{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:04:56Z","timestamp":1776434696294,"version":"3.51.2"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T00:00:00Z","timestamp":1506470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R41MH096435"],"award-info":[{"award-number":["R41MH096435"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Guided self\u2010help treatments based on cognitive\u2010behavior therapy (CBT\u2010GSH) are efficacious for binge eating. With limited availability of CBT\u2010GSH in the community, mobile technology offers a means to increase use of these interventions. The purpose of this study was to test the initial efficacy of Noom Monitor, a smartphone application designed to facilitate CBT\u2010GSH (CBT\u2010GSH\u2009+\u2009Noom), on study retention, adherence, and eating disorder symptoms compared to traditional CBT\u2010GSH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Sixty\u2010six men and women with DSM\u2010<jats:italic>5<\/jats:italic> binge\u2010eating disorder (BED) or bulimia nervosa (BN) were randomized to receive eight sessions of CBT\u2010GSH\u2009+\u2009Noom (<jats:italic>n<\/jats:italic>\u2009=\u200933) or CBT\u2010GSH (<jats:italic>n<\/jats:italic>\u2009=\u200933) over 12 weeks. Primary symptom outcomes were eating disorder examination objective bulimic episodes (OBEs), subjective bulimic episodes (SBEs), and compensatory behaviors. Assessments were collected at 0, 4, 8, 12, 24, and 36 weeks. Behavioral outcomes were modeled using zero\u2010inflated negative\u2010binomial latent growth curve models with intent\u2010to\u2010treat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant effect of treatment on change in OBEs (\u03b2\u2009=\u2009\u22120.84, 95% CI\u2009=\u2009\u22121.49, \u22120.19) favoring CBT\u2010GSH\u2009+\u2009Noom. Remission rates were not statistically different between treatments for OBEs (\u03b2<jats:sub>logit<\/jats:sub>\u2009=\u2009\u22120.73, 95% CI\u2009=\u2009\u22121.86, 3.27; CBT\u2010GSH\u2010Noom\u2009=\u200917\/27, 63.0% vs. CBT\u2010GSH 11\/27, 40.7%, NNT\u2009=\u20094.5), but CBT\u2010GSH\u2010Noom participants reported greater meal and snack adherence and regular meal adherence mediated treatment effects on OBEs. The treatments did not differ at the 6\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Smartphone applications for the treatment binge eating appear to have advantages for adherence, a critical component of treatment dissemination.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22781","type":"journal-article","created":{"date-parts":[[2017,9,28]],"date-time":"2017-09-28T15:42:55Z","timestamp":1506613375000},"page":"1313-1322","source":"Crossref","is-referenced-by-count":74,"title":["Randomized controlled trial comparing smartphone assisted versus traditional guided self\u2010help for adults with binge eating"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7054-9590","authenticated-orcid":false,"given":"Tom","family":"Hildebrandt","sequence":"first","affiliation":[{"name":"Eating and Weight Disorders Program, Department of Psychiatry Icahn School of Medicine at Mount Sinai New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Michaelides","sequence":"additional","affiliation":[{"name":"Noom, Inc., 229 W 28th Street New York 10001"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianna","family":"Mackinnon","sequence":"additional","affiliation":[{"name":"Noom, Inc., 229 W 28th Street New York 10001"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Greif","sequence":"additional","affiliation":[{"name":"Eating and Weight Disorders Program, Department of Psychiatry Icahn School of Medicine at Mount Sinai New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn","family":"DeBar","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Center for Health Research, 3325 N. Interstate Ave Portland Oregon 97227"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Sysko","sequence":"additional","affiliation":[{"name":"Eating and Weight Disorders Program, Department of Psychiatry Icahn School of Medicine at Mount Sinai New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6914"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105311402244"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.4984"},{"key":"e_1_2_8_5_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A.","year":"1996"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.01.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1037\/0022-006X.66.4.616","article-title":"Cognitive\u2013behavioral self\u2010help for binge eating disorder: A controlled effectiveness study","volume":"66","author":"Carter J. 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