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Participants received access to the coached digital CBT\u2010based intervention, which included individualized guidance and twice\u2010weekly SMS feedback from a program coach over three months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Almost all participants (93.3%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) accessed the program after enrollment, completing about half (M\u2009=\u20094.15, SD\u2009=\u20092.68) of the 8 sessions and sending an average of 32.5 (SD\u2009=\u200935.2) texts to their coach over three months. From pre\u2010 to post\u2010intervention, there were large improvements in eating disorder psychopathology (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.79,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and moderate decreases in binge eating (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.62,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and self\u2010induced vomiting episodes (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031). There were also large improvements in clinical impairment (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and moderate to large reductions in anxiety (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.47,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019) and depression (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.84,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most participants indicated that they were somewhat to very satisfied with the program (67.9%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The results from this pilot trial testing a brief online guided self\u2010help intervention are promising, with relatively high treatment engagement, indicating good feasibility and acceptability and signals of preliminary effectiveness. Future research is needed to examine longer\u2010term effectiveness relative to other active treatments or waitlist control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24459","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T05:44:04Z","timestamp":1747028644000},"page":"1535-1546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Open Pilot Trial of a Coached Digital Program for Lower\u2010Income Adults With Eating Disorders"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5521-6381","authenticated-orcid":false,"given":"Erin C.","family":"Accurso","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco  San Francisco California USA"},{"name":"Philip R. 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