{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:05:16Z","timestamp":1780067116234,"version":"3.54.0"},"reference-count":65,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["K23AT012126"],"award-info":[{"award-number":["K23AT012126"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      There is a great need for the development of scalable augmentations to treatments for anorexia nervosa (AN) and bulimia nervosa (BN), as most individuals with AN\/BN are currently not able to access treatment. Mindfulness\u2010based interventions (MBIs) may be promising for AN\/BN and lend themselves well to digital delivery, increasing access. We aimed to develop and test the initial acceptability and feasibility of\n                      <jats:italic>Mindful Courage,<\/jats:italic>\n                      a digital MBI for AN\/BN and atypical AN\/BN.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We evaluated an 8\u2010week version of\n                      <jats:italic>Mindful Courage<\/jats:italic>\n                      including 32 modules (8 core multi\u2010media lessons, 24 brief audio\u2010guided mindfulness practices) in\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200932 participants, who also received weekly phone coaching conducted by psychology students. Ten participants (31.2%) were enrolled in outpatient ED treatment while receiving the intervention. Participants completed assessments at baseline, post\u2010intervention (8\u2009weeks), and 2\u2010month post\u2010intervention follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Acceptability was demonstrated by relatively high ratings for perceived usability (81.34\/100), understandability (4.6\/5.0), engageability (4.1\/5.0), visual appeal (4.1\/5.0), helpfulness (4.2\/5.0), skills acquisition (4.3\/5.0), and confidence applying skills (4.2\/5.0). Feasibility was demonstrated by high module completion (an average of 28\/32 modules). There were significant reductions in target outcomes: ED symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.21), body dissatisfaction (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.73), depression (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.76), anxiety (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.62), and clinical impairment (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.15). In addition, there were significant improvements in target mechanisms: mindfulness (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.79), emotion regulation difficulties\n                      <jats:italic>(d<\/jats:italic>\n                      \u2009=\u20090.65\n                      <jats:italic>),<\/jats:italic>\n                      and savoring beliefs (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.58).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Mindful Courage<\/jats:italic>\n                      is a viable and potentially effective intervention. A future randomized\u2010controlled trial is warranted.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70037","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:31:31Z","timestamp":1769149891000},"page":"896-910","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Acceptability and Feasibility of a Digital Mindfulness\u2010Based Intervention for Anorexia Nervosa and Bulimia Nervosa"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1560-649X","authenticated-orcid":false,"given":"Margaret","family":"Sala","sequence":"first","affiliation":[{"name":"Ferkauf Graduate School of Psychology, Yeshiva University  Bronx New York USA"},{"name":"Department of Psychiatry Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9893-1046","authenticated-orcid":false,"given":"Hedy","family":"Kober","sequence":"additional","affiliation":[{"name":"Department of Psychology University of California at Berkeley  Berkeley California USA"},{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2359-5206","authenticated-orcid":false,"given":"Cheri","family":"Levinson","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences University of Louisville  Louisville Kentucky USA"},{"name":"Department of Pediatrics, Division of Child and Adolescent Psychiatry and Psychology  Louisville Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0641-456X","authenticated-orcid":false,"given":"Dante","family":"Ascarrunz","sequence":"additional","affiliation":[{"name":"Ferkauf Graduate School of Psychology, Yeshiva University  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0127-8667","authenticated-orcid":false,"given":"Casey","family":"Stern","sequence":"additional","affiliation":[{"name":"Ferkauf Graduate School of Psychology, Yeshiva University  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0086-770X","authenticated-orcid":false,"given":"Corey","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/15228830802094429"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23131"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2673"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10129"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20665"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_12_11_1","volume-title":"Mindfulness\u2010Based Relapse Prevention for Addictive Behaviors: A Clinician's Guide","author":"Bowen S.","year":"2011"},{"key":"e_1_2_12_12_1","volume-title":"Usability Evaluation in Industry","author":"Brooke J.","year":"1996"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"29","article-title":"SUS: A Retrospective","volume":"8","author":"Brooke J.","year":"2013","journal-title":"Journal of Usability Studies"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/0963823031000103489"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20213"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108X(198707)6:4<485::AID\u2010EAT2260060405>3.0.CO;2\u2010O"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000805"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000396"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1772"},{"key":"e_1_2_12_21_1","first-page":"324","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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