M., Lee, S., & Rosato, J.
- Affiliations
- Deakin University (AU)
- Auckland University of Technology (NZ)
- Corresponding author
- Linardon, Jake
- Venue
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
- Published
- 2020-09-21
- Volume
- 26
- Issue
- 4
- Pages
- 1097-1109
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- OpenAlex
- W3087370087
- Cited by
- 76
- References
- 41
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 21 · 2023: 15 · 2022: 13 · 2021: 8
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- digital health interventions, eating disorders, help-seeking intentions, user preferences, data privacy concerns, binge eating disorder, bulimia nervosa, clinician support, personalized feedback, psychoeducation, prevention programs
- MeSH terms
- Feeding and Eating Disorders, Cross-Sectional Studies, Humans, Surveys and Questionnaires, Telemedicine, Intention
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