{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:39:26Z","timestamp":1786977566111,"version":"build-2736575974"},"reference-count":59,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["636310001"],"award-info":[{"award-number":["636310001"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Many individuals with an eating disorder do not receive appropriate care. Low\u2010threshold interventions could help bridge this treatment gap. The study aim was to evaluate the effectiveness of Featback, a fully automated online self\u2010help intervention, online expert\u2010patient support and their combination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A randomized controlled trial with a 12\u2010month follow\u2010up period was conducted. Participants aged 16 or older with at least mild eating disorder symptoms were randomized to four conditions: (1) Featback, a fully automated online self\u2010help intervention, (2) chat or email support from a recovered expert patient, (3) Featback with expert\u2010patient support and (4) a waiting list control condition. The intervention period was 8\u2009weeks and there was a total of six online assessments. The main outcome constituted reduction of eating disorder symptoms over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three hundred fifty five participants, of whom 43% had never received eating disorder treatment, were randomized. The three active interventions were superior to a waitlist in reducing eating disorder symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u2009\u22120.38), with no significant difference in effectiveness between the three interventions. Participants in conditions with expert\u2010patient support were more satisfied with the intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Internet\u2010based self\u2010help, expert\u2010patient support and their combination were effective in reducing eating disorder symptoms compared to a waiting list control condition. Guidance improved satisfaction with the internet intervention but not its effectiveness. Low\u2010threshold interventions such as Featback and expert\u2010patient support can reduce eating disorder symptoms and reach the large group of underserved individuals, complementing existing forms of eating disorder treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public significance statement<\/jats:title>\n                    <jats:p>Individuals with eating\u2010related problems who received (1) a fully automated internet\u2010based intervention, (2) chat and e\u2010mail support by a recovered individual or (3) their combination, experienced stronger reductions in eating disorder symptoms than those who received (4) usual care. Such brief and easy\u2010access interventions play an important role in reaching individuals who are currently not reached by other forms of treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23785","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T12:22:54Z","timestamp":1659183774000},"page":"1361-1373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Effectiveness of an online self\u2010help program, expert\u2010patient support, and their combination for eating disorders: Results from a randomized controlled trial"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0795-466X","authenticated-orcid":false,"given":"Pieter J.","family":"Rohrbach","sequence":"first","affiliation":[{"name":"GGZ Rivierduinen Eating Disorders Ursula  Leiden Netherlands"},{"name":"Department of Psychiatry Leiden University Medical Center  Leiden 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