{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:29:18Z","timestamp":1781299758179,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1196948"],"award-info":[{"award-number":["APP1196948"]}],"id":[{"id":"10.13039\/501100000925","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":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Dialectical behavior therapy (DBT) is an evidence\u2010based treatment for disorders characterized by recurrent binge eating. Yet, access to specialized treatment like DBT remains limited. To increase the accessibility of DBT, we developed a DBT skills training app (<jats:italic>Resilience: eDBT<\/jats:italic>) for the management of eating disorder (ED) symptoms. This paper delineates the developmental process of <jats:italic>Resilience<\/jats:italic> and tests its usability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Descriptive information on the development and features of <jats:italic>Resilience<\/jats:italic> is provided, including its framework, content structure and delivery formats, functionality, data storage procedure, and privacy protocols. Usability was assessed via a mixed methods approach in 10 symptomatic individuals. Qualitative data were organized based on an existing framework, which included six themes: usability, visual design, user engagement, content, therapeutic persuasiveness, and therapeutic alliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\n<jats:italic>Resilience<\/jats:italic> demonstrated good usability via a Systems Usability Scale score of 85.5, which exceeded the recommended cutoff of 68. Positive aspects of the app, according to interview data, were the ease of use and the visual design, while the addition of peer support was suggested as an opportunity for improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>A novel DBT\u2010based app may serve as an acceptable, low\u2010intensity option or adjunct to traditional treatment for targeting ED symptoms that emerge in daily life. However, notable limitations include the small sample size and the single time point at which the usability assessment was conducted.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24258","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T10:58:30Z","timestamp":1721041110000},"page":"2278-2284","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["<i>Resilience eDBT<\/i>: Development and Usability Evaluation of a Dialectical Behavior Therapy Skills Training App for Eating Disorders"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1203-5492","authenticated-orcid":false,"given":"Cleo","family":"Anderson","sequence":"first","affiliation":[{"name":"School of Psychology, Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1145-6057","authenticated-orcid":false,"given":"Matthew","family":"Fuller\u2010Tyszkiewicz","sequence":"additional","affiliation":[{"name":"School of Psychology, Deakin University  Geelong Victoria Australia"},{"name":"Center for Social and Emotional Development, Deakin University  Burwood Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7186-7264","authenticated-orcid":false,"given":"Mariel","family":"Messer","sequence":"additional","affiliation":[{"name":"School of Psychology, Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-7139","authenticated-orcid":false,"given":"Jake","family":"Linardon","sequence":"additional","affiliation":[{"name":"School of Psychology, Deakin University  Geelong Victoria Australia"},{"name":"Center for Social and Emotional Development, Deakin University  Burwood Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010024\u201001646\u20108"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.4984"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7270"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201700283"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000598"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23208"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716002543"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469\u2010012\u20109416\u2010z"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41347\u2010019\u201000105\u2010x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.9445"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010014\u20109801\u20100"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010023\u201001415\u2010x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2019.19020184"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1858"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2022.107332"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/01454455211021764"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23356"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291720003426"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22838"},{"key":"e_1_2_10_21_1","volume-title":"Cognitive\u2010Behavioral Treatment of Borderline Personality Disorder","author":"Linehan M.","year":"1993"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/0-306-48581-8_50"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7725"},{"key":"e_1_2_10_24_1","volume-title":"The DBT Solution for Emotional Eating: A Proven Program to Break the Cycle of Bingeing and Out\u2010of\u2010Control Eating","author":"Safer D. 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